Personalized cancer genetics training for personalized medicine: Improving community-based healthcare through a genetically literate workforce

被引:44
作者
Blazer, Kathleen R. [1 ]
MacDonald, Deborah J. [1 ]
Culver, Julie O. [1 ]
Huizenga, Carin R. [1 ]
Morgan, Robert J. [2 ]
Uman, Gwen C. [3 ]
Weitzel, Jeffrey N. [1 ]
机构
[1] City Hope Natl Med Ctr, Div Clin Canc Genet, Ctr Comprehens Canc, Duarte, CA 91010 USA
[2] City Hope Natl Med Ctr, Dept Med Oncol, Ctr Comprehens Canc, Duarte, CA 91010 USA
[3] Vital Res, Los Angeles, CA USA
关键词
cancer genetics; continuing medical education; personalized medicine; PROFESSIONAL-DEVELOPMENT; CONTINUING-EDUCATION; CLINICIAN; SUSCEPTIBILITY; OUTCOMES; PROGRAM; PHYSICIANS; KNOWLEDGE; EFFICACY; IMPACT;
D O I
10.1097/GIM.0b013e31821882b7
中图分类号
Q3 [遗传学];
学科分类号
071007 ; 090102 ;
摘要
Purpose: To assess the impact of a multimodal interdisciplinary course on genetic cancer risk assessment and research collaboration for community-based clinicians. Clinicians are increasingly requested to conduct genetic cancer risk assessment, but many are inadequately prepared to provide these services. Methods: A prospective analysis of 131 participants (48 physicians, 41 advanced-practice nurses, and 42 genetic counselors) from community settings across the United States. The course was delivered in three phases: distance didactic learning, face-to-face training, and 12 months of web-based professional development activities to support integration of skills into practice. Cancer genetics knowledge, skills, professional self-efficacy, and practice changes were measured at baseline, immediate, and 14 months postcourse. Results: Knowledge, skills, and self-efficacy scores were significantly different between practice disciplines; however, postscores increased significantly overall and for each discipline (P < 0.001). Fourteen-month practice outcomes reflect significant increases in provision of genetic cancer risk assessment services (P = 0.018), dissemination of cancer prevention information (P = 0.005) and high-risk screening recommendations (P = 0.004) to patients, patient enrollment in research (P = 0.013), and educational outreach about genetic cancer risk assessment (P = 0.003). Conclusions: Results support the efficacy of the multimodal course as a tool to develop a genetically literate workforce. Sustained alumni participation in web-based professional development activities has evolved into a distance-mediated community of practice in clinical cancer genetics, modeling the lifelong learning goals envisioned by leading continuing medical education stakeholders. Genet Med 2011:13(9):832-840.
引用
收藏
页码:832 / 840
页数:9
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