Clyman Jonathan C, Nazir Fiza, Tarolli Sharon, Black Elizabeth, Lombardi Roni Q, Higgins Joseph J
Center for Human Genetics and Child Neurology, Mid-Hudson Family Health Institute, New Paltz, New York, USA.
Med Teach. 2007 Sep;29(6):e143-50. doi: 10.1080/01421590701477373.
Gaps in the knowledge of general practitioners (GPs) in medical genetics prevent the effective utilization of genetic services and increase the risk of liability. Educators recommend that genetics should be integrated into existing teaching programs but the effectiveness of these types of programs is unknown.
The objective of this study was to provide a 2-year educational program for GPs untrained in genetics and to document its impact on genetic knowledge and referrals to a genetic counselor (GC).
Eight genetic lectures series were given at quarterly intervals. Family practice residents received additional training in a genetics clinic, and participated in monthly seminars and bi-annual journal clubs. A pretest-post-test study design (n = 143) was used to evaluate the genetic knowledge of GPs. Post-test scores [mean (%) +/- SD; 76.1 +/- 16.8] showed significant improvement compared to pretest scores (61.9 +/- 19.1). The majority of participants (81%) indicated that the program would have an impact on their clinical practice. The number of referrals to a GC from GPs untrained in genetics did not change over the 2-year period of the program.
The results suggest that an integrated educational program in genetics can enhance physicians' knowledge but may not alter referral patterns to a GC.
全科医生在医学遗传学知识方面的欠缺阻碍了遗传服务的有效利用，并增加了责任风险。教育工作者建议将遗传学纳入现有的教学计划，但这类计划的效果尚不清楚。
本研究的目的是为未接受过遗传学培训的全科医生提供一个为期两年的教育计划，并记录其对遗传知识以及向遗传咨询师（GC）转诊的影响。
每季度举办八场遗传学讲座系列。家庭医学住院医师在遗传学诊所接受了额外培训，并参加每月的研讨会和每半年一次的期刊俱乐部。采用前测-后测研究设计（n = 143）来评估全科医生的遗传知识。后测分数[平均（%）±标准差；76.1±16.8]与前测分数（61.9±19.1）相比有显著提高。大多数参与者（81%）表示该计划会对他们的临床实践产生影响。在该计划的两年期间，未接受过遗传学培训的全科医生向遗传咨询师的转诊数量没有变化。
结果表明，遗传学综合教育计划可以提高医生的知识水平，但可能不会改变向遗传咨询师的转诊模式。
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