Lose Edward J
Department of Genetics, The University of Alabama in Birmingham School of Medicine, Birmingham, Alabama, USA.
Curr Opin Pediatr. 2008 Dec;20(6):634-8. doi: 10.1097/MOP.0b013e328318c514.
Advances in genetics are occurring at a rapid pace. It will ultimately be the primary care pediatrician who assimilates this knowledge and applies it to patient care. This article is written in a patient encounter format with which the pediatrician is familiar. The vignettes are from the author's own experiences in 13 years of general pediatric practice.
The current literature reinforces the idea that changes in the complexity of the diagnostic evaluation and the time spent explaining the recommended testing will be required by the pediatrician. With this responsibility comes the need of new training strategies for medical students and established pediatricians.
Pediatricians will be called upon to incorporate new genetic findings into patient care. This task will ultimately be no different than it was for past pediatricians to incorporate new immunizations or antibiotics into the care plan for each patient. Patient care will improve because therapy will be tailor-made for both the disease and the patient.
遗传学进展日新月异。最终，将这些知识融会贯通并应用于患者护理的将是基层儿科医生。本文采用儿科医生熟悉的患者诊疗形式撰写。这些病例来自作者13年普通儿科临床实践的亲身经历。
当前文献进一步强调，儿科医生需要改变诊断评估的复杂性，并增加解释推荐检查所需的时间。鉴于此责任，需要为医学生和在职儿科医生制定新的培训策略。
儿科医生将被要求将新的遗传学发现纳入患者护理中。这项任务最终与过去儿科医生将新的疫苗接种或抗生素纳入每位患者的护理计划并无不同。由于治疗将针对疾病和患者量身定制，患者护理将会得到改善。
