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新的流行病学培训工具。

New training tools for new epidemiologists.

机构信息

Maastricht Molecular Epidemiology Expertise group (M2E2), www.M2E2.nl, Department of Epidemiology, Maastricht University, NL-6200 MD, Maastricht, The Netherlands.

出版信息

Environ Mol Mutagen. 2013 Aug;54(7):611-5. doi: 10.1002/em.21793. Epub 2013 Jul 26.

Abstract

Molecular epidemiology is moving from an era of single marker studies to omics-driven population-based studies, made possible by recent rapid technological advances in high-throughput laboratory assays. The use of these assays in large, observational, epidemiologic studies poses major methodological challenges. The traditional, reductionist approach that most epidemiologists have been taught is no longer sufficient with the introduction of omics data into epidemiology. However, basic epidemiological principles, such as confounding, must still be addressed. In order to successfully implement these tools into molecular epidemiology, scientists in the required disciplines must be able to effectively communicate. We propose an interdisciplinary, three-level, problem-based approach to training in molecular epidemiology. This approach requires interdisciplinary teaching teams that appeal to students coming from diverse backgrounds. First, concepts from each field necessary for molecular epidemiology must be addressed at a basic level, with a specific focus on biological, epidemiological, and statistical concepts. Second, state-of the art methods applied in molecular epidemiology should be covered (e.g., omics technologies, smart study designs, statistical modeling, and biological interpretation). Third, the application of omics technologies in population studies calls for awareness of issues related to biobanking, ethics, legislation, and public health. Problem-based learning is a useful tool for teaching when students need to apply complex concepts to complex situations as is the case in molecular epidemiology. Using this approach, students from diverse backgrounds work together to analyze problems, discuss, and exchange knowledge in modern molecular epidemiology. Training tools characterized by this approach will shape the molecular epidemiologists of the future.

摘要

分子流行病学正从单一标志物研究时代向基于人群的组学驱动研究时代转变,这得益于高通量实验室检测技术的最新快速发展。这些检测方法在大型观察性流行病学研究中的应用带来了重大的方法学挑战。随着组学数据引入流行病学,大多数流行病学家所接受的传统、还原论方法已不再足够。然而,基本的流行病学原则,如混杂,仍然必须得到解决。为了成功地将这些工具应用于分子流行病学,所需学科的科学家必须能够进行有效的沟通。我们提出了一种跨学科的、三级的、基于问题的分子流行病学培训方法。这种方法需要具有吸引力的跨学科教学团队,吸引来自不同背景的学生。首先,必须在基础层面上解决分子流行病学所需的每个领域的概念,特别关注生物、流行病学和统计概念。其次,应涵盖分子流行病学中应用的最新方法(例如,组学技术、智能研究设计、统计建模和生物学解释)。第三,组学技术在人群研究中的应用需要了解与生物库、伦理、法规和公共卫生相关的问题。对于像分子流行病学这样需要学生将复杂概念应用于复杂情况的教学,基于问题的学习是一种有用的工具。使用这种方法,来自不同背景的学生共同分析问题、讨论和交流现代分子流行病学知识。具有这种方法特点的培训工具将塑造未来的分子流行病学家。

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