Johansen Taber Katherine A, Dickinson Barry D
Department of Science and Biotechnology, American Medical Association, Chicago, IL, USA.
Pharmgenomics Pers Med. 2014 Jul 10;7:145-62. doi: 10.2147/PGPM.S63715. eCollection 2014.
The use of pharmacogenomic testing in the clinical setting has the potential to improve the safety and effectiveness of drug therapy, yet studies have revealed that physicians lack knowledge about the topic of pharmacogenomics, and are not prepared to implement it in the clinical setting. This study further explores the pharmacogenomic knowledge deficit and educational resource needs among physicians.
Surveys of primary care physicians, cardiologists, and psychiatrists were conducted.
Few physicians reported familiarity with the topic of pharmacogenomics, but more reported confidence in their knowledge about the influence of genetics on drug therapy. Only a small minority had undergone formal training in pharmacogenomics, and a majority reported being unsure what type of pharmacogenomic tests were appropriate to order for the clinical situation. Respondents indicated that an ideal pharmacogenomic educational resource should be electronic and include such components as how to interpret pharmacogenomic test results, recommendations for prescribing, population subgroups most likely to be affected, and contact information for laboratories offering pharmacogenomic testing.
Physicians continue to demonstrate pharmacogenomic knowledge gaps, and are unsure about how to use pharmacogenomic testing in clinical practice. Educational resources that are clinically oriented and easily accessible are preferred by physicians, and may best support appropriate clinical implementation of pharmacogenomics.
在临床环境中使用药物基因组学检测有潜力提高药物治疗的安全性和有效性,但研究表明医生缺乏关于药物基因组学主题的知识,并且没有准备好在临床环境中实施它。本研究进一步探讨了医生中药物基因组学知识的不足以及教育资源需求。
对初级保健医生、心脏病专家和精神科医生进行了调查。
很少有医生报告熟悉药物基因组学主题,但更多医生报告对他们关于遗传学对药物治疗影响的知识有信心。只有一小部分人接受过药物基因组学的正规培训,并且大多数人报告不确定针对临床情况应开具何种类型的药物基因组学检测。受访者表示,理想的药物基因组学教育资源应该是电子版的,并且应包括如何解读药物基因组学检测结果、处方建议、最可能受影响的人群亚组以及提供药物基因组学检测的实验室的联系信息等内容。
医生继续表现出药物基因组学知识差距,并且不确定如何在临床实践中使用药物基因组学检测。医生更喜欢以临床为导向且易于获取的教育资源,并且这些资源可能最有助于药物基因组学在临床中的适当实施。