基因信使影响项目：一项针对初级保健提供者的创新遗传学继续教育策略。
The Gene Messenger Impact Project: An Innovative Genetics Continuing Education Strategy for Primary Care Providers.
作者信息
Carroll June C, Grad Roland, Allanson Judith E, Pluye Pierre, Permaul Joanne A, Pimlott Nicholas, Wilson Brenda J
机构信息
Dr. Carroll: Professor, Sydney G. Frankfort Chair in Family Medicine, Department of Family and Community Medicine, Sinai Health System, University of Toronto, Toronto, Ontario, Canada. Dr. Grad: Associate Professor, McGill University, Herzl Family Practice Centre, Centre Médecine Familiale Herzl, Montréal, Quebec, Canada. Dr. Allanson: Department of Genetics, Children's Hospital of Eastern Ontario, Professor, Department of Paediatrics, University of Ottawa, Ottawa, Canada. Dr. Pluye: Full Professor, FRQS Senior Research Scholar, Department of Family Medicine, McGill University, Montréal, Quebec, Canada. Ms. Permaul: Research Associate, Ray D. Wolfe Department of Family Medicine, Sinai Health System, Toronto, Toronto, Ontario, Canada. Dr. Pimlott: Assistant Professor, University of Toronto, Family Practice Health Centre, Women's College Hospital, Toronto, Ontario, Canada. Dr. Wilson: Professor, School of Epidemiology, Public Health and Preventive Medicine, University of Ottawa, Ottawa, Canada.
出版信息
J Contin Educ Health Prof. 2016 Summer;36(3):178-85. doi: 10.1097/CEH.0000000000000079.
INTRODUCTION
Primary care providers (PCP) will need to be integrally involved in the delivery of genomic medicine. The GenetiKit trial demonstrated effectiveness of a knowledge translation intervention on family physicians' (FP) genetics referral decision-making. Most wanted to continue receiving Gene Messengers (GM), evidence-based summaries of new genetic tests with primary care recommendations. Our objective was to determine the value of GMs as a continuing education (CE) strategy in genomic medicine for FPs.
METHODS
Using a "push" model, we invited 19,060 members of the College of Family Physicians of Canada to participate. Participants read GMs online, receiving 12 emailed topics over 6 months. Participants completed an online Information Assessment Method questionnaire evaluating GMs on four constructs: cognitive impact, relevance, intended use of information for a patient, and expected health benefits.
RESULTS
One thousand four hundred two FPs participated, 55% rated at least one GM. Most (73%) indicated their practice would be improved after reading GMs, with referral to genetics ranked highly. Of those who rated a GM relevant, 94% would apply it to at least one patient and 79% would expect health benefits. This method of CE was found useful for genetics by 88% and 94% wanted to continue receiving GMs.
DISCUSSION
FPs found this novel CE strategy, brief individual reflective e-learning, to be valuable for learning about genetics. This method of information delivery may be an especially effective method for CE in genomic medicine where discoveries occur at a rapid pace and lack of knowledge is a barrier to integration of genetic services.
引言
初级保健提供者（PCP）需要全面参与基因组医学的提供。GenetiKit试验证明了知识转化干预对家庭医生（FP）的遗传学转诊决策的有效性。大多数人希望继续接收基因信使（GM），即带有初级保健建议的新基因检测的循证总结。我们的目标是确定GM作为FP基因组医学继续教育（CE）策略的价值。
方法
采用“推送”模式，我们邀请了19060名加拿大家庭医生学院成员参与。参与者在线阅读GM，在6个月内收到12个通过电子邮件发送的主题。参与者完成了一份在线信息评估方法问卷，该问卷从四个方面评估GM：认知影响、相关性、信息对患者的预期用途以及预期的健康益处。
结果
1402名FP参与，55%的人对至少一份GM进行了评分。大多数人（73%）表示阅读GM后他们的执业水平会得到提高，将患者转诊至遗传学方面的评分很高。在那些认为GM相关的人中，94%会将其应用于至少一名患者，79%预计会带来健康益处。88%的人认为这种CE方法对遗传学有用，94%的人希望继续接收GM。
讨论
FP发现这种新颖的CE策略，即简短的个人反思性电子学习，对学习遗传学很有价值。这种信息传递方法可能是基因组医学CE的一种特别有效的方法，因为在基因组医学中发现迅速，知识匮乏是整合基因服务的障碍。
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