Koole Tom, van Burgsteden Lotte, Harms Paulien, van Diemen Cleo C, van Langen Irene M
Communication and Information Sciences, University of Groningen, Groningen, The Netherlands.
School of Human and Community Development, University of the Witwatersrand, Johannesburg, South Africa.
Eur J Hum Genet. 2017 Oct;25(10):1099-1105. doi: 10.1038/ejhg.2017.111. Epub 2017 Aug 23.
Diagnostics using next generation sequencing (NGS) requires high-quality interdisciplinary collaboration. In order to gain insight into this crucial collaborative process, we made video recordings of a new multidisciplinary team at work in the clinical genetics department of the University Medical Centre Groningen. Conversation Analysis was used to investigate the ways in which the team members deal with the disciplinary boundaries between them. We found that the team established different 'participation frames' in which to discuss recurring topics. Patients were discussed only by the medical doctors, whereas results of genetic tests were discussed by doctors, molecular biologists and genetic laboratory technicians. Information technology (IT) aspects were discussed by biologists, genetics analysts and bio-informaticians, but not doctors. We then interviewed team members who said they believed that the division of labour embodied in these participation frames contributes to achieving their team's goals.
使用下一代测序(NGS)进行诊断需要高质量的跨学科合作。为了深入了解这一关键的合作过程,我们对格罗宁根大学医学中心临床遗传学部门一个新的多学科团队的工作进行了录像。运用对话分析来研究团队成员处理彼此之间学科界限的方式。我们发现该团队建立了不同的“参与框架”来讨论反复出现的话题。只有医生讨论患者情况,而医生、分子生物学家和基因实验室技术人员讨论基因检测结果。生物学家、遗传学分析师和生物信息学家讨论信息技术(IT)方面,但医生不参与。然后我们采访了团队成员,他们表示认为这些参与框架中体现的分工有助于实现团队目标。