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医疗保健专业人员遗传学核心能力:文献回顾和德尔菲法的结果。

Core competencies in genetics for healthcare professionals: results from a literature review and a Delphi method.

机构信息

Università Cattolica del Sacro Cuore, Sezione di Igiene, Istituto di Sanità Pubblica, Roma, Italy.

Istituto Superiore di Sanità, Roma, Italy.

出版信息

BMC Med Educ. 2019 Jan 11;19(1):19. doi: 10.1186/s12909-019-1456-7.

Abstract

BACKGROUND

Advances in genetics and genomics require that healthcare professionals manage and incorporate new technologies into the appropriate clinical practice. The aim of this study was to identify core competencies in genetics for non-geneticists, both physicians and non-physicians.

METHODS

We performed a literature review by searching MEDLINE, SCOPUS, and ISI Web of Science databases to identify studies reporting competencies in genetics in terms of knowledge, attitudes and abilities for non-genetic healthcare professionals. Furthermore, we conducted a survey according to a modified Delphi method, involving genetics experts to evaluate the competencies to be included as items of the curricula.

RESULTS

Three eligible documents were identified and 3 Delphi rounds were carried out to reach a consensus on the competencies to be incorporated in the curricula. With reference to the curriculum for physicians, 19 items were included in the knowledge domain, 3 in the attitudes and 10 in the abilities domain. We developed two different curricula for non-physicians: one specific for those working in genetic services (20 items in the knowledge domain, 3 in the attitudes and 12 in the abilities) and one for those not working in genetic services (10 items in the knowledge domain, 3 in the attitudes and 2 in the abilities).

CONCLUSIONS

We developed 3 curricula in genetics addressed to non-genetic healthcare professionals. They differ in the "knowledge" and "abilities", while the "attitudes" are the same for all the healthcare professionals. Although some concerns about the generalizability of the findings could arise due to the Italian perspective, we envisage the curricula can be used for genetics educational programs in several contexts.

摘要

背景

遗传学和基因组学的进步要求医疗保健专业人员管理和将新技术纳入适当的临床实践中。本研究的目的是确定非遗传学家(包括医生和非医生)的遗传学核心能力。

方法

我们通过搜索 MEDLINE、SCOPUS 和 ISI Web of Science 数据库,对报告非遗传医疗保健专业人员在遗传学知识、态度和能力方面的能力的研究进行了文献回顾。此外,我们根据改良的 Delphi 方法进行了一项调查,涉及遗传学专家,以评估应纳入课程的能力。

结果

确定了 3 篇合格的文献,并进行了 3 轮 Delphi 调查,以就纳入课程的能力达成共识。参考医师课程,知识领域包含 19 项,态度领域包含 3 项,能力领域包含 10 项。我们为非医生制定了两个不同的课程:一个针对在遗传服务部门工作的人员(知识领域 20 项,态度 3 项,能力 12 项),另一个针对不在遗传服务部门工作的人员(知识领域 10 项,态度 3 项,能力 2 项)。

结论

我们为非遗传医疗保健专业人员制定了 3 个遗传学课程。它们在“知识”和“能力”方面有所不同,而所有医疗保健专业人员的“态度”是相同的。尽管由于意大利的观点可能会出现对研究结果的普遍性的一些担忧,但我们设想这些课程可以在多个背景下用于遗传学教育计划。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef66/6329113/82b2ec91d74c/12909_2019_1456_Fig1_HTML.jpg

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