Department of Medicine, Stanford School of Medicine, Stanford, California, USA.
Center for Undiagnosed Diseases, Stanford University, Stanford, California, USA.
Postgrad Med J. 2019 Oct;95(1128):569-572. doi: 10.1136/postgradmedj-2018-136355. Epub 2019 Aug 22.
It is well recognised that medical training globally and at all levels lacks sufficient incorporation of genetics and genomics education to keep up with the rapid advances and growing application of genomics to clinical care. However, the best strategy to implement these desired changes into postgraduate medical training and engage learners is still unclear. We developed a novel elective rotation in 'Genomic Medicine and Undiagnosed Diseases' for categorical Internal Medicine Residents to address this educational gap and serve as an adaptable model for training that can be applied broadly across different specialties and at other institutions. Key curriculum goals achieved include increased understanding about genetic testing modalities and tools available for diagnosis and risk analysis, the role of genetics-trained allied health professionals, and indications and limitations of genetic and genomic testing in both rare and common conditions.
众所周知,全球各级别的医学培训都缺乏足够的遗传学和基因组学教育,无法跟上基因组学在临床护理方面的快速发展和日益广泛的应用。然而,将这些期望的变革实施到研究生医学培训中并吸引学习者的最佳策略仍不清楚。我们为内科住院医师开设了一门名为“基因组医学和未确诊疾病”的新课程,以解决这一教育差距,并作为一种适应性强的培训模式,可以广泛应用于不同专业和其他机构。实现的关键课程目标包括增加对遗传检测方式和用于诊断和风险分析的工具、接受遗传学培训的辅助医疗专业人员的作用,以及在罕见和常见疾病中进行基因和基因组检测的适应症和局限性的理解。