Department of Pediatrics and McKusick-Nathans Department of Genetic Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
McKusick-Nathans Department of Genetic Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Genet Med. 2020 Apr;22(4):793-796. doi: 10.1038/s41436-019-0723-7. Epub 2019 Dec 12.
As the integral role of genetics in health and disease becomes increasingly understood, pediatricians must incorporate genetic principles into their care of patients. Structured exposure to genetics during residency may better equip future pediatricians to meet this goal.
Pediatric interns in the Johns Hopkins pediatric residency program have the option to spend one week immersed in clinical genetics by attending outpatient clinics and seeing inpatient consults. A pretest assessing clinical genetics knowledge is given before the rotation and compared with an identical post-test. Interns have a "scavenger hunt" to introduce genetic resources useful to pediatricians and complete a logbook of patient experiences. An evaluation is completed at the end of the rotation.
Since the selective started in July 2016, 50 interns have participated. Average pretest score was 2.5/5 compared with a post-test score of 4.3/5, p < 0.0001. Interns saw on average ten patients and four different diagnoses. Overall evaluation was 4.4 on a 5-point scale, 5 being "excellent."
This experience suggests that a structured rotation in genetics provides pediatric interns with an opportunity to learn basic clinical genetics knowledge and skills and see patients whom they may otherwise not encounter during residency.
随着人们对遗传学在健康和疾病中的整体作用的理解不断加深,儿科医生必须将遗传原则纳入其对患者的护理中。在住院医师培训期间接受系统的遗传学培训,可以让未来的儿科医生更好地实现这一目标。
约翰霍普金斯儿科住院医师培训项目的儿科住院医师可以选择通过参加门诊和会诊来参加为期一周的临床遗传学培训。在轮岗前进行评估临床遗传学知识的预测试,并与相同的后测试进行比较。住院医师进行“寻宝游戏”,以介绍对儿科医生有用的遗传资源,并完成患者经历日志。在轮岗前完成评估。
自 2016 年 7 月开始进行选择以来,已有 50 名住院医师参加。平均预测试得分为 2.5/5,后测试得分为 4.3/5,p<0.0001。住院医师平均看了 10 个病人和 4 个不同的诊断。总体评估得分为 5 分制的 4.4 分,5 分为“优秀”。
这一经验表明,在遗传学方面进行结构化的轮转为儿科住院医师提供了一个学习基本临床遗传学知识和技能的机会,并让他们有机会看到在住院医师培训期间可能不会遇到的患者。