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临床遗传学咨询的复杂性:跨专业临床技能研讨会。

Complexities of Clinical Genetics Consultation: An Interprofessional Clinical Skills Workshop.

机构信息

Associate Professor, Department of Pediatrics, Boston University School of Medicine.

Assistant Professor, Department of Pediatrics, Boston University School of Medicine.

出版信息

MedEdPORTAL. 2020 Jan 24;16:10869. doi: 10.15766/mep_2374-8265.10869.

Abstract

INTRODUCTION

Advances in genomic medicine contribute to increased demand for clinical genetics services and require physicians to understand the interprofessional practice of this field. Medical students receive a foundation in genetics during preclinical studies, but variability in clinical experience may limit knowledge of and recruitment into this clinical specialty. In this resource, we describe an approach for simulating exposure to the practice of clinical genetics during the core pediatrics clerkship.

METHODS

Prior to class, students researched and considered a mock genetics case. In class, each of four small groups discussed two cases demonstrating varied presentations, with facilitation by genetic counseling students. Each case highlighted the variability in presentation, testing, management strategies, and psychosocial issues of a genetics case. Groups reported out to the class, and individuals completed an anonymous evaluation survey.

RESULTS

Surveys were distributed to nine of 10 pilot sessions (210 of 235 students) with a response rate of 48%. Students frequently reported no previous exposure to seeing patients with genetics professionals, indicated a preference for learning in case discussion format over traditional lectures, and felt the format helped them apply clinical skills and reasoning. Medical students appreciated the opportunity to interact with genetic counseling students in an interdisciplinary setting and desired further educational opportunities regarding delivering complex information to patients and their families.

DISCUSSION

This session expanded exposure to clinical genetics content and professionals, serving as an important foundation for further development of genetic knowledge during clinical training.

摘要

简介

基因组医学的进步导致对临床遗传学服务的需求增加,这要求医生了解该领域的跨专业实践。医学生在临床前研究中接受了遗传学的基础培训,但临床经验的差异可能限制了他们对这一临床专业的了解和招募。在本资源中,我们描述了一种在核心儿科学实习期间模拟接触临床遗传学实践的方法。

方法

学生在课前研究并考虑了一个模拟遗传学病例。在课堂上,每个由四名学生组成的小组讨论了两个表现不同的病例,由遗传咨询学生进行指导。每个病例都强调了遗传学病例表现、测试、管理策略和心理社会问题的多样性。小组向全班汇报,个人完成匿名评估调查。

结果

在九次试点课程中的十次(235 名学生中的 210 名)分发了调查,回应率为 48%。学生经常报告以前没有与遗传学专业人员一起看诊的经验,表明他们更喜欢以案例讨论的形式而不是传统讲座的形式学习,并且认为这种形式有助于他们应用临床技能和推理。医学生赞赏有机会在跨学科环境中与遗传咨询学生互动,并希望有更多关于向患者及其家属传递复杂信息的教育机会。

讨论

本课程扩大了对临床遗传学内容和专业人员的接触,为临床培训中进一步发展遗传知识奠定了重要基础。

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