Charité - Universitätsmedizin Berlin, Department of Gynecology, Berlin, Germany.
Charité - Universitätsmedizin Berlin, Department of Gender in Medicine, Berlin, Germany.
Patient Educ Couns. 2021 Jun;104(6):1431-1437. doi: 10.1016/j.pec.2020.10.035. Epub 2020 Nov 1.
To strengthen cross-sectoral care by disseminating specialized knowledge about hereditary breast and ovarian cancer across underserved areas.
We report on a training course about genetic counseling and testing of hereditary breast and ovarian cancer patients for gynecologists from certified cancer centers. In total, 50 gynecologists attended the course which was offered once annually between 2017 and 2019. Before and after the course, participants were asked to answer a self-assessment questionnaire and completed the training with a multiple-choice test. The results of the self-assessments and knowledge tests were analyzed to steadily improve the training.
The self-assessments imply a perceived increase in certainty regarding the inclusion criteria for specialized genetic counseling, pedigree analysis, and contents of the initial consultation. Both the knowledge tests and self-assessments showed that participants had difficulties in interpreting and differentiating between age-specific and lifetime risks.
The courses successfully conveyed knowledge necessary to identify patients at risk and to provide timely genetic analyses even in rural areas.
The results are a promising basis for creating additional training courses addressing specialists in hospitals and gynecological practices. Further education of physicians might improve cross-sectoral cooperation and thereby enable specialized care supply in rural areas.
通过在服务欠缺地区传播有关遗传性乳腺癌和卵巢癌的专业知识，加强跨部门护理。
我们报告了一项针对认证癌症中心的妇科医生的遗传性乳腺癌和卵巢癌患者遗传咨询和检测培训课程。2017 年至 2019 年期间，共有 50 名妇科医生参加了该年度课程。在课程开始前和结束后，参与者被要求回答一份自我评估问卷，并通过多项选择题完成培训。分析自我评估和知识测试的结果，以稳步改进培训。
自我评估表明，参与者对专业遗传咨询、系谱分析和初始咨询内容的纳入标准的确定性有所提高。知识测试和自我评估都表明，参与者在解读和区分特定年龄风险和终生风险方面存在困难。
这些课程成功地传授了识别高危患者并提供及时遗传分析的必要知识，即使在农村地区也是如此。
这些结果为在医院和妇科诊所的专家创建更多的培训课程提供了有希望的基础。进一步的医生教育可能会改善跨部门合作，从而使农村地区能够提供专业护理。
