Murdoch Children's Research Institute, Parkville, Australia; Melbourne Genomics Health Alliance, c/o Walter and Eliza Hall Institute, Parkville, Australia; Department of Paediatrics, University of Melbourne, Parkville, Australia.
Murdoch Children's Research Institute, Parkville, Australia; Department of Paediatrics, University of Melbourne, Parkville, Australia.
Patient Educ Couns. 2021 Mar;104(3):480-488. doi: 10.1016/j.pec.2020.10.013. Epub 2020 Oct 11.
To foster implementation of genomic testing in medical care by providing a cadre of physicians with 'hands on' experience in genomics, positioning them as opinion leaders in their medical speciality. This paper presents qualitative evaluation of immediate outcomes, in particular its impact on peer interactions.
Program design and delivery was informed by implementation science, behavior change and experiential learning theories. Inductive content analysis of transcribed audio-recordings from semi-structured post-project interviews with all participants (n = 12) was conducted.
Participants reported the immersion experience improved their genomic capability, established them as credible genomic experts within their speciality and altered their practice in genomic medicine. Participants reported strengthening and widening of peer-to-peer and interdisciplinary communication, with both passive diffusion and active dissemination of information to peers. Some also became a resource for genetic professionals.
Genomic immersion participants described elements which support sustained integration of an innovation, including immediate changes (e.g. use of genomic tests) and wider impacts (e.g. professional networks).
This study supports a role for immersion as a successful strategy for enhancing engagement of non-geneticist physicians in genomics. Additional study is needed to understand how immersion experiences change the delivery of genomic services at the provider, practice and health system level.
通过为医生提供基因组学方面的“实践经验”，培养他们在医疗实践中实施基因组检测的能力，使他们成为自己医学专业领域的意见领袖。本文介绍了即时结果的定性评估，特别是其对同行互动的影响。
方案设计和实施以实施科学、行为改变和体验式学习理论为指导。对所有参与者（n=12）进行的项目后半结构化访谈的音频记录进行了转录，并进行了归纳性内容分析。
参与者报告说，沉浸式体验提高了他们的基因组能力，使他们在专业领域成为可信的基因组专家，并改变了他们在基因组医学方面的实践。参与者报告说，他们加强和扩大了同行之间以及跨学科的沟通，信息被动扩散和主动传播给同行。一些人也成为了遗传专业人员的资源。
基因组沉浸式体验参与者描述了支持创新持续整合的要素，包括即时变化（例如使用基因组测试）和更广泛的影响（例如专业网络）。
本研究支持沉浸式体验作为一种增强非遗传学家医生参与基因组学的成功策略。需要进一步研究沉浸式体验如何改变提供者、实践和卫生系统层面上基因组服务的提供。
