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卫生专业人员在遗传学和基因组学实践方面的能力建设:意大利医生远程学习培训课程有效性评估

Capacity Building of Health Professionals on Genetics and Genomics Practice: Evaluation of the Effectiveness of a Distance Learning Training Course for Italian Physicians.

作者信息

Calabrò Giovanna Elisa, Tognetto Alessia, Mazzaccara Alfonso, Barbina Donatella, Carbone Pietro, Guerrera Debora, Di Pucchio Alessandra, Federici Antonio, Ricciardi Walter, Boccia Stefania

机构信息

Section of Hygiene, University Department of Life Sciences and Public Health, Università Cattolica del Sacro Cuore, Rome, Italy.

Servizio Formazione - Presidenza, Istituto Superiore di Sanità, Rome, Italy.

出版信息

Front Genet. 2021 Mar 15;12:626685. doi: 10.3389/fgene.2021.626685. eCollection 2021.

Abstract

BACKGROUND

The rapid spread of personalized medicine requires professionals to manage the "omics revolution." Therefore, the genetics/genomics literacy of healthcare professionals should be in line with the continuous advances in this field, in order to implement its potential implications for diagnosis, control and treatment of diseases. The present study investigates the effectiveness of a distance learning course on genetics and genomics targeted at medical doctors.

METHODS

In the context of a project funded by the Italian Ministry of Health, we developed a distance learning course, entitled Genetics and Genomics practice. The course focused on genetic/genomics testing, pharmacogenetics and oncogenomics and was developed according to andragogical training methods (Problem-based Learning and Case-based Learning). We used a pre-test vs. post-test study design to assess knowledge improvement on a set of 10 Multiple Choice Questions (MCQs). We analyzed the proportion of correct answers for each question pre and post-test and the mean score difference stratified by gender, age, professional status and medical discipline. Moreover, the test was submitted to the participants 8 months after the conclusion of the course (follow-up), in order to assess the retained knowledge.

RESULTS

The course was completed by 1,637 Italian physicians, most of which were primary care physicians (20.8%), public health professionals (11.5%) and specialist pediatricians (10.6%). The proportion of correct answers increased in the post-test for all the MCQs. The overall mean score significantly increased, from 59.46 in the pre-test to 71.42 in the post-test ( < 0.0001). The comparison in test performance between follow-up and pre-test demonstrated an overall knowledge improvement.

CONCLUSION

Genomics literacy among healthcare professionals is essential to ensure optimal translation to healthcare delivery of research. The results of this course suggest that distance-learning training in genetic/genomics practice represents an effective method to improve physicians' knowledge in the immediate and mid-term time scale. A preprint version of this paper is available at: https://www.researchsquare.com/article/rs-10083/v1.

摘要

背景

个性化医疗的迅速普及要求专业人员应对“组学革命”。因此,医疗保健专业人员的遗传学/基因组学素养应与该领域的不断进步保持一致,以便将其对疾病诊断、控制和治疗的潜在影响付诸实践。本研究调查了针对医生的遗传学和基因组学远程学习课程的效果。

方法

在意大利卫生部资助的一个项目背景下,我们开发了一门名为“遗传学与基因组学实践”的远程学习课程。该课程聚焦于基因/基因组检测、药物遗传学和肿瘤基因组学,并根据成人教学培训方法(基于问题的学习和基于案例的学习)开发。我们采用前测与后测的研究设计,通过一组10道多项选择题(MCQ)来评估知识的提升。我们分析了每个问题在前测和后测中的正确答案比例,以及按性别、年龄、专业地位和医学学科分层的平均分数差异。此外,在课程结束8个月后(随访)向参与者提交测试,以评估所保留的知识。

结果

1637名意大利医生完成了该课程,其中大多数是初级保健医生(20.8%)、公共卫生专业人员(11.5%)和儿科专科医生(10.6%)。所有MCQ在后测中的正确答案比例均有所增加。总体平均分数显著提高,从前测的59.46分提高到后测的71.42分(<0.0001)。随访与前测之间的测试表现比较表明总体知识有所提升。

结论

医疗保健专业人员的基因组学素养对于确保研究成果在医疗服务中的最佳转化至关重要。本课程的结果表明,遗传学/基因组学实践的远程学习培训是在短期和中期时间范围内提高医生知识的有效方法。本文的预印本版本可在以下网址获取:https://www.researchsquare.com/article/rs-10083/v1

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b65/8005606/2cafedeeb088/fgene-12-626685-g001.jpg

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