Department of Human and Molecular Genetics, Herbert Wertheim College of Medicine, Florida International University, Miami, FL.
Department of Translational Medicine, Herbert Wertheim College of Medicine, Florida International University, Miami, FL.
Genet Med. 2022 Jun;24(6):1362-1371. doi: 10.1016/j.gim.2022.02.015. Epub 2022 Mar 24.
Advances in genetics have revolutionized disease surveillance and management. Understanding and integrating genetic principles clinically is becoming increasingly important for physician trainees. We developed an online, interactive, self-learning module/assessment to strengthen student proficiency in genetics.
Medical student knowledge of genetics during Internal Medicine Clerkship was assessed by an online, asynchronous quiz using simulated vignettes that included questions on (1) genetic red flags, (2) differential diagnoses, (3) pedigree drawing, (4) interpretation of inheritance patterns, (5) selection of diagnostic testing modalities, and (6) genetic counseling. Student self-assessment of genetics competencies was elicited with survey questions.
A total of 592 medical students from classes of 2016 to 2020 successfully completed the "Genetics in Internal Medicine" module/assessment. In total, 91% of students correctly recognized genetic red flags in patient histories, 84% could accurately draw pedigrees, and 93% could accurately interpret inheritance patterns. In total, 92% of students felt that genetic proficiency would improve patient rapport and 91% felt that they could apply what they had learned clinically. Student narrative comments about the activity were positive.
This online module was easily integrated into the IM Clerkship. Medical students were able to solidify scientific principles and interpret historical details, predict genetic patterns, and provide counseling. They had successful performances, and the module/assessment was well-received.
遗传学的进步彻底改变了疾病监测和管理方式。对于医师培训生来说，理解和整合遗传原理在临床上变得越来越重要。我们开发了一个在线的、互动的、自学模块/评估，以增强学生在遗传学方面的熟练程度。
通过使用模拟病例的在线异步测验来评估医学生在内科实习期间的遗传学知识，这些病例包括（1）遗传标志、（2）鉴别诊断、（3）系谱绘制、（4）遗传模式解读、（5）诊断测试方法选择和（6）遗传咨询。通过调查问题来了解学生对遗传学能力的自我评估。
共有 2016 年至 2020 年的 592 名医学生成功完成了“内科遗传学”模块/评估。总的来说，91%的学生正确识别了病史中的遗传标志，84%的学生能够准确绘制系谱，93%的学生能够准确解读遗传模式。总的来说，92%的学生认为遗传能力会改善与患者的关系，91%的学生认为他们可以将所学的知识应用于临床实践。学生对该活动的评价是积极的。
这个在线模块很容易融入到内科实习中。医学生能够巩固科学原理和解读病史细节、预测遗传模式并提供咨询。他们的表现很成功，模块/评估也很受欢迎。
