Nisselle Amy, King Emily, Terrill Bronwyn, Davey Belinda, McClaren Belinda, Dunlop Kate, Graves Debra, Metcalfe Sylvia, Gaff Clara
Australian Genomics Health Alliance, Melbourne, VIC, Australia.
Genomics in Society, Murdoch Children's Research Institute, Melbourne, VIC, Australia.
NPJ Genom Med. 2023 Jun 24;8(1):13. doi: 10.1038/s41525-023-00360-1.
Genomic medicine is being implemented on a global scale, requiring a genomic-competent health workforce. To inform education as part of implementation strategies to optimize adoption of genomics by non-genetics physicians, we investigated current practices, perceptions and preferences relating to genomic testing and education. Australian non-genetics physicians completed an online survey; we conducted univariate and multivariate analyses of determinants of confidence and engagement with genomic medicine. Confident or engaged respondents were more likely to be pediatricians, have completed continuing genomics education (CGE) and/or have genomics research experience. Confident or engaged respondents were also more likely to prefer to request genomic testing with support from genetics services than other models. Respondents who had completed CGE and were engaged reported higher confidence than those who were not engaged. We propose a progression of genomic competence aligned with service delivery models, where education is one enabler of mastery or independence to facilitate genomic tests (from referral to requesting with or without clinical genetics support). Workplace learning could provide additional impetus for adoption.
基因组医学正在全球范围内实施，这需要具备基因组能力的卫生人力。为了将教育作为实施战略的一部分，以优化非遗传学医生对基因组学的应用，我们调查了与基因检测和教育相关的当前实践、认知和偏好。澳大利亚的非遗传学医生完成了一项在线调查；我们对基因组医学的信心和参与度的决定因素进行了单变量和多变量分析。有信心或积极参与的受访者更有可能是儿科医生，完成了持续基因组学教育（CGE）和/或有基因组学研究经验。有信心或积极参与的受访者也更倾向于在遗传学服务的支持下要求进行基因检测，而不是其他模式。完成CGE并积极参与的受访者比未积极参与的受访者报告的信心更高。我们提出了与服务提供模式相一致的基因组能力发展进程，其中教育是掌握或独立进行基因检测（从转诊到在有或没有临床遗传学支持的情况下要求检测）的一个推动因素。职场学习可为应用提供额外动力。
