Kapur Sunaina, Lichten Lauren, Ali Nadia, Garber Kathryn B
Department of Human Genetics, Emory University School of Medicine, Atlanta, Georgia, USA.
J Genet Couns. 2024 Feb;33(1):179-188. doi: 10.1002/jgc4.1795. Epub 2023 Sep 21.
Many current and upcoming healthcare providers do not feel comfortable ordering or discussing genetic tests and using genetic information in medicine. Nationally, a little over a quarter of medical students indicate that they do not feel prepared to use genetic information in clinical rotations, despite attempts at many schools to remodel the genetics curriculum. This study was conducted at Emory University School of Medicine to identify gaps within the medical curriculum that may contribute to student reports that they feel underprepared to apply genetic knowledge in clinical practice. The analysis included a comprehensive curriculum inventory of genetic content that was then compared to the responses from focus groups of randomly selected second- and fourth-year medical students without a prior genetics degree or background. This joint analysis of precisely what was taught and how it was perceived by students was informative in the development of targeted interventions in our curriculum, and it highlighted the important role of genetic counselors in the education of medical students. Our curriculum has a structure similar to that at many other schools, in which core genetics concepts are concentrated in a brief segment in the first year. We believe our results will be useful for other medical schools to address the perception by medical students that they are underprepared to use genetic information and other basic sciences clinically.
许多当前及未来的医疗服务提供者对于开具或讨论基因检测以及在医学中使用基因信息并不感到自在。在全国范围内，略多于四分之一的医学生表示，尽管许多学校尝试对遗传学课程进行重塑，但他们仍觉得自己在临床实习中没有准备好使用基因信息。这项研究在埃默里大学医学院开展，旨在找出医学课程中可能导致学生反映在临床实践中应用基因知识准备不足的差距。分析包括对遗传学内容进行全面的课程盘点，然后将其与随机挑选的没有遗传学学位或背景的二年级和四年级医学生焦点小组的反馈进行比较。对具体讲授内容以及学生如何看待这些内容的这种联合分析，对于在我们的课程中制定有针对性的干预措施很有帮助，并且凸显了基因咨询师在医学生教育中的重要作用。我们的课程结构与许多其他学校类似，核心遗传学概念集中在第一年的一个简短部分。我们相信我们的研究结果将有助于其他医学院解决医学生认为自己在临床中使用基因信息和其他基础科学方面准备不足的问题。
