Hansen Christina A, Reiter Aaron W, Wildin Robert S
Larner College of Medicine at the University of Vermont, Burlington, VT, USA.
Department of Family Medicine, Larner College of Medicine at the University of Vermont, Burlington, VT, USA.
J Community Genet. 2024 Feb;15(1):33-37. doi: 10.1007/s12687-023-00675-7. Epub 2023 Oct 4.
Limited competency in genetics among primary care providers (PCPs) is a barrier to use of genetic information in healthcare. Formal genetics lessons require time and interest, and knowledge wanes. We hypothesized another path to competency: participation in our PCP-centered adult clinical genomic population health screening program. We asked participating Family Medicine PCPs about their perceptions of growth in their genetics competency. An anonymous, voluntary, cross-sectional survey was developed and distributed to PCPs offering the screening. Results were compiled after 3 weeks. PCPs rated several program resources for value and provided open-ended feedback. Seventy-five percent of respondents agreed that genetics is important to their practice. Eighty-seven percent felt that their knowledge of clinical genetics topics had grown. Eighty-seven percent perceived increased confidence in offering genetic testing and in discussing common genetic results with patients. Respondents gained appreciation for the scope of clinical utility that genetic information offers patients. Each education resource rated at least 3.75 out of 5 for contributing to genetics knowledge. The case-specific Genomic Medicine Action Plan rated highest in educational value, 4.5 out of 5. Most responding PCPs offering genomic population health screening perceived growth in their genetic competency and found hands-on, case-based resources most useful.
初级保健提供者(PCP)在遗传学方面能力有限,这成为医疗保健中利用遗传信息的障碍。正规的遗传学课程需要时间和兴趣,而且知识会逐渐淡忘。我们推测了另一条获得能力的途径:参与我们以初级保健提供者为中心的成人临床基因组人群健康筛查项目。我们询问参与项目的家庭医学初级保健提供者对其遗传学能力增长的看法。我们设计并向提供筛查服务的初级保健提供者发放了一份匿名、自愿的横断面调查问卷。3周后汇总结果。初级保健提供者对几种项目资源的价值进行了评分,并提供了开放式反馈。75%的受访者认为遗传学对他们的工作很重要。87%的人觉得他们在临床遗传学主题方面的知识有所增长。87%的人认为在提供基因检测以及与患者讨论常见基因检测结果方面更有信心了。受访者对遗传信息为患者提供的临床效用范围有了更深刻的认识。每种教育资源对遗传学知识增长的贡献评分至少为3.75(满分5分)。针对具体病例的《基因组医学行动计划》教育价值评分最高,为4.5(满分5分)。大多数提供基因组人群健康筛查服务的受访初级保健提供者认为自己的遗传学能力有所增长,并发现实践操作型、基于病例的资源最有用。