Children's Specialty Group, Children's Wisconsin.
Medical College of Wisconsin.
Curr Opin Pediatr. 2024 Dec 1;36(6):605-611. doi: 10.1097/MOP.0000000000001404. Epub 2024 Sep 19.
The national workforce shortage in genetics is being evaluated in order to identify a sustainable solution to the increasing demand for genomic services. An innovative solution to the short term needs is to integrate advanced practice providers (APPs) and embed genetic counselors into both outpatient and inpatient specialty care. Incorporating APPs into a genetic service is not unique in itself, but the method of implementation at Medical College of Wisconsin (MCW) was, at the time, unchartered.
There are >100 vacancies for board certified medical geneticists across the nation, training programs are not enrolling sufficient trainees to meet demand and more than a third of the current workforce plan to retire within the next 10 years.
The integration of advanced practice providers (nurse practitioners, midwives, physician assistants etc.) into both primary and specialty care has been an evolving practice since the mid-1900s and incorporating APPs into a genetic service was not unique in itself but the method of implementation was new at that time. This is a model to successfully develop a clinical practice model around a team-based structure incorporating nurse clinicians, advanced practice providers, genetic counselors, nutritionists, and physicians into an academic clinical genetics practice.
为了找到解决遗传学领域全国性劳动力短缺问题的可持续方案，人们对该问题进行了评估。针对短期需求的一个创新解决方案是整合高级执业医师（APP）并将遗传咨询师嵌入门诊和住院专科护理中。将 APP 纳入遗传服务本身并不是什么新鲜事，但威斯康星医学院（MCW）实施的方法在当时是未经探索的。
全美有超过 100 个经过董事会认证的医学遗传学家职位空缺，培训项目没有招收足够的学员来满足需求，超过三分之一的现有劳动力计划在未来 10 年内退休。
自 20 世纪中期以来，将高级执业医师（护士、助产士、医生助理等）纳入初级和专科护理一直是一种不断发展的实践，将 APP 纳入遗传服务本身并不是什么新鲜事，但当时的实施方法是新的。这是一个成功围绕基于团队的结构开发临床实践模型的范例，该模型将护士临床医生、高级执业医师、遗传咨询师、营养师和医生纳入学术临床遗传学实践中。
