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斯里兰卡医学本科生对基因组医学和药物基因组学的知识与态度:一项横断面研究。

Knowledge and attitudes towards genomic medicine and pharmacogenomics of medical undergraduate students in Sri Lanka: a cross-sectional study.

作者信息

Kekulandara Dilini N, Wickramarachchi M S

机构信息

Department of Biochemistry, Faculty of Medicine, Wayamaba University of Sri Lanka, Kuliyapitiya, Sri Lanka.

出版信息

J Community Genet. 2025 Feb;16(1):47-55. doi: 10.1007/s12687-024-00754-3. Epub 2024 Nov 26.

Abstract

Genomic medicine and pharmacogenomics (PGX) are emerging practices in medicine that play a vital role in providing personalized and efficient treatments for patients. While many countries have integrated these novel concepts into their undergraduate medical curricula to enhance the quality of healthcare, Sri Lanka remains relatively new to these advancements. Herein, we accessed the knowledge and attitude of Sri Lankan medical undergraduates on genomic medicine and PGX and explored the readiness of introducing genomic insights to Sri Lankan undergraduate medical education. The study sample was the undergraduate students of Medical Faculty of Wayamba University in Sri Lanka, being a newly developed and diverse institution seeking research findings to enhance the curriculum and teaching-learning activities aiming to produce competent graduates. A descriptive cross-sectional study was conducted by distributing a questionnaire to all five student batches at Faculty of Medicine, Wayamba University of Sri Lanka. The data of 232 respondents (55% response rate), demonstrated a good level of knowledge on genomic medicine and PGX, with no significant variation of the level of knowledge across the five academic years. A nuanced range of attitudes, encompassing both negative and positive perspectives towards genomic medicine and PGX was observed varying according to the specific questions posed. However, heavy concerns regarding data privacy, insurance implications, and the timing of implementation appeared. The results of the study highlight a need for curriculum enhancement, acknowledging the level of knowledge while emphasizing areas for improvement in students' perspectives on genomic medicine and PGX for better advancements in future healthcare of Sri Lanka.

摘要

基因组医学和药物基因组学(PGX)是医学领域新兴的实践方法,在为患者提供个性化高效治疗方面发挥着至关重要的作用。虽然许多国家已将这些新概念纳入本科医学课程以提高医疗质量,但斯里兰卡对这些进展相对陌生。在此,我们了解了斯里兰卡医学本科生对基因组医学和PGX的知识与态度,并探讨了将基因组见解引入斯里兰卡本科医学教育的准备情况。研究样本是斯里兰卡瓦亚amba大学医学院的本科生,该校是一所新发展且多样化的机构,寻求研究结果以加强课程设置和教学活动,旨在培养有能力的毕业生。通过向斯里兰卡瓦亚amba大学医学院的所有五个学生批次发放问卷进行了描述性横断面研究。232名受访者的数据(回复率55%)显示,他们对基因组医学和PGX有较好的了解,五个学年的知识水平没有显著差异。根据所提出的具体问题,观察到对基因组医学和PGX存在细微的态度差异,包括负面和正面观点。然而,对数据隐私、保险影响和实施时机存在严重担忧。研究结果强调需要加强课程设置,既要承认知识水平,又要强调学生对基因组医学和PGX观点中需要改进的方面,以便斯里兰卡未来医疗保健能更好地发展。

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Pharmacogenomics in the clinic.临床中的药物基因组学。
Nature. 2015 Oct 15;526(7573):343-50. doi: 10.1038/nature15817.

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