Implementation outcomes of a multiinstitutional web-based ethical, legal, and social implications genetics curriculum for primary care residents in three specialties.
Implementation outcomes of a multiinstitutional web-based ethical, legal, and social implications genetics curriculum for primary care residents in three specialties.
复制标题
针对三个专业的初级保健居民的多机构基于网络的伦理、法律和社会影响遗传学课程的实施结果。
DOI：
10.1097/gim.0b013e31820e279a
复制
发表时间：
2011
期刊：
影响因子：
--
通讯作者：
Wilkes,MichaelS
中科院分区：
文献类型：
--
作者：
Srinivasan,Malathi;Day,FrankC;Griffin,Erin;Tancredi,DanielJ;Burke,Wylie;Pinsky,Linda;Pagon,RobertaA;Hoffman,JeromeR;Wilkes,MichaelS
Purpose: Medical genetics lends itself to disseminated teaching methods because of mismatches between numbers of physicians having patients with genetic disorders and availability of genetic specialists.Method: During 3 years, we implemented an interactive, web-based curriculum on ethical, legal, and social implications in medical genetics for primary care residents in three specialties at three institutions. Residents took five (of 10) cases and three (of five) tutorials that varied by specialty. We assessed changes in self-efficacy (primary outcome), knowledge, application, and viewpoints.Results: Overall enrollment was 69%(279/403). One institution did not complete implementation and was dropped from pre-post comparisons. We developed a six-factor ethical, legal, and social implications self-efficacy scale (Cronbach α= 0.95). Baseline self-efficacy was moderate (71/115; range: 23–115) and increased 15% after participation. Pre-post knowledge scores were high and unchanged. Residents reported that this curriculum covered ethical, legal, and social implications/genetics better than their usual curricula. Most (68–91%) identified advantages, especially in providing flexibility and stimulating self-directed learning. After participation, residents reported creating learning goals (66%) and acting on those goals (62%).Conclusions: Ethical, legal, and social implications genetics curricular participation led to modest self-efficacy gains. Residents reported that the curriculum covered unique content areas, had advantages over traditional curriculum, and that they applied ethical, legal, and social implications content clinically. We share lessons from developing and implementing this complex web-based curriculum across multiple institutions.
登录
查看更多内容
影响因子：
3.4
作者：
FLEWELLING, RF;HUBBELL, WL
通讯作者：
HUBBELL, WL
影响因子：
2
作者：
SINGLETON, WS;GRAY, MS;WHITE, JL
通讯作者：
WHITE, JL
影响因子：
2.9
作者：
CHATTOPADHYAY, A;LONDON, E
通讯作者：
LONDON, E
影响因子：
2.9
作者：
GODICI, PE;LANDSBERGER, FR
通讯作者：
LANDSBERGER, FR
光感受器膜中的光诱导界面电位。
影响因子：
3.4
作者：
Cafiso,DS;Hubbell,WL
通讯作者：
Hubbell,WL