Training future physicians in the era of genomic medicine: trends in undergraduate medical genetics education
Training future physicians in the era of genomic medicine: trends in undergraduate medical genetics education
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DOI：
10.1038/gim.2014.208
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发表时间：
2015-11-01
影响因子：
8.8
通讯作者：
Dasgupta, Shoumita
中科院分区：
文献类型：
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作者：
Plunkett-Rondeau, Jevon;Hyland, Katherine;Dasgupta, Shoumita
目的：基因组技术的进步正在改变医疗实践，需要具有基因组知识的医生的专门知识。本研究调查了2013-2014年美国和加拿大医学院遗传学课程的趋势，以确定课程是否以及如何跟上这种快速发展的步伐。方法：医学遗传学课程主任收到60项电子问卷，内容包括课程设计、评估、不及格的补救和特定主题。结果：有效率为74%。随着综合课程的增加，大多数学校在前两年教授大部分遗传学课程。只有26%的人报告在3年级和4年级有正式的遗传学教学，大多数受访者认为花在遗传学上的时间不足以为临床实践做准备。大多数参与者使用人类和医学遗传学教授协会核心课程(1)作为指导。最近增加的主题包括个性化医疗（21%）和直接面向消费者的检测（18%），而优生学（17%）、连锁分析（16%）和进化遗传学（15%）最近已被取消。各机构的补救策略是异质的。结论：这些发现为美国和加拿大医学院如何教授遗传学和基因组学提供了重要的更新。不断改进教育举措将有助于培养懂基因组学的医生。
Purpose: Advances in genomic technologies are transforming medical practice, necessitating the expertise of genomically-literate physicians. This study examined 2013-2014 trends in genetics curricula in US and Canadian medical schools to ascertain whether and how curricula are keeping pace with this rapid evolution.Methods: Medical genetics course directors received a 60-item electronic questionnaire covering curriculum design, assessment, remediation of failing grades, and inclusion of specific topics.Results: The response rate was 74%. Most schools teach the majority of genetics during the first 2 years, with an increase in the number of integrated curricula. Only 26% reported formal genetics teaching during years 3 and 4, and most respondents felt the amount of time spent on genetics was insufficient preparation for clinical practice. Most participants are using the Association of Professors of Human and Medical Genetics Core Curriculum(1) as a guide. Topics recently added include personalized medicine (21%) and direct-to-consumer testing (18%), whereas eugenics (17%), linkage analysis (16%), and evolutionary genetics (15%) have been recently eliminated. Remediation strategies were heterogeneous across institutions.Conclusion: These findings provide an important update on how genetics and genomics is taught at US and Canadian medical schools. Continuous improvement of educational initiatives will aid in producing genomically-literate physicians.