Improved provider preparedness through an 8-part genetics and genomic education program.

Improved provider preparedness through an 8-part genetics and genomic education program.
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DOI:
10.1016/j.gim.2021.08.008
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发表时间:
2022-01
影响因子:
8.8
通讯作者:
Christensen, Kurt D.
Christensen, Kurt D.
中科院分区:
医学1区
文献类型:
--
作者:
Hajek, Catherine;Hutchinson, Allison M.;Galbraith, Lauren N.;Green, Robert C.;Murray, Michael F.;Petry, Natasha;Preys, Charlene L.;Zawatsky, Carrie L. B.;Zoltick, Emilie S.;Christensen, Kurt D.

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适合全科医生的大规模遗传学教育日益成为当务之急。我们描述了在桑福德健康实施的强制性全系统计划的内容和影响。桑福德健康中心(Sanford Health)的Imagenetics Initiative开发了一个为期2年的遗传学教育项目,其中每季度都有基于网络的模块,所有医生和高级实践提供者都必须使用该模块。根据参与者报告完成的目标数量,计算出每个模块的0-5分。此外,参与者在开始和完成教育计划之前完成了调查,其中包括7项测量,得分为7-28分的感知准备实践遗传学。共有2,252至2,822名桑福德医疗公司员工完成了8个季度教育模块中的每一个模块。评分最高的是关于使用基因组学改善患者管理的模块(平均得分:4.3),最低的是关于不同类型的基因测试和专家的模块。平均感知准备得分从教育前的15.7分增加到教育后的19.1分(p<0.001)。基于网络的遗传学教育在提高医疗保健提供者使用遗传学的信心方面非常有效。个人知识的舒适度和获得系统基因组医学专家的信心都显著增加。结果表明,可扩展的方法可以改善供应商的准备工作。
Large-scale genetics education appropriate for general practice providers is a growing priority. We describe the content and impact of a mandatory system-wide program implemented at Sanford Health. The Imagenetics Initiative at Sanford Health developed a 2-year genetics education program with quarterly web-based modules that were mandatory for all physicians and advanced practice providers. Scores of 0–5 were calculated for each module based on the number of objectives that participants reported as fulfilled. In addition, participants completed surveys prior to starting and after finishing the education program that included a 7-item measure scored 7–28 of perceived preparedness to practice genetics. Between 2,252 and 2,822 Sanford Health employees completed each of the 8 quarterly education modules. Ratings were highest for the module about using genomics to improve patient management (mean score: 4.3) and lowest for the module about different types of genetic tests and specialists. Mean perceived preparedness scores increased from 15.7 at pre-education to 19.1 at post-education (p<0.001). Web-based genetics education was highly effective in increasing healthcare providers’ confidence about using genetics. Both comfort with personal knowledge and confidence regarding access to the system’s Genomic Medicine experts increased significantly. Results demonstrate how scalable approaches can improve provider preparedness.
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