Cancer Genetics Professional Education in a Global Community of Practice

基因组信息在临床实践中的快速和持续注入继续推动着对 技术娴熟的员工队伍，能够驾驭基于基因信息的患者护理。国家调查记录了持续的差距 在对配备有知识、技能和资源的临床医生的需求和可用性之间 将复杂的生殖系和肿瘤遗传信息整合到实践中。本R25提案概述了一项计划，以进一步 临床癌症基因组学与实践社区(CCGCoP)的使命是帮助解决 对有能力从事循证癌症基因组学护理的临床医生的持续需求。CCGCoP已建成 关于情境学习的理论框架，学术癌症中心的资源和专业知识， 和公认的思想领袖的杰出教师提供多模式跨专业课程 向在有限机会获得GCRA的社区执业的临床医生进行遗传癌症风险评估(GCRA) 服务。在目前的项目期内，来自不同执业环境的719名临床医生完成了该课程 或者现在正在开会，比我们预计的应计利润高出43%。18%的人来自代表性不足的少数族裔 (13%的西班牙裔，5%的非裔美国人)；68%的人将其全部或部分临床服务提供给社会经济 服务不足的患者群体，9%的人在低收入和中等收入国家执业。这样做的目的是 继续的建议是：1)继续已建立的CCGCoP年度强化课程，2)更新 当前课程和学习评估，3)开发和试行自我指导的复习课程，以解决 课程校友需要通过循证癌症基因组学内容来更新他们的知识和技能 和基于案例的活动4)评估强化课程和对参与者的自我指导回顾 参与度、知识、基于案例的技能、学习经验和实践价值，并纳入 自我导向模型中的迭代改进。实现这些目标将进一步推动我们的努力，使 全美在遗传癌症遗传学方面具有实践者级别熟练程度的临床医生数量 在国际上。此外，我们计划开发和试点一个自我导向的癌症遗传学复习课程，这将 支持GCRA对课程校友的持续质量改进，并将作为我们未来的框架 开发一个完全自我指导的强化课程版本，以覆盖更广泛的国家和国际 医疗保健专业人员的受众。

The rapid and ongoing infusion of genomic information into clinical practice continues to fuel the need for a skilled workforce to navigate genomically-informed patient care. National surveys document the continued gap between the need for, and availability of, clinicians equipped with the knowledge, skills and resources to integrate complex germline and tumor genetic information into practice. This R25 proposal outlines a plan to further the mission of the Clinical Cancer Genomics and Community of Practice (CCGCoP) to help address the continuing demand for clinicians competent in evidence-based cancer genomics care. The CCGCoP is built on the theoretical framework of situated learning, the resources and expertise of the academic cancer center, and a distinguished faculty of recognized thought leaders to deliver a multimodal inter-professional course in genetic cancer risk assessment (GCRA) to clinicians practicing in communities with limited access to GCRA services. Over the current project period 719 clinicians from diverse practice settings have completed the course or are now in session, exceeding our projected accrual by 43%. 18% are from underrepresented minorities (13% Hispanic, 5% African American); 68% deliver all or part of their clinical services to socio-economically underserved patient populations, and 9% practice in low to middle income countries. The aims for this continuation proposal are to: 1) Continue the established annual CCGCoP Intensive Course, 2) Update the current curriculum and learning assessments, 3) Develop and pilot a Self-directed Review Course to address the need for course alumni to refresh their knowledge and skills with evidence-based cancer genomics content and case-based activities 4) Evaluate the Intensive Course and Self-directed Review on participant engagement, knowledge, case-based skills, learning experience and value to practice, and incorporate into iterative improvements in the self-directed model. Fulfillment of these aims will further our efforts to grow the number of clinicians with practitioner-level proficiency in genetic cancer genetics across the U.S. and internationally. Additionally, our plan to develop and pilot a self-directed cancer genetics review course will support ongoing quality improvement in GCRA for course alumni, and will serve as a framework for our future development of a fully self-directed version of the intensive course to reach a broader national and international audience of healthcare professionals.