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Cancer Genetics Professional Education in a Global Community of Practice

全球实践社区中的癌症遗传学专业教育

基本信息

批准号：
10769612
负责人：
KATHLEEN R. BLAZER
金额：
$ 32.4万
依托单位：
BECKMAN RESEARCH INSTITUTE/CITY OF HOPE
依托单位国家：
美国
项目类别：
财政年份：
2013
资助国家：
美国
起止时间：
2013-09-19 至 2028-08-31
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10769612
关键词：
Accountability Address African American Cancer Burden Cancer Center Caring Clinical Clinical Services Communities Community of Practice Complex Country Dedications Development Distance Learning Education Educational Curriculum Educational workshop Evaluation Faculty Feedback Funding Future Genetic Genomics Goals Health Professional Hereditary Malignant Neoplasm Hispanic Hybrids Income Infusion procedures International Knowledge Learning Letters Medical Education Mission Modeling Participant Patient Care Patients Precision therapeutics Professional Education Quality of Care Resources Risk Assessment Risk Management Self Direction Self Efficacy Services Surveys Technology Testing Therapeutic Training Underrepresented Minority Update cancer genetics cancer genomics cancer risk cancer therapy case-based clinical practice equity, diversity, and inclusion evidence base experience genetic information improved member multimodality patient engagement patient population point of care polygenic risk score practice setting precision medicine programs scale up skill acquisition skills socioeconomics success tumor workforce needs

项目摘要

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.

基因组信息快速、持续地注入临床实践，继续推动了对基因组信息的需求。熟练的劳动力来指导基因组信息患者护理。国家调查记录了持续存在的差距需要和可用性之间，临床医生配备的知识，技能和资源，将复杂生殖系和肿瘤遗传信息整合到实践中。这份R25提案概述了一项计划，临床癌症基因组学和实践社区（CCGCoP）的使命是帮助解决对能够胜任循证癌症基因组学护理的临床医生的持续需求。CCGCoP是由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式联运跨专业课程，遗传癌症风险评估（GCRA），以临床医生在社区执业，有限的访问GCRA 服务在目前的项目期间，来自不同实践环境的719名临床医生完成了课程或正在开会，超过我们预计的应计费用43%。18%来自代表性不足的少数民族 (13%西班牙裔，5%非裔美国人）; 68%提供全部或部分临床服务，以社会经济服务不足的患者人群，9%的实践在低收入到中等收入国家。其目的是继续建议：1）继续现有的年度CCGCoP强化课程，2）更新现行课程和学习评估，3）开发和试点自我指导审查课程，以解决课程校友需要通过循证癌症基因组学内容更新他们的知识和技能 4）对参加者进行强化课程和自我指导复习的评价参与度、知识、基于案例的技能、学习经验和实践价值，并融入其中自我导向模型的迭代改进。实现这些目标将进一步推动我们努力发展美国各地有许多临床医生在遗传癌症遗传学方面具有熟练程度，化国际大此外，我们计划开发和试点一个自我指导的癌症遗传学审查课程，支持GCRA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，以达到更广泛的国家和国际医疗保健专业人士的观众。