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

• 批准号: 9789192
• 负责人: KATHLEEN R. BLAZER
• 金额: $ 30.25万
• 依托单位: BECKMAN RESEARCH INSTITUTE/CITY OF HOPE
• 依托单位国家: 美国
• 财政年份: 2013
• 资助国家: 美国
• 起止时间: 2013-09-01 至 2023-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9789192
• 关键词: Accountability; Address; African American; Asians; Assessment tool; Cancer Center; Caring; Chicago; Cities; Clinical; Clinical Services; Communities; Community of Practice; Competence; Complex; Country; Course Content; Dana-Farber Cancer Institute; Diagnostic; Distance Learning; Education; Educational workshop; Ensure; Evaluation; Faculty; Family; Funding; Genomics; Goals; Hereditary Malignant Neoplasm; Hispanics; Income; Individual; Infusion procedures; International; Knowledge; Learning; Learning Skill; Maps; Medical Education; Mission; Modeling; North Carolina; Online Systems; Participant; Patient Care; Patient-Focused Outcomes; Patients; Professional Education; Quality of Care; Resources; Risk Assessment; Self Efficacy; Self-Direction; Services; Source; Surveys; Syndrome; Therapeutic; Underrepresented Minority; United States; Universities; Update; Work; base; cancer genetics; cancer genomics; cancer risk; career networking; case-based; clinical efficacy; clinical practice; course development; course implementation; education resources; educational atmosphere; evidence base; flexibility; improved; low and middle-income countries; multimodality; patient population; personalized medicine; practice setting; programs; scale up; skill acquisition; skills; socioeconomics; success; symposium; workforce needs

Technological and therapeutic advances have generated an unprecedented infusion of genomic information into clinical practice, further fueling the need for a skilled workforce to navigate genomically-informed patient care. Recent national surveys document the continued gap between the need for, and availability of, skilled genomic cancer risk assessment (GCRA) clinicians. This R25 proposal is to continue the mission of the Clinical Cancer Genomics and Community of Practice (CCGCoP) to help address the growing demand for clinicians competent in evidence-based cancer genomics care. The CCGCoP uses the theoretical framework of situated learning, the resources and expertise of the academic cancer center, and a distinguished faculty of widely-recognized thought leaders to deliver a multimodal inter-professional course in GCRA to clinicians practicing in diverse communities with limited access to GCRA services. In the current project period we fully developed web-based GCRA case conferencing as the central source of case-based skills development for the course and converted the course delivery to a two-track model (full spectrum with face-to-face workshops, and full spectrum content via distance only), which enabled us to exceed projected scaled up accrual, while ensuring that all participants would receive content covering the full spectrum of cancer genetics syndromes. During the current project period, 411 clinicians from diverse practice settings have completed the course or are currently in session; 19% were underrepresented minorities (14% Hispanic, 5% African American) and 10% were Asian; 54% (223) provide clinical services to socio-economically underserved patient populations, and 12% (50) practice in low/middle income countries. Full accrual, with a strong evaluation component documenting significant gains in knowledge, skills and practice change, further support the efficacy of the CCGCoP as a powerful educational resource to help clinicians understand, interpret and integrate complex genomic information into patient care. Comparable gains by participants in both course tracks supports the potential to further increase capacity and reach of the CCGCoP through distance-only course implementation, assuming additional efficiencies in our learning management platforms. With R25 support, the CCGCoP has attained international recognition as a standard-bearer in GCRA professional education, facilitating improved patient access to GCRA services. The CCGCoP alumni represent a uniquely qualified community of clinicians across all 50 states and 27 countries. The proposal aims are: 1) Continue the established CCGCoP intensive course; 2) Review and update course curriculum, and map content to inter-professional GCRA competencies; 3) Evolve the collaborative learning portal and add additional academic GCRA case conference forums; 4) Update course assessment instruments and develop new competencies-based diagnostics to assess learning and impact on patient-centered outcomes. The CCGCoP initiative leverages the promise of genomic discovery to reduce the impact of hereditary cancers through professional learning that promotes quality care.

技术和治疗的进步带来了前所未有的基因组信息的注入 进入临床实践，进一步推动了对熟练劳动力的需求，以导航具有基因信息的患者 关心。最近的全国性调查记录了技术人员的需求和可获得性之间的持续差距 基因组癌症风险评估(GCRA)临床医生。这项R25提案是为了继续执行 临床癌症基因组学和实践社区(CCGCoP)，以帮助满足日益增长的 精通循证癌症基因组学护理的临床医生。CCGCoP使用了理论框架 情境学习，学术癌症中心的资源和专业知识，以及 广受认可的思想领袖将向临床医生提供GCRA的多模式跨专业课程 在不同社区执业，但获得GCRA服务的机会有限。在目前的项目期内，我们充分 开发了基于网络的GCRA案例会议，作为基于案例的技能发展的中心来源 课程，并将课程交付转换为双轨模式(全程面对面研讨会，以及 全频谱内容仅通过距离)，这使我们能够超过预计的扩大收益，而 确保所有参与者都能收到涵盖所有癌症遗传学综合征的内容。 在本项目期间，来自不同执业环境的411名临床医生已完成课程或 目前正在开会；19%是代表不足的少数族裔(14%是西班牙裔，5%是非裔美国人)和 10%是亚洲人；54%(223)为社会经济服务不足的患者群体提供临床服务， 在低收入/中等收入国家有12%(50%)的做法。全额应计，有很强的评价部分 记录在知识、技能和实践变化方面的重大收获，进一步支持 CCGCoP作为一个强大的教育资源，帮助临床医生理解、解释和整合复杂性 将基因组信息转化为病人护理。两个课程路径的参与者获得的可比收益支持 有可能通过实施远程课程进一步提高CCGCoP的能力和覆盖范围， 假设我们的学习管理平台具有更高的效率。借助R25支持，CCGCoP 获得国际认可，成为GCRA专业教育的领导者，促进 患者获得GCRA服务。CCGCoP校友代表了一个独特的合格临床医生社区 覆盖了所有50个州和27个国家。建议的目的是：1)继续建立CCGCoP集约化 课程；2)审查和更新课程课程，并将内容与GCRA跨专业能力相对应； 3)发展协作学习门户，增加更多学术GCRA案例会议论坛；4) 更新课程评估工具并开发新的基于能力的诊断方法来评估学习情况 并对以患者为中心的结果产生影响。CCGCoP倡议利用基因组发现的承诺 通过促进优质护理的专业学习来减少遗传性癌症的影响。