A structured genetics rotation for pediatric residents: an important educational opportunity.
clinical genetics
genetics rotation
medical education
pediatrics
residency
Journal
Genetics in medicine : official journal of the American College of Medical Genetics
ISSN: 1530-0366
Titre abrégé: Genet Med
Pays: United States
ID NLM: 9815831
Informations de publication
Date de publication:
04 2020
04 2020
Historique:
received:
31
07
2019
accepted:
26
11
2019
revised:
25
11
2019
pubmed:
14
12
2019
medline:
28
4
2021
entrez:
14
12
2019
Statut:
ppublish
Résumé
As the integral role of genetics in health and disease becomes increasingly understood, pediatricians must incorporate genetic principles into their care of patients. Structured exposure to genetics during residency may better equip future pediatricians to meet this goal. Pediatric interns in the Johns Hopkins pediatric residency program have the option to spend one week immersed in clinical genetics by attending outpatient clinics and seeing inpatient consults. A pretest assessing clinical genetics knowledge is given before the rotation and compared with an identical post-test. Interns have a "scavenger hunt" to introduce genetic resources useful to pediatricians and complete a logbook of patient experiences. An evaluation is completed at the end of the rotation. Since the selective started in July 2016, 50 interns have participated. Average pretest score was 2.5/5 compared with a post-test score of 4.3/5, p < 0.0001. Interns saw on average ten patients and four different diagnoses. Overall evaluation was 4.4 on a 5-point scale, 5 being "excellent." This experience suggests that a structured rotation in genetics provides pediatric interns with an opportunity to learn basic clinical genetics knowledge and skills and see patients whom they may otherwise not encounter during residency.
Identifiants
pubmed: 31831883
doi: 10.1038/s41436-019-0723-7
pii: S1098-3600(21)01161-8
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
793-796Références
Collins FS. Medical and societal consequences of the Human Genome Project. N Engl J Med. 1999;341:28–37.
doi: 10.1056/NEJM199907013410106
Jenkins J, Blitzer M, Boehm K, et al. Core competencies in genetics essential for all health professionals. Genet Med. 2001;3:155–159.
doi: 10.1097/00125817-200103000-00011
Accreditation Council for Graduate Medical Education. Program requirements for graduate medical education in pediatrics. 30 June 2017. https://www.acgme.org/Portals/0/PFAssets/ProgramRequirements/320_pediatrics_2017-07-01.pdf .
Harvey EK, Fogel CE, Peyrot M, Christensen KD, Terry SF, McInerney JD. Providers’ knowledge of genetics: a survey of 5915 individuals and families with genetic conditions. Genet Med. 2007;9:259–267.
doi: 10.1097/GIM.0b013e31805002f2
Saul RA, Trotter T, Sease K, Tarini B. Survey of family history taking and genetic testing in pediatric practice. J Community Genet. 2017;8:109–115.
doi: 10.1007/s12687-016-0291-3
Peabody J, DeMaria L, Tamandong-LaChica D, Florentino J, Acelajado MC, Burgon T. Low rates of genetic testing in children with developmental delays, intellectual disability, and autism spectrum disorders. Glob Pediatr Health. 2015;2:2333794X15623717.
pubmed: 27335989
pmcid: 4784627
Nguyen J, Lemons J, Crandall S, Northrup H. Efficacy of a medical genetics rotation during pediatric training. Genet Med. 2016;18:199–202.
doi: 10.1038/gim.2015.65
Rubanovich CK, Cheung C, Mandel J, Bloss CS. Physician preparedness for big genomic data: a review of genomic medicine education initiatives in the United States. Hum Mol Genet. 2018;27:R250–R258.
doi: 10.1093/hmg/ddy170
Thatcher J, Canfield P, Bauer L, Griffith BN. Pedigree analysis: a team-based learning activity. MedEdPORTAL. 2017;13:10557.
doi: 10.15766/mep_2374-8265.10557
Secretary’s Advisory Committee on Genetics, Health, and Society. Genetics education and training report. 2011. https://www.eshg.org/fileadmin/www.eshg.org/documents/committees/SACGHS_education_report_2011.pdf
Saul RA. Genetic and genomic literacy in primary care. Pediatrics. 2013;132 Suppl 3:S198–S202.
doi: 10.1542/peds.2013-1032C
Kemper AR, Trotter TL, Lloyd-Puryear MA, Kyler P, Feero WG, Howell RR. A blueprint for maternal and child health primary care physician education in medical genetics and genomic medicine: recommendations of the United States secretary for health and human services advisory committee on heritable disorders in newborns and children. Genet Med. 2010;12:77–80.
doi: 10.1097/GIM.0b013e3181cb78fa
Dotters-Katz S, Hocutt G, Osborne CM, Hardisty EE, Demmer L, Vora N. Development, implementation, and assessment of a genetics curriculum across institutions. AJP Rep. 2016;6:e372–e377.
doi: 10.1055/s-0036-1593831
Riegert-Johnson DL, Korf BR, Alford RL, et al. Outline of a medical genetics curriculum for internal medicine training programs. Genet Med. 2004;6:543–547.
doi: 10.1097/01.GIM.0000144561.77590.85