Assessing Medical Students’ Knowledge of Genetics: Basis for Improving Genetics Curriculum for Future Clinical Practice

Alotaibi, Amal; Cordero, Mary Anne W.

doi:10.2147/amep.s337756

Cited by 13 publications

(11 citation statements)

References 36 publications

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“…These results are consistent with recent studies which suggest that medical students possess insufficient knowledge of genetics, especially around clinically orientated concepts such as genetic testing and genetic counselling (Alotaibi & Cordero, 2021). As such, greater integration of genetics into the clinical years of medical school curricula seems warranted, in line with a recent topic review from Wolyniak and colleagues, which concluded that there is a need for a development of scientific critical thinking skills, that allow students to apply foundational genetic knowledge and ethical principles to patient encounters (Wolyniak et al, 2015).…”

Section: Discussionsupporting

confidence: 92%

The undue influence of genetic information on medical students’ treatment decisions

Lane

Lynch

Arnold

et al. 2022

Preprint

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Introduction: Knowledge of the genetic basis of health conditions can influence how the public perceives their own and others health. When there are known genetic associations for such conditions, genetic essentialist biases facilitate deterministic thinking and an over emphasis of genetic causality. This study investigates the role that genetic essentialist biases play in medical decision making. Methods: Third and fourth year medical students (N = 102) read a scenario in which a patient presents with gastroenterological symptoms. Half of the students were told that the patient tested positive for HLADQ2 a gene implicated in, but not deterministic of, coeliac disease. The other half received no genetic information. Students were assessed on their recommendations for investigation and management using a multiple-choice questionnaire. Twenty-two of these students participated in a qualitative follow up which used semi-structured interviews to explore the reasoning behind students responses. Results: Management recommendations differed between the two groups, with those receiving genetic information more likely to recommend a gluten free diet. Recommendations for further investigation did not differ significantly between groups. Interviews suggested that these findings arose despite the students good understanding of the common non-deterministic nature of genes, such as HLADQ2. Differences in management recommendations suggest that the inclusion of genetic information unduly biased students towards a premature diagnosis of a serious health condition coeliac disease. Follow-up interviews introduce the possibility that observed manipulation-based differences may have been based on anticipated expectations of examiners. Thus, research in clinical settings is needed to ascertain whether genetic essentialist biases are implicitly influencing medical students under examination conditions or whether they react to the assumptive genetic biases of examiners. Conclusion: The present findings indicate that genetic essentialist biases may affect clinical decision making of senior medical students. While the findings may also arise as an artifact of a conscious exam-taking strategy, there are substantial arguments against this interpretation.

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Section: Discussionsupporting

confidence: 92%

The undue influence of genetic information on medical students’ treatment decisions

Lane

Lynch

Arnold

et al. 2022

Preprint

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“…It shows that the genetic literacy scores of FK UNRI students for this concept were very poor. The results of this study are the same as those of Alotaibi and Cordero (2021) who found that medical students' genetics knowledge was insufficient, especially on clinically oriented concepts such as genetic testing and genetic counseling, and should be strengthened for future clinical practice.…”

Section: Methodssupporting

confidence: 78%

Self-Study Results of Genetics Module Based on Learning Management System Among Medical Students of Universitas Riau

2022

Nusantara Science and Technology Proceedings

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The Genetics module based on a learning management system (LMS) is a standalone website with an instructional design for self-study about genetic literacy. This module is expected to be useful for medical students of Universitas Riau (FK UNRI) from various class years to study at any time. The purpose of this study was to find comparative results of self-study of genetic modules based on LMS among UNRI's medical students in various class years and to determine effectiveness of genetics module based on learning management system among medical students of Universitas Riau. The research method was quantitative. The subjects were 34 UNRI's medical students who were taken proportionally from three class years. The research data was obtained using the UNC-GKS questionnaire. The results showed that the average pre-test scores for the first, second, and third years were 58, 58, and 63. The statistical test results for comparing the pre-test scores of these three class years gave no significant difference. The results of the average post-test scores for the first, second and third years were 58, 68, and 68. The results of the statistical test comparing the post-test scores of these three class years gave no significant difference also. The results of the Wilcoxon test was p < 0.02 which means that there was an increase in genetic literacy scores after FK UNRI students take genetic modules based on the learning management system for independent learning at FK UNRI. The conclusion was the selfstudy of the genetic module based on the LMS among UNRI's medical students gave no significant difference when viewed from the difference in the year of class. There was an increase in genetic literacy scores after FK UNRI students take a genetic module based on the learning management system for independent learning at FK UNRI. Therefore, UNRI 's medical students can study genetics module based on learning management system from various class years and at any time.

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“…Beyond the consideration of interdisciplinary care, there is a great deficit in the educational training for most healthcare providers in the United States as it relates to understanding the clinical implication of complex genetic conditions like TS. Increasing rare-disease curriculum may be an important step to improving ultimately the care of genetically-diverse individuals with complex medical needs like those seen in TS [ 31 ].…”

Section: Discussionmentioning

confidence: 99%

The impact of amplification on quality of life in women with Turner syndrome

Mann,

VanLooy

2024

Orphanet J Rare Dis

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Background Individuals with Turner syndrome (TS, ORPHA 881) experience barriers in communication throughout life as they navigate both early conductive, and progressive sensorineural hearing loss amid other healthcare needs. Hearing loss is self-identified as one of the largest unmet healthcare needs. Purpose The purpose of this study was to investigate the impact of treatment for hearing loss on communication confidence and quality of life measures for individuals with TS. Research design We employed a prospective cross-sectional study design that included both online survey data and audiometric data for a subset of participants. Study sample We recruited 179 adults with TS at the Turner Syndrome Society of the United States (TSSUS) Conference, and through a variety of regional TS organizations’ social media platforms. Audiological data was collected onsite at the conference for a subset of 67 participants; 8 of which who were followed after receiving subsequent treatment with hearing aids. Data collection and analysis The online survey design included demographic questions, the Communication Confidence Profile (CCP), and the RAND 36-Item Health Survey 1.0. Audiometric data included tympanometry, puretone air, and puretone bone conduction thresholds. Descriptive statistics, parametric, and non-parametric tests were used to analyze both survey and audiometric data. Results 74% of participants had a self-reported diagnosis of hearing loss, of which 61% were previously recommended amplification. Only 38% of participants reported using hearing aids. For those participants who wore hearing aids, Total CCP Score, ‘Confidence in Ability to Hear Under Various Conditions’, and ‘Energy/Vitality’ metrics were significantly greater than those with untreated hearing loss warranting a hearing aid. Collectively, Total CCP Score and ‘Confidence in Ability to Hear Under Various Conditions’ increased significantly when participants were fit with hearing aids. Conclusion The results support previous data where hearing loss is a self-identified healthcare concern among women with Turner syndrome, yet many fail to receive appropriate hearing evaluation or treatment. Additionally, the use of hearing aids may improve communication confidence and quality of life in women with Turner syndrome. Furthermore, this study confirms the need for long-term audiological care and monitoring in women with Turner syndrome.

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Assessing Medical Students’ Knowledge of Genetics: Basis for Improving Genetics Curriculum for Future Clinical Practice

Cited by 13 publications

References 36 publications

The undue influence of genetic information on medical students’ treatment decisions

The undue influence of genetic information on medical students’ treatment decisions

Self-Study Results of Genetics Module Based on Learning Management System Among Medical Students of Universitas Riau

The impact of amplification on quality of life in women with Turner syndrome

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