Medical genetics and genomics training in obstetrics and gynecology residencies: are we ready for the future?

Putra, Manesha; Idler, Jay; Dai, Jing; Blitzer, Miriam G.; Feldman, Gerald L.; Sokol, Robert J.

doi:10.1080/14767058.2017.1402879

Cited by 3 publications

(2 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…As of December 2016, only 14.3% of Accreditation Council for Graduate Medical Education–accredited obstetrics/gynecology (OB/GYN) residency programs had dedicated medical genetics rotations within their residency curriculum. Of programs with dedicated training, the average training time was 0.52 months, a significantly shorter duration than spent on other noncore rotations such as family planning or ultrasound 18 . In 1 study, 42% of OB/GYN residents reported feeling that their genetics education in residency was insufficient 19 .…”

Section: Considerations and Challenges For Obstetrician-gynecologistsmentioning

confidence: 94%

“…Of programs with dedicated training, the average training time was 0.52 months, a significantly shorter duration than spent on other noncore rotations such as family planning or ultrasound. 18 In 1 study, 42% of OB/GYN residents reported feeling that their genetics education in residency was insufficient. 19 In addition, expanded carrier screening requires a different approach to counseling than the current standard practice model of offering carrier screening for only a select few disorders.…”

Section: Considerations and Challenges For Obstetrician-gynecologistsmentioning

confidence: 98%

See 1 more Smart Citation

The Evolving Landscape of Genetic Carrier Screening: Clinical Considerations and Challenges

Buckley

Hopkins

Kuller

2023

Obstetrical &Amp; Gynecological Survey

View full text Add to dashboard Cite

Importance Genetic carrier screening is performed to identify carriers of rare genetic diseases. Identification of carriers allows patients to make informed reproductive health choices and can decrease the incidence of genetic disorders with serious medical implications. Objective This review aims to provide an overview of the history of prenatal genetic screening and the various forms of carrier screening, a synopsis of recent changes in society recommendations and current practice guidelines, and discussion of clinical challenges associated with carrier screening. Evidence Acquisition Published practice guidelines from relevant professional societies were reviewed and synthesized. PubMed search was performed for relevant history and clinical considerations of carrier screening. Results Information and evidence summarized in this review include professional society practice guidelines, review articles, and peer-reviewed research articles. Conclusions and Relevance Current practice guidelines differ between stakeholder professional organizations. Expanded carrier screening offers increased identification of rare disease carriers allowing for more informed reproductive choices. However, there are several barriers to the implementation of expanded carrier screening for all patients. Target Audience Obstetricians and gynecologists, family physicians. Learning Objectives After completing this activity, the learner should be better able to describe the difference between ethnicity-based, pan-ethnic, and expanded carrier screening; explain current practice guidelines from the American College of Obstetricians and Gynecologists and the American College of Medical Genetics and Genomics; and identify the barriers to implementation of expanded carrier screening.

show abstract

Section: Considerations and Challenges For Obstetrician-gynecologistsmentioning

confidence: 94%

Section: Considerations and Challenges For Obstetrician-gynecologistsmentioning

confidence: 98%

The Evolving Landscape of Genetic Carrier Screening: Clinical Considerations and Challenges

Buckley

Hopkins

Kuller

2023

Obstetrical &Amp; Gynecological Survey

View full text Add to dashboard Cite

show abstract

Status of medical genomics and genetics education in maternal-fetal medicine: survey of program directors and clinical fellows in the USA

Levytska

Baker

Ibe

et al. 2020

The Journal of Maternal-Fetal & Neonatal Medicine

View full text Add to dashboard Cite

In my future shoes: using VR decision support tools in moral and practical prenatal decisions for an enriched and less biased simulation of one’s future self (Preprint)

Tyebally-Fang¹,

Spitale²,

Viganò³

2023

Preprint

View full text Add to dashboard Cite

BACKGROUND An expectant mother faces several decisions related to pregnancy that cannot be tackled with the rational choice method or by consulting medical evidence. These choices are moral and practical prenatal decisions, which involve respectively the prospective mother’s moral and practical identities. Current genetic counselling services do not support expectant mothers in such decisions, and the mental processes employed, such as mental simulation, are prone to decision-making biases that increase the likelihood of making sub-optimal decisions. OBJECTIVE We show how the quality of moral and practical prenatal decisions can be improved using virtual reality (VR) and provide practical recommendations for the design and development of an effective and ethically aligned VR tool for such prenatal decisions. METHODS This is a theoretical study on moral and practical decisions in pregnancy, which adopts the logical-conceptual method of philosophy. RESULTS VR technology is a suitable decision-support tool for making moral and practical prenatal decisions. Yet, to be effective and ethically aligned, VR should comply to a set of practical recommendations for its design and development that we provide. CONCLUSIONS VR allows the operationalization of biopsychosocial support in the clinical encounter, facilitates the individual’s reflection on her values and beliefs, supports the contextualization of available choices to an individual’s circumstance, presents complex information in more understandable forms, and enhances the ability of mental simulation. An effective VR tool facilitating decision-making in moral and practical prenatal decisions should consider the specific needs of its target audience and be built in consultation with the relevant stakeholders and experts in the field (e.g., social workers, therapists, clinicians). Moreover, VR scenarios that are part of this tool should be community specific, presented in an emotionally balanced manner, and based in reality. Finally, VR tools should be distributed as part of a public health program for reasons of fairness. This study provides the theoretical basis and framework for the development of a better consulting support in pregnancy and contributes to a more inclusive patient engagement in prenatal decision-making, which has been advocated for in contemporary medical practice. CLINICALTRIAL Not applicable

show abstract

Medical genetics and genomics training in obstetrics and gynecology residencies: are we ready for the future?

Cited by 3 publications

References 23 publications

The Evolving Landscape of Genetic Carrier Screening: Clinical Considerations and Challenges

The Evolving Landscape of Genetic Carrier Screening: Clinical Considerations and Challenges

Status of medical genomics and genetics education in maternal-fetal medicine: survey of program directors and clinical fellows in the USA

In my future shoes: using VR decision support tools in moral and practical prenatal decisions for an enriched and less biased simulation of one’s future self (Preprint)

Contact Info

Product

Resources

About