The Gene Messenger Impact Project: An Innovative Genetics Continuing Education Strategy for Primary Care Providers

Carroll, June C.; Grad, Roland; Allanson, Judith; Pluye, Pierre; Permaul, Joanne A.; Pimlott, Nicholas; Wilson, Brenda J.

doi:10.1097/ceh.0000000000000079

Cited by 17 publications

(14 citation statements)

References 29 publications

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“…A similar situation exists for direct-to-consumer genetic testing. Health care providers report low awareness and experience of direct-to-consumer genetic testing (Bernhardt et al, 2012; Ram et al, 2012; Goldsmith et al, 2013; Carroll et al, 2016a; Carroll et al, 2016b), however, many believe it will be helpful in patient management (Bernhardt et al, 2012; Powell et al, 2012a; Powell et al, 2012b). In Powell’s survey of PCPs, of 39% who were aware of direct-to-consumer genetic testing, 43% thought it was clinically useful.…”

Section: Discussionmentioning

confidence: 99%

“…There are limited studies of educational interventions in GM showing mixed effectiveness. (Rubanovich et al, 2018) They include studies of interactive web-based curricula and educational modules (Blazer et al, 2005; Blazer et al, 2011; Houwink et al, 2013; Bell et al, 2014; Houwink et al, 2014; Orlando et al, 2014; Reed et al, 2016; Paneque et al, 2017), FH and clinical support programs (Jackson et al, 2018), point-of-care tools and decision support (Carroll et al, 2011; Carroll et al, 2014), and push reflective e-learning (Carroll et al, 2016b). Several websites exist with genomics information and on-line educational programs for PCPs (GECKO ; Genetics in Primary Care Institute ; Genomics Education Programme, ; The Jackson Laboratory, ; Genetics/Genomics Competency Centre, ; Gen-Equip programme, ).…”

Section: Discussionmentioning

confidence: 99%

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Informing Integration of Genomic Medicine Into Primary Care: An Assessment of Current Practice, Attitudes, and Desired Resources

et al. 2019

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Introduction: Preparing primary care providers for genomic medicine (GM) first requires assessment of their educational needs in order to provide clear, purposeful direction and justify educational activities. More understanding is needed about primary care providers’ perspectives on their role in newer areas of GM and what resources would be helpful in practice. Our objective was to determine family physicians’ (FP) current involvement and confidence in GM, attitudes regarding its clinical value, suggestions for integration of GM into practice, and resources and education required. Methods: A self-complete anonymous questionnaire was mailed to a random sample of 2,000 FPs in Ontario, Canada in September 2012. Results: Adjusted response rate was 26% (361/1,365), mean age was 51, and 53% were male. FPs reported many aspects of traditional GM as part of current practice (eliciting family history: 93%; deciding who to refer to genetics: 94%; but few reported confidence (44%, 32% respectively). Newer areas of GM were not part of most FPs’ current practice and confidence was low (pharmacogenetics: 28% part of practice, 5% confident; direct-to-consumer genetic testing: 14%/2%; whole genome sequencing: 8%/2%). Attitudes were mixed with 59% agreeing that GM would improve patient health outcomes, 41% seeing benefits to genetic testing, but only 36% agreeing it was their responsibility to incorporate GM into practice. Few could identify useful sources of genetic information (22%) or find information about genetic tests (21%). Educational resources participants anticipated would be useful included contact information for local genetics clinics (89%), summaries of genetic disorders (86%), and genetic referral (85%) and testing (86%) criteria. About 58% were interested in learning about new genetic technologies. Most (76%) wanted to learn through in-person teaching (lectures, seminars etc.), 66% wanted contact with a local genetic counselor to answer questions, and 59% were interested in a genetics education website. Conclusion: FPs lack confidence in GM skills needed for practice, particularly in emerging areas of GM. They see their role as making appropriate referrals, are somewhat optimistic about the contribution GM may make to patient care, but express caution about its current clinical benefits. There is a need for evidence-based educational resources integrated into primary care and improved communication with genetic specialists.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Informing Integration of Genomic Medicine Into Primary Care: An Assessment of Current Practice, Attitudes, and Desired Resources

et al. 2019

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“…In addition, GPs consistently requested support to help manage genomics in clinical practice, including online resources, clear up-to-date guidelines on genomic testing, links to genetic specialists where feasible and 'just in time' resources accessible at point of care, similar to preferences identified in previous studies. 11,[29][30][31] Paneque et al suggest that the ability to find relevant genomic information when needed might be a more appropriate goal in GP education. 30 Online genomic education resources developed specifically for GPs have been available overseas for some time; 11 Australian cancer genetics GP referral guidelines can be accessed on the NSW Cancer Institute's eviQ 32 and, in 2018, the RACGP produced the Genomics in general practice online resource in consultation with GPs, specifically to provide 'just in time' information.…”

Section: Discussionmentioning

confidence: 99%

General practitioners’ views on genomics, practice and education: A qualitative interview study

Cusack¹,

Hickerton²,

Nisselle³

et al. 2021

Aust J Gen Pract

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2014-19. BT declares holding a part-time role in a commercial genomic testing subsidiary (Genome. One) of the Garvan Institute of Medical Research until July 2018. Outside of the submitted article, SM and KD received funding, through their work institutions, from The Royal Australian College of General Practitioners for the work they did as Co-Chair and Member, respectively, of the Advisory Group in the development of the clinical resource Genomics in general practice.

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“…Genomic medicine educational initiatives have also embraced electronic-and web-based methods for disseminating pertinent information. For instance, disseminating novel genomic medicine information via 'push' emails has been one well-received approach for practicing physicians (46,65). Gene Messenger, a 'push' email initiative within Canada, has been used to send bimonthly, short, evidence-based emails with summaries of trending genomics topics (e.g.…”

Section: Electronic-based and Web-based Resourcesmentioning

confidence: 99%

“…In conjunction with the new information, physicians complete an online questionnaire that serves as a reflection and evaluation of ways the new information could be envisioned as being useful in clinical practice. Not only have Canadian physicians found Gene Messenger to be a helpful resource, but also Gene Messenger is low-cost and an effective way to widely disseminate novel genomic information (65). Given that genomic medicine continues to evolve quickly, an email 'push' initiative is one promising approach to provide physicians with just-in-time information.…”

Section: Electronic-based and Web-based Resourcesmentioning

confidence: 99%

Physician preparedness for big genomic data: a review of genomic medicine education initiatives in the United States

Rubanovich

Cheung

Mandel

et al. 2018

Human Molecular Genetics

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In the last decade, genomic medicine education initiatives have surfaced across the spectrum of physician training in order to help address a gap in genomic medicine preparedness among physicians. The approaches are diverse and stem from the belief that 21st century physicians must be proficient in genomic medicine applications as they will be leaders in the precision medicine movement. We conducted a review of literature in genomic medicine education and training for medical students, residents, fellows, and practicing physicians with articles published between June 2015 and January 2018 to gain a picture of the current state of genomic medicine education with a focus on the United States. We found evidence of progress in the development of new and innovative educational programs and other resources aimed at increasing physician knowledge and readiness. Three overarching educational approach themes emerged, including immersive and experiential learning; interdisciplinary and interprofessional education; and electronic- and web-based approaches. This review is not exhaustive, nevertheless, it may inform future directions and improvements for genomic medicine education. Important next-steps include: (i) identifying and studying ways to best implement low-cost dissemination of genomic information; (ii) emphasizing genomic medicine education program evaluation and (iii) incorporating interprofessional and interdisciplinary initiatives. Genomic medicine education and training will become more and more relevant in the years to come as physicians increasingly interact with genomic and other precision medicine technologies.

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The Gene Messenger Impact Project: An Innovative Genetics Continuing Education Strategy for Primary Care Providers

Cited by 17 publications

References 29 publications

Informing Integration of Genomic Medicine Into Primary Care: An Assessment of Current Practice, Attitudes, and Desired Resources

Informing Integration of Genomic Medicine Into Primary Care: An Assessment of Current Practice, Attitudes, and Desired Resources

General practitioners’ views on genomics, practice and education: A qualitative interview study

Physician preparedness for big genomic data: a review of genomic medicine education initiatives in the United States

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