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Improved provider preparedness through an 8-part genetics and genomic education program
Authors:Catherine Hajek  Allison M Hutchinson  Lauren N Galbraith  Robert C Green  Michael F Murray  Natasha Petry  Charlene L Preys  Carrie LB Zawatsky  Emilie S Zoltick  Kurt D Christensen
Institution:1. Sanford Health Imagenetics, Sioux Falls, SD;2. Sanford School of Medicine, University of South Dakota, Sioux Falls, SD;3. Department of Population Medicine, Center for Healthcare Research in Pediatrics (CHERP), Harvard Pilgrim Health Care Institute, Boston, MA;4. Division of Genetics, Department of Medicine, Brigham and Women’s Hospital, Boston, MA;5. Broad Institute of MIT and Harvard, Cambridge, MA;6. Department of Medicine, Harvard Medical School, Boston, MA;7. Ariadne Labs, Boston, MA;8. Department of Genetics, Yale School of Medicine, New Haven, CT;9. Sanford Health Imagenetics, Fargo, ND;10. Department of Pharmacy Practice, School of Pharmacy, North Dakota State University, Fargo, ND;11. MGH Institute of Health Professions, Boston, MA;12. Department of Population Medicine, Harvard Medical School, Boston, MA
Abstract:PurposeLarge-scale genetics education appropriate for general practice providers is a growing priority. We describe the content and impact of a mandatory system-wide program implemented at Sanford Health.MethodsThe Imagenetics Initiative at Sanford Health developed a 2-year genetics education program with quarterly web-based modules that were mandatory for all physicians and advanced practice providers. Scores of 0 to 5 were calculated for each module on the basis of the number of objectives that the participants reported as fulfilled. In addition, the participants completed surveys before starting and after finishing the education program, which included a 7-item measure scored 7 to 28 on the perceived preparedness to practice genetics.ResultsBetween 2252 and 2822 Sanford Health employees completed each of the 8 quarterly education modules. The ratings were highest for the module about using genomics to improve patient management (mean score = 4.3) and lowest for the module about different types of genetic tests and specialists. The mean perceived preparedness scores increased from 15.7 at pre-education to 19.1 at post-education (P < .001).ConclusionWeb-based genetics education was highly effective in increasing health care providers’ confidence about using genetics. Both comfort with personal knowledge and confidence regarding access to the system’s genomic medicine experts increased significantly. The results demonstrate how scalable approaches can improve provider preparedness.
Keywords:Clinical  Decision support systems  Genetic counseling  Genetic testing  Pharmacogenomic testing  Primary health care
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