Exploring a Laboratory Model of Pharmacogenetics as Applied to Clinical Decision Making

Objective: To evaluate a pilot of a laboratory model for relating pharmacogenetics to clinical decision making. Case Study: This pilot was undertaken and evaluated to help determine if a pharmacogenetics laboratory should be included in the core Doctor of Pharmacy curriculum. The placement of the la...

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Main Authors: Angela Smith, PharmD Candidate, Amy L. Stockert, PhD, Jeffery N. Talbot, PhD, David F. Kisor, BS, PharmD
Format: Article
Language:English
Published: University of Minnesota Libraries Publishing 2013-01-01
Series:INNOVATIONS in Pharmacy
Subjects:
Online Access:http://www.pharmacy.umn.edu/innovations/prod/groups/cop/@pub/@cop/@innov/documents/article/cop_article_445106.pdf
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author Angela Smith, PharmD Candidate
Amy L. Stockert, PhD
Jeffery N. Talbot, PhD,
David F. Kisor, BS, PharmD
author_facet Angela Smith, PharmD Candidate
Amy L. Stockert, PhD
Jeffery N. Talbot, PhD,
David F. Kisor, BS, PharmD
author_sort Angela Smith, PharmD Candidate
collection DOAJ
description Objective: To evaluate a pilot of a laboratory model for relating pharmacogenetics to clinical decision making. Case Study: This pilot was undertaken and evaluated to help determine if a pharmacogenetics laboratory should be included in the core Doctor of Pharmacy curriculum. The placement of the laboratory exercise in the curriculum was determined by identifying the point in the curriculum where the students had been introduced to the chemistry of deoxyribonucleic acid (DNA) as well as instructed on the chemistry of genetic variation. The laboratory included cytochrome P450 2C19 genotyping relative to the *2 variant. Twenty-four students served as the pilot group. Students provided buccal swabs as the source of DNA. Students stabilized the samples and were then provided instructions related to sample preparation, polymerase chain reaction, and gel electrophoresis. The results were reported as images of gels. Students used a reference gel image to compare their results to. Students then applied a dosing algorithm to make a “clinical decision” relative to clopidogrel use. Students were offered a post laboratory survey regarding attitudes toward the laboratory. Twenty-four students completed the laboratory with genotyping results being provided for 22 students (91.7%). Sixteen students were wild-type (*1/*1), while six students were heterozygous (*1/*2). Twenty-three students (96%) completed the post laboratory survey. All 23 agreed (6, 26.1%) or strongly agreed (17, 73.9%) that the laboratory “had relevance and value in the pharmacy curriculum”. Conclusion: The post pilot study survey exploring a laboratory model for pharmacogenetics related to clinical decision making indicated that such a laboratory would be viewed positively by students. This model may be adopted by colleges to expand pharmacogenetics education.
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spelling doaj.art-b658311bec9d4b28a157656f2d6a6d6b2022-12-21T18:31:00ZengUniversity of Minnesota Libraries PublishingINNOVATIONS in Pharmacy2155-04172013-01-0142112Exploring a Laboratory Model of Pharmacogenetics as Applied to Clinical Decision MakingAngela Smith, PharmD CandidateAmy L. Stockert, PhDJeffery N. Talbot, PhD,David F. Kisor, BS, PharmDObjective: To evaluate a pilot of a laboratory model for relating pharmacogenetics to clinical decision making. Case Study: This pilot was undertaken and evaluated to help determine if a pharmacogenetics laboratory should be included in the core Doctor of Pharmacy curriculum. The placement of the laboratory exercise in the curriculum was determined by identifying the point in the curriculum where the students had been introduced to the chemistry of deoxyribonucleic acid (DNA) as well as instructed on the chemistry of genetic variation. The laboratory included cytochrome P450 2C19 genotyping relative to the *2 variant. Twenty-four students served as the pilot group. Students provided buccal swabs as the source of DNA. Students stabilized the samples and were then provided instructions related to sample preparation, polymerase chain reaction, and gel electrophoresis. The results were reported as images of gels. Students used a reference gel image to compare their results to. Students then applied a dosing algorithm to make a “clinical decision” relative to clopidogrel use. Students were offered a post laboratory survey regarding attitudes toward the laboratory. Twenty-four students completed the laboratory with genotyping results being provided for 22 students (91.7%). Sixteen students were wild-type (*1/*1), while six students were heterozygous (*1/*2). Twenty-three students (96%) completed the post laboratory survey. All 23 agreed (6, 26.1%) or strongly agreed (17, 73.9%) that the laboratory “had relevance and value in the pharmacy curriculum”. Conclusion: The post pilot study survey exploring a laboratory model for pharmacogenetics related to clinical decision making indicated that such a laboratory would be viewed positively by students. This model may be adopted by colleges to expand pharmacogenetics education.http://www.pharmacy.umn.edu/innovations/prod/groups/cop/@pub/@cop/@innov/documents/article/cop_article_445106.pdfpharmacogenetics educationpharmacogenomics educationpharmacogenetics laboratory modelclinical decision making laboratory
spellingShingle Angela Smith, PharmD Candidate
Amy L. Stockert, PhD
Jeffery N. Talbot, PhD,
David F. Kisor, BS, PharmD
Exploring a Laboratory Model of Pharmacogenetics as Applied to Clinical Decision Making
INNOVATIONS in Pharmacy
pharmacogenetics education
pharmacogenomics education
pharmacogenetics laboratory model
clinical decision making laboratory
title Exploring a Laboratory Model of Pharmacogenetics as Applied to Clinical Decision Making
title_full Exploring a Laboratory Model of Pharmacogenetics as Applied to Clinical Decision Making
title_fullStr Exploring a Laboratory Model of Pharmacogenetics as Applied to Clinical Decision Making
title_full_unstemmed Exploring a Laboratory Model of Pharmacogenetics as Applied to Clinical Decision Making
title_short Exploring a Laboratory Model of Pharmacogenetics as Applied to Clinical Decision Making
title_sort exploring a laboratory model of pharmacogenetics as applied to clinical decision making
topic pharmacogenetics education
pharmacogenomics education
pharmacogenetics laboratory model
clinical decision making laboratory
url http://www.pharmacy.umn.edu/innovations/prod/groups/cop/@pub/@cop/@innov/documents/article/cop_article_445106.pdf
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