Development of an Evidence-Based, Theory-Informed National Survey of Physician Preparedness for Genomic Medicine and Preferences for Genomics Continuing Education
Despite some early implementation of genomic medicine globally, there is a lack of rigorous, large-scale assessments of medical specialists' current practice and continuing education needs. As a first step to addressing this gap, we describe the development of a robust, expert-reviewed, survey...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2020-03-01
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| Series: | Frontiers in Genetics |
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| Online Access: | https://www.frontiersin.org/article/10.3389/fgene.2020.00059/full |
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| author | Belinda J. McClaren Belinda J. McClaren Belinda J. McClaren Emily A. King Emily A. King Erin Crellin Erin Crellin Erin Crellin Clara Gaff Clara Gaff Clara Gaff Sylvia A. Metcalfe Sylvia A. Metcalfe Sylvia A. Metcalfe Amy Nisselle Amy Nisselle Amy Nisselle |
| author_facet | Belinda J. McClaren Belinda J. McClaren Belinda J. McClaren Emily A. King Emily A. King Erin Crellin Erin Crellin Erin Crellin Clara Gaff Clara Gaff Clara Gaff Sylvia A. Metcalfe Sylvia A. Metcalfe Sylvia A. Metcalfe Amy Nisselle Amy Nisselle Amy Nisselle |
| author_sort | Belinda J. McClaren |
| collection | DOAJ |
| description | Despite some early implementation of genomic medicine globally, there is a lack of rigorous, large-scale assessments of medical specialists' current practice and continuing education needs. As a first step to addressing this gap, we describe the development of a robust, expert-reviewed, survey using a mixed-methods sequential study design. We conducted semi-structured qualitative interviews with 32 education providers and 86 non-genetic medical specialists about current genomic medicine practice and need for continuing education. Key concepts were identified and used as an initial framework for the survey. These were: personal characteristics (medical specialty, years of practice); current practice of genomics in clinical and research settings; perception of how proximal genomic medicine is to practice; perception of preparedness (competence and confidence); and, preferences for future roles and models of care in genomic medicine and for continuing education. Potential survey questions that related to at least one of these concepts were identified from the literature or were created if no suitable question existed. Using a modified, reactive Delphi approach, questions were reviewed by a panel of 22 experts. Experts were selected purposefully representing four areas of expertise: non-genetic medical specialties; clinical genetics; genetic/genomic education and evaluation; and implementation science. Three Delphi rounds assessed relevance, clarity and importance of each question. The questions were also mapped to the behaviour change wheel theoretical framework which encompasses capability, opportunity and motivation (COM-B). The survey (included as supplementary material) was then tested with a small group of non-genetic medical specialists and feedback was written or verbal in ‘talk-aloud', cognitive interviews. The final survey was then piloted with a further 29 specialists. We describe the methodology to create a robust, data- and theory-informed survey. The final survey captures not only levels of experience, practice of genomics and preferences for education but also the challenges around engaging with education. Survey data will provide evidence for education providers to inform development of education which meets learner needs and contributes to a medical workforce that is literate in genomics and more confident to competently practice genomic medicine. |
| first_indexed | 2024-04-13T16:12:56Z |
| format | Article |
| id | doaj.art-bd4a30a6170c4c6e93f919dec294a339 |
| institution | Directory Open Access Journal |
| issn | 1664-8021 |
| language | English |
| last_indexed | 2024-04-13T16:12:56Z |
| publishDate | 2020-03-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Genetics |
| spelling | doaj.art-bd4a30a6170c4c6e93f919dec294a3392022-12-22T02:40:08ZengFrontiers Media S.A.Frontiers in Genetics1664-80212020-03-011110.3389/fgene.2020.00059488188Development of an Evidence-Based, Theory-Informed National Survey of Physician Preparedness for Genomic Medicine and Preferences for Genomics Continuing EducationBelinda J. McClaren0Belinda J. McClaren1Belinda J. McClaren2Emily A. King3Emily A. King4Erin Crellin5Erin Crellin6Erin Crellin7Clara Gaff8Clara Gaff9Clara Gaff10Sylvia A. Metcalfe11Sylvia A. Metcalfe12Sylvia A. Metcalfe13Amy Nisselle14Amy Nisselle15Amy Nisselle16Australian Genomics Health Alliance, Melbourne, VIC, AustraliaGenomics in Society, Murdoch Children’s Research Institute, Melbourne, VIC, AustraliaDepartment of Pediatrics, The University of Melbourne, Melbourne, VIC, AustraliaAustralian Genomics Health Alliance, Melbourne, VIC, AustraliaGenomics in Society, Murdoch Children’s Research Institute, Melbourne, VIC, AustraliaAustralian Genomics Health Alliance, Melbourne, VIC, AustraliaGenomics in Society, Murdoch Children’s Research Institute, Melbourne, VIC, AustraliaDepartment of Pediatrics, The University of Melbourne, Melbourne, VIC, AustraliaAustralian Genomics Health Alliance, Melbourne, VIC, AustraliaGenomics in Society, Murdoch Children’s Research Institute, Melbourne, VIC, AustraliaDepartment of Pediatrics, The University of Melbourne, Melbourne, VIC, AustraliaAustralian Genomics Health Alliance, Melbourne, VIC, AustraliaGenomics in Society, Murdoch Children’s Research Institute, Melbourne, VIC, AustraliaDepartment of Pediatrics, The University of Melbourne, Melbourne, VIC, AustraliaAustralian Genomics Health Alliance, Melbourne, VIC, AustraliaGenomics in Society, Murdoch Children’s Research Institute, Melbourne, VIC, AustraliaDepartment of Pediatrics, The University of Melbourne, Melbourne, VIC, AustraliaDespite some early implementation of genomic medicine globally, there is a lack of rigorous, large-scale assessments of medical specialists' current practice and continuing education needs. As a first step to addressing this gap, we describe the development of a robust, expert-reviewed, survey using a mixed-methods sequential study design. We conducted semi-structured qualitative interviews with 32 education providers and 86 non-genetic medical specialists about current genomic medicine practice and need for continuing education. Key concepts were identified and used as an initial framework for the survey. These were: personal characteristics (medical specialty, years of practice); current practice of genomics in clinical and research settings; perception of how proximal genomic medicine is to practice; perception of preparedness (competence and confidence); and, preferences for future roles and models of care in genomic medicine and for continuing education. Potential survey questions that related to at least one of these concepts were identified from the literature or were created if no suitable question existed. Using a modified, reactive Delphi approach, questions were reviewed by a panel of 22 experts. Experts were selected purposefully representing four areas of expertise: non-genetic medical specialties; clinical genetics; genetic/genomic education and evaluation; and implementation science. Three Delphi rounds assessed relevance, clarity and importance of each question. The questions were also mapped to the behaviour change wheel theoretical framework which encompasses capability, opportunity and motivation (COM-B). The survey (included as supplementary material) was then tested with a small group of non-genetic medical specialists and feedback was written or verbal in ‘talk-aloud', cognitive interviews. The final survey was then piloted with a further 29 specialists. We describe the methodology to create a robust, data- and theory-informed survey. The final survey captures not only levels of experience, practice of genomics and preferences for education but also the challenges around engaging with education. Survey data will provide evidence for education providers to inform development of education which meets learner needs and contributes to a medical workforce that is literate in genomics and more confident to competently practice genomic medicine.https://www.frontiersin.org/article/10.3389/fgene.2020.00059/fullsurvey developmentgenomic educationqualitativeDelphitheory |
| spellingShingle | Belinda J. McClaren Belinda J. McClaren Belinda J. McClaren Emily A. King Emily A. King Erin Crellin Erin Crellin Erin Crellin Clara Gaff Clara Gaff Clara Gaff Sylvia A. Metcalfe Sylvia A. Metcalfe Sylvia A. Metcalfe Amy Nisselle Amy Nisselle Amy Nisselle Development of an Evidence-Based, Theory-Informed National Survey of Physician Preparedness for Genomic Medicine and Preferences for Genomics Continuing Education Frontiers in Genetics survey development genomic education qualitative Delphi theory |
| title | Development of an Evidence-Based, Theory-Informed National Survey of Physician Preparedness for Genomic Medicine and Preferences for Genomics Continuing Education |
| title_full | Development of an Evidence-Based, Theory-Informed National Survey of Physician Preparedness for Genomic Medicine and Preferences for Genomics Continuing Education |
| title_fullStr | Development of an Evidence-Based, Theory-Informed National Survey of Physician Preparedness for Genomic Medicine and Preferences for Genomics Continuing Education |
| title_full_unstemmed | Development of an Evidence-Based, Theory-Informed National Survey of Physician Preparedness for Genomic Medicine and Preferences for Genomics Continuing Education |
| title_short | Development of an Evidence-Based, Theory-Informed National Survey of Physician Preparedness for Genomic Medicine and Preferences for Genomics Continuing Education |
| title_sort | development of an evidence based theory informed national survey of physician preparedness for genomic medicine and preferences for genomics continuing education |
| topic | survey development genomic education qualitative Delphi theory |
| url | https://www.frontiersin.org/article/10.3389/fgene.2020.00059/full |
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