The UTHealth Houston Adult Cardiovascular Genomics Certificate Program: Efficacy and Impact on Healthcare Professionals.

Melyssa Garner, Bansari Rajani, Priyanka Vaidya, Samer Abu Dayeh, Alana C Cecchi, Christina C Miyake, Vicki Huff, Matthew Wanat, Elisabeth Wang, Leonie M Kurzlechner, Andrew P Landstrom, Daniel An, Yafen Liang, Mousumi Moulik, Timothy C Wong, Shane R Cunha, Ashley Cannon, R Lynn Holt, Dianna M Milewicz, Siddharth K Prakash
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Abstract

Background: The demand for genetic services has outpaced the availability of resources, challenging clinicians untrained in genetic integration into clinical decision-making. The UTHealth Adult Cardiovascular Genomics Certificate (CGC) program trains non-genetic healthcare professionals to recognize, assess, and refer patients with heritable cardiovascular diseases. This asynchronous online course includes 24 modules in three tiers of increasing complexity, using realistic clinical scenarios, interactive dialogues, quizzes, and tests to reinforce learning. We hypothesized that the CGC will increase genomic competencies in this underserved audience and encourage applying genomic concepts in clinical practice.

Methods: Required course evaluations include pre- and post-assessments, knowledge checks in each module, and surveys for module-specific feedback. After 6 months, longitudinal feedback surveys gathered data on the long-term impact of the course on clinical practice and conducted focused interviews with learners.

Results: The CGC was accredited in September 2022. Principal learners were nurses (24%), nurse practitioners (21%), physicians (16%), and physician assistants. Scores of 283 learners in paired pre- and post-assessments increased specific skills related to recognizing heritable diseases, understanding inheritance patterns, and interpreting genetic tests. Interviews highlighted the CGC's modular structure and linked resources as key strengths. Learners endorsed confidence to use genetic information in clinical practice, such as discussing genetic concepts and risks with patients and referring patients for genetic testing. Learners were highly likely to recommend the CGC to colleagues, citing its role in enhancing heritable disease awareness.

Conclusions: The CGC program effectively empowers non-genetic clinicians to master genomic competencies, fostering collaboration to prevent deaths from heritable cardiovascular diseases, and potentially transforming healthcare education and clinical practice.

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休斯顿UTHealth 大学成人心血管基因组学证书课程:疗效和对医疗保健专业人员的影响。
背景 遗传学服务的需求超过了资源的供应,这给那些没有接受过将遗传学纳入临床决策培训的临床医生带来了挑战。UTHealth成人心血管基因组学证书(CGC)课程培训非遗传学医疗保健专业人员识别、评估和转诊遗传性心血管疾病患者。该异步在线课程包括 24 个模块,分为三个层次,复杂程度依次递增,采用真实的临床场景、互动对话、测验和测试来强化学习。我们的假设是,CGC 将提高这些未得到充分服务的受众的基因组学能力,并鼓励他们在临床实践中应用基因组学概念。所需的课程评估方法包括课前和课后评估、每个模块的知识检查以及针对具体模块的反馈调查。6 个月后,纵向反馈调查收集了课程对临床实践长期影响的数据,并对学员进行了重点访谈。结果 2022 年 9 月,该课程获得认证。主要学员为护士(24%)、执业护士(21%)、医生(16%)和医生助理。283 名学习者在配对前后评估中的得分提高了与识别遗传性疾病、了解遗传模式和解读基因检测相关的特定技能。访谈强调,CGC 的模块化结构和链接资源是其主要优势。学员们表示有信心在临床实践中使用遗传信息,例如与患者讨论遗传概念和风险,并推荐患者进行基因检测。学员非常愿意向同事推荐 CGC,认为它在提高人们对遗传疾病的认识方面发挥了重要作用。结论 CGC 课程有效地增强了非遗传学临床医生掌握基因组能力的能力,促进了预防遗传性心血管疾病死亡的合作,并有可能改变医疗保健教育和临床实践。
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