The continued evolution of the NHS Genomic Medicine Service, alongside improved accessibility to genomic testing through other routes, will increase consultations regarding genomics issues within primary care. GP trainees identify ‘genetics’ as a learning gap in their training, with anecdotal evidence suggesting that completion of this section in the curriculum is ‘challenging’. To support trainees and trainers in meeting this aspect of GP training, this article outlines relevant educational theory, initiatives and resources in genomics from a primary care perspective. This information will equip the learner with approaches and tools to promote confidence in learning and managing issues involving genomic medicine in practice.
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References
1.
AjzenI (1991) The theory of planned behaviour. Organizational Behaviour and Human Decision Processes50(2): 179–211. DOI: 10.1016/0749-5978(91)90020-T.
2.
AjzenI (2002) Perceived behavioral control, self-efficacy, locus of control and the theory of planned behaviour. Journal of Applied Social Psychology32(4): 665–683. DOI: 10.1111/j.1559-1816.2002.tb00236.x.
3.
BurkeSMartynMStoneA, et al.(2009) Developing a curriculum statement based on clinical practice: Genetics in primary care. British Journal of General Practice59(55): 99–103. DOI: 10.3399/bjgp09X395094.
4.
CarrollJCMakuwazaTMancaDP, et al.(2016) Primary care providers' experiences with and perceptions of personalized genomic medicine. Canadian Family Physician Medecin De Famille Canadien62(10): e626–e635. Available at: www.ncbi.nlm.nih.gov/pmc/articles/PMC5063789/pdf/062e626.pdf (accessed 23 June 2020).
5.
ChristensenKDVassyJLJamalL, et al.(2016) Are physicians prepared for whole genome sequencing? A qualitative analysis. Clinical Genetics89(2): 228–234. DOI: 10.1111/cge.12626.
EvansWRHTranterJRafiI, et al.(2020) How genomic information is accessed in clinical practice: An electronic survey of UK general practitioners. Journal of Community Genetics11(3): 377–386. DOI: 10.1007/s12687-020-00457-5.
8.
FitzsimonsEJCullisJOThomasDW, et al.(2018) Diagnosis and therapy of genetic haemochromatosis (review and 2017 update). British Journal of Haematology181(3): 293–303. DOI: 10.1111/bjh.15164.
9.
HaywardJBishopMRafiI, et al.(2017) Genomics in routine clinical care: What does this mean for primary care?British Journal of General Practice67(655): 58–59. DOI: 10.3399/bjgp17X688945.
10.
Hayward J, Rafi I, Simpson S, et al. (2020) Primary care genomics: A roadmap for curriculum change and educational resource development. In: European Society for Human Genetics 2020.2 Live in your Living Room: Virtual conference 6–9 June 2020. Available at: www.abstractsonline.com/pp8/#!/9102/presentation/311 (accessed 23 June 2020).
11.
KnowlesMS (1980) The Modern Practice of Adult Education: From Pedagogy to Andragogy, Englewood Cliffs, Follett Pub. Co: NJ: Cambridge.
12.
KnowlesMS (1989) The Making of an Adult Educator, San Francisco, CA: Jossey-Bass.
13.
KnowlesMS (1996) Andragogy: An emerging technology for adult learning. In: EdwardsRHansonARaggattP (eds) Boundaries of Adult Learning, London: Routledge, pp. 82–98.
14.
KnowlesMSHoltonEFSwansonRA (2011) The Adult Learner: The Definitive Classic in Adult Education and Human Resource Development, London: Elsevier.
15.
MathersJGreenfieldSMetcalfeA, et al.(2010) Family history in primary care: Understanding GPs’ resistance to genetics – a qualitative study. British Journal of General Practice60(574): e221–e230. DOI: 10.3399/bjgp10X501868.
16.
Mikat-StevensNALarsonIATariniBA (2015) Primary-care providers' perceived barriers to integration of genetics services: A systematic review of the literature. Genetics in Medicine17(3): 169–176. DOI: 10.1038/gim.2014.101.
17.
NewmanPPeileE (2002) Valuing learners' experience and supporting further growth: Educational models to help experienced adult learners in medicine. British Medical Journal325(7357): 200–202. DOI: 10.1136/bmj.325.7357.200.
18.
PowellKPChristiansonCACogswellWA, et al.(2012) Educational needs of primary care physicians regarding direct-to-consumer genetic testing. Journal of Genetic Counseling21(3): 469–478. DOI: 10.1007/s10897-011-9471-9.
SimpsonSSellerSBishopM (2019) Using the findings of a national survey to inform the work of England’s Genomics Education Programme. Frontiers in Genetics10: 1265DOI: 10.3389/fgene.2019.0.
22.
SpoonerSLavertyLChecklandK (2019) The influence of training experiences on career intentions of the future GP workforce: A qualitative study of new GPs in England. British Journal of General Practice69(685): e578–e585. DOI: 10.3399/bjgp19X703877.
23.
WestwoodGPickeringRLatterS, et al.(2012) A primary care specialist genetics service: A cluster-randomised factorial trial. British Journal of General Practice62(596): e191–e197. DOI: 10.3399/bjgp12X630089.
24.
WhiteDBBonhamVLJenkinsJ, et al.(2008) Too many referrals of low-risk women for BRCA1/2 genetic services by family physicians. Cancer Epidemiology, Biomarkers and Prevention17(11): 2980–296. DOI: 10.1158/1055-9965.EPI-07-2879.
