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Training Residents in Genomics (TRIG) Working Group Update: March 2013. Richard L. Haspel, MD, PhD Director, Laboratory Medicine Residency Training Program Beth Israel Deaconess Medical Center Chair, TRIG Working Group. Coming to a clinic near you…. PRODS Genomics Survey: We Need Training!.
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Training Residents in Genomics (TRIG) Working Group Update: March 2013 Richard L. Haspel, MD, PhD Director, Laboratory Medicine Residency Training Program Beth Israel Deaconess Medical Center Chair, TRIG Working Group
PRODS Genomics Survey:We Need Training! YES 31% 69% NO 9/2010; N=42 91% want to teach their residents genomic medicine
Training Residents in Genomics (TRIG) Working Group Goal: Help ensure implementation of a genomics curriculum in every pathology residency program by July 2012 Revise the BIDMC curriculum and develop tools for national implementation Utilize outreach resources of participant organizations including meetings/courses/resident forums to promote curricula. Develop questions for the RISE.
TRIG on track for 2012! June: Possible R25grant funding, $300,000 per year for 5 years Conferences: ACLPS, ASCP, NSGC, NCHPEG, USCAP December: First conference call 2010 2011 2012 May: Publication of TRIG review in Personalized Medicine September: Submit RISE questions/survey March: Objectives/ structure completed March: Present lectures at USCAP Annual Meeting July: Present objectives/lectures at APC/PRODS Annual Meeting March: Genomics appears on RISE
Cancer Education Grants Program (R25/PAR-08-120) • Purpose: This Funding Opportunity Announcement (FOA), issued by the National Cancer Institute (NCI), encourages applications for the development of: • Innovative cancer education programs; and • Cancer research dissemination projects that can be completed within 5 years.
R25: Specific Aims • To develop a pathology resident genomic medicine curriculum, with a major focus on cancer care, as well as tools for national implementation. • The TRIG Working Group will collaborate with the ASCP Continuing Professional Development (CPD) team. • Both instructional guides and online education modules will be developed. • To evaluate the curriculum using a pre/post-test design at four pathology residency programs using validated assessment tools. • Assessment tools will be created to evaluate knowledge, communication skills and attitudes related to genomics. • The residency directors at the four sites are Dr. Richard Haspel, Dr. Karen Kaul, Dr. Debra Leonard and Dr. Henry Rinder. All are TRIG Working Group members and are key personnel on the grant.
R25: Specific Aims • To promote curriculum implementation using the resources of major national pathology organizations so that >90% of pathology residency programs nationwide have high-quality training in cancer genomics by the end of year 5. • Build on the current success of the TRIG Working Group in promoting genomics education through major pathology organizations. • To assess the degree of nationwide implementation and efficacy of curricula in genomic medicine using the pathology resident in-service exam (RISE). • This aspect of the grant will build on the current success of the TRIG Working Group in developing exam and survey questions for the RISE. 10/2012: Awarded $1.3 million over 5 years
Funding: A new TRIG timeline Dissemination at conferences, Year 3: Begin “Train-the-Trainer” sessions Questions on RISE Year 1 Year 2 Year 3 Year 4 Year 5 Online modules completed, deployed Cancer genomics training in >90% of US pathology residency programs, assessed by RISE Assessment tool completed Lectures and instructional guide completed, made available Online modules tested at five residency programs
TRIG Still On Track • New TRIG members • ACMG Representative: Madhuri Hedge, PhD • Andrew Beck, MD • John Pfeifer, MD, PhD • Iris Schrijver, MD, PhD • 2013 RISE: survey and knowledge questions submitted • Workshops/Courses at major meetings • ASCP Annual Meeting (9/2013): Day-long resident workshop • CAP Annual Meeting (10/2013): Half-day course • USCAP Annual Meeting (2014): Submitted for resident workshop • ACLPS Annual Meeting (2014): Possible train-the-trainer session • Curriculum: • Survey-based review completed (11) • Day-long meeting today • Designing exercises related to annotation and report generation
TRIG: Continuing to Evolve Achieved several major goals Lectures Dissemination Presentations Abstracts Articles RISE survey and knowledge questions The future: R25 funding Resident workshops Online modules Design assessment tools Evaluate curriculum Need your help to spread the word!
Thanks! TRIG Working Group PRODS Council Suzanne Ziemnik, Eric Parks and the ASCP Mark Sobel, MD, PhD ICPI BIDMC Faculty and Residents Jeffrey Saffitz, MD, PhD www.genomicmedicineinitiative.org http://www.pathologytraining.org/trig_lecture.htm
Food for Thought As with the practice of medicine, the best hope for understanding the quality of current educational techniques and for evaluating proposed new approaches is by conducting and disseminating research based on sound principles. Robert M. Golub, MD JAMA. 2009;301(9):972