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Effect of comprehensive oncogenetics training interventions for general practitioners, evaluated at multiple

Elisa J F Houwink1, Arno M M Muijtjens2, Sarah R van Teeffelen3

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General practitioners (GPs) showed improved genetic awareness and consultation skills after completing oncogenetics training modules. A supportive website also increased GP interest and satisfaction, though referral rates did not significantly change.

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Area of Science:

  • Medical Education
  • Genetics
  • Primary Care

Background:

  • General practitioners (GPs) require enhanced genetic competencies to identify hereditary cancer risks.
  • Existing educational programs for GPs in genetics are limited, necessitating development of effective training modules.
  • Primary care physicians need accessible resources for genetic information relevant to daily practice.

Purpose of the Study:

  • To develop and evaluate effective educational modules on genetics for primary care physicians.
  • To assess the long-term impact of genetics training on GPs' consultation skills and referral behavior.
  • To gauge GP interest in and satisfaction with a supportive online resource for genetics.

Main Methods:

  • Development of three oncogenetics Continuing Professional Development (CPD) modules: online (G-eCPD), live, and a supportive website.
  • Randomized controlled trials (RCTs) involving 168 GPs to evaluate module effectiveness via questionnaires on self-reported competencies and referral changes.
  • Analysis of referral rates from GPs to clinical genetics centers and website analytics (visitor numbers, satisfaction ratings).

Main Results:

  • GPs reported sustained improvement in genetic awareness and consultation skills post-training.
  • Significant increase in self-reported frequency of referrals to clinical genetics centers among live module participants compared to online.
  • The supportive website received high satisfaction ratings (7.7-8.1/10), with 'family tree drawing' being the most consulted page.

Conclusions:

  • Oncogenetics CPD modules and a supportive website provide a flexible and effective framework for enhancing genetic medical care in primary care.
  • The training improved GPs' self-perceived genetic consultation skills and awareness long-term.
  • Further research is needed to confirm if improved training translates to more efficient patient referrals to clinical genetics services.