Case-based genomics education and training of neurologists: an Egyptian initiative

Many physicians lack confidence in providing genetic services to patients due to a lack of genetic/genomic knowledge. The study aimed to develop and implement a genomic education and training program for neurologists, a real initiative activity. The program consisted of three steps: (1) conducting an exploratory survey to identify knowledge gaps, attitudes, and concerns related to medical genetics/genomics in practical settings. (2) Designing the framework and implementing the national initiative program. (3) Preliminary evaluation of the program outcomes. The program was conducted as part of postgraduate education at a university hospital. Survey responses (42.5%) indicated that many neurologists expressed the importance of genomic medicine but lacked confidence in applying genomic tests in practice and addressing patient questions about genetic diseases. They expressed a preference for face-to-face learning, including case discussions and interpretation of genetic test results. The initiative comprised seven courses conducted over 24 months, with a total of 42 regular meetings. It involved three academic consultant neurologists as expert educators and 45 junior neurologists as trainees. Case discussions and interpretation of authentic genomic results were conducted for 46 patients. Evaluation of the initiative by trainees was promising. Neurologists reported increased genomic knowledge and felt more comfortable referring patients for genetic testing after receiving guidance from expert peers. Findings indicate that neurologists seek scalable and ongoing genomic education and training tailored to their field. Face-to-face, case-based learning led by expert educators in genomics, focusing on neurology, appears to be the most effective approach to address gaps in genomic education and training.