ACMG Adult Genomics Online Case Conference: Another Tool To Enhance Education In Adult Genetics E. Moussallem, Baylor College of Medicine; JFernando Arena, Texas Department of State Health Services; T. Eble, Baylor College of Medicine; F. Hisama, University of Washington; J. Radford, ACMG; M. Taylor, UC Denver; J. Vengoechea, Emory University; S. Dhar, Baylor College of Medicine.
Medical Education in Adult Genetics • Genetics professionals (GP) are increasingly demanded to provide care in adult genetics. However, adult medicine trained geneticists represent only 11% of total genetics workforce 1. • ACMG Adult Genetics Special Interest Group (AGSIG) started the first online real-‐time case based learning (RT CBL) conference series in adult genetics aiming to improve knowledge and skills of geneticists and genetic counselors in adult genetics care. Real Time Case Based Learning (RT CBL) effectiveness as education modality in adult genetics • CBL is a proven method in medical education that develop critical thinking using interaction between teachers and learners to solve a clinical question 2. CBL efficacy is limited by space and time. RT CBL is a synchronous online modality that allows CBL to surpass these limitations. • Adult Genetics is a sub-‐specialty of common and rare diseases with expertise in the field limited to few institutions. RT CBL allows worldwide expertise sharing. DISCUSSION REFERENCES • RT CBL Conferences were organized quarterly by AGSIG • ACMG Education Committee approved and supported the activity. • Four academic institutions hosted the conferences between November 2015 and August 2016. They were broadcasted live on Tuesdays at 1 pm ET. • Format was composed of a clinical presentation, didactic section and live Q/A session • Two cancer-‐related cases and one non-‐cancer case per conference • Presenters included geneticists, counselors, laboratory geneticists and residents. • Invitations were sent through E-‐blast to individuals on ACMG e-‐mailing list. • Registration was free for ACMG members and for a fee for Non-‐ACMG members • CME credit was available for a fee. • Survey evaluating the activity was offered at end of each conference. It consisted of: • Multiple five points scale questions and two open ended questions.
Overall satisfaction is in top quartile. • Live attendance rate of pre-‐registered individuals reached a reasonable 61.6 %. • Attendance was from most US states and multiple countries in different time zones. • Conferences attracted a large number of industry professionals in addition to academia. • Majority of surveyed participants identified at least implementing one modification to their clinical practice after attending a conference. Among reported modifications: • Considering WES as a first line test when differential diagnosis is broad or two blended phenotypes are suspected. • Questioning previously established diagnoses, especially if not molecularly confirmed. • Enhancing their collaboration with different adult medical specialties. • The Activity was viewed as a rich resource to enable setting up new adult genetics clinics. • Laboratory professionals appreciated the opportunity to view adult genetic cases. • Some surveyed participants reported suboptimal audio visual quality or unanswered questions emphasizing the importance of continuous technical support in such activity. CONCLUSION • ACMG Adult Genomics RT CBL conference series is perceived as a satisfactory and clinically relevant method to improve adult genetics knowledge and skills among genetics professionals. • The observed educational satisfaction encourages continuation of the program and even expanding participation in the future to non-‐genetics health care providers. This is a critical step in expanding genetics care.