Purpose

As the integral role of genetics in health and disease becomes increasingly understood, pediatricians must incorporate genetic principles into their care of patients. Structured exposure to genetics during residency may better equip future pediatricians to meet this goal.

Methods

Pediatric interns in the Johns Hopkins pediatric residency program have the option to spend one week immersed in clinical genetics by attending outpatient clinics and seeing inpatient consults. A pretest assessing clinical genetics knowledge is given before the rotation and compared with an identical post-test. Interns have a “scavenger hunt” to introduce genetic resources useful to pediatricians and complete a logbook of patient experiences. An evaluation is completed at the end of the rotation.

Results

Since the selective started in July 2016, 50 interns have participated. Average pretest score was 2.5/5 compared with a post-test score of 4.3/5, p < 0.0001. Interns saw on average ten patients and four different diagnoses. Overall evaluation was 4.4 on a 5-point scale, 5 being “excellent.”

Conclusion

This experience suggests that a structured rotation in genetics provides pediatric interns with an opportunity to learn basic clinical genetics knowledge and skills and see patients whom they may otherwise not encounter during residency.

中文翻译：

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面向儿科住院医师的结构化遗传学轮换：一个重要的教育机会

目的

随着遗传学在健康和疾病中不可或缺的作用越来越被理解，儿科医生必须将遗传原理纳入他们对患者的护理中。在住院期间结构化地接触遗传学可能会更好地装备未来的儿科医生来实现这一目标。

方法

约翰霍普金斯大学儿科住院医师项目的儿科实习生可以选择通过参加门诊和看住院咨询花一周时间沉浸在临床遗传学中。在轮换之前进行评估临床遗传学知识的前测，并与相同的后测进行比较。实习生通过“寻宝”来介绍对儿科医生有用的遗传资源，并完成患者体验日志。在轮换结束时完成评估。

结果

自 2016 年 7 月选拔开始以来，已有 50 名实习生参加。平均前测得分为 2.5/5，而后测得分为 4.3/5，p  < 0.0001。实习生平均看到十名患者和四种不同的诊断。总体评价为 4.4（5 分制），5 为“优秀”。

结论

这一经验表明，遗传学的结构化轮换为儿科实习生提供了学习基本临床遗传学知识和技能的机会，并看到他们在住院期间可能不会遇到的患者。