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2017 ; 15
(1
): 42
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gab.com Text
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Knowledge, attitudes, and values among physicians working with clinical genomics:
a survey of medical oncologists
#MMPMID28655303
Chow-White P
; Ha D
; Laskin J
Hum Resour Health
2017[Jun]; 15
(1
): 42
PMID28655303
show ga
BACKGROUND: It has been over a decade since the completion of the Human Genome
Project (HGP), genomic sequencing technologies have yet to become parts of
standard of care in Canada. This study investigates medical oncologists' (MOs)
genomic literacy and their experiences based on their participation in a cancer
genomics trial in British Columbia, Canada. METHODS: The authors conducted a
survey of MOs from British Columbia, Canada (n?=?31, 52.5% response rate), who
are actively involved in a clinical genomics trial called Personalized
Onco-Genomics (POG). The authors also measured MOs' level of genomic knowledge
and attitudes about clinical genomics in cancer medicine. RESULTS: The findings
show a low to moderate level of genomic literacy among MOs. MOs located outside
the Vancouver area (the major urban center) reported less knowledge about new
genetics technologies compared to those located in the major metropolitan area
(26.7 vs 73.3%, P?0.07, Fisher exact test). Forty-two percent of all MOs
thought medical training programs do not offer enough genomic training. The
majority of the respondents thought genomics will have major impact on drug
discovery (67.7%), and treatment selection (58%) in the next 5 years. They also
thought the major challenges are cost (61.3%), patient genomic literacy (48.3%),
and clinical utility of genomics (42%). CONCLUSIONS: The data suggest a high need
to increase genomic literacy among MOs and other doctors in medical school
training programs and beyond, especially to physicians in regional areas who may
need more educational interventions. Initiatives like POG play a critical role in
the education of MOs and the integration of big data clinical genomics into
cancer care.