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A Delphi consensus exercise to determine a genetics and genomics curriculum for primary medical degree in Aotearoa New Zealand.

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Title: A Delphi consensus exercise to determine a genetics and genomics curriculum for primary medical degree in Aotearoa New Zealand.
Authors: Kenwright, D.1 diane.kenwright@otago.ac.nz, Kuruppu, N.1, Cornwall, J.2, Print, C.3, Lindt, T.3, Grainger, R.1,4, Thunders, M.1
Source: Focus on Health Professional Education (2204-7662). 2023, Vol. 24 Issue 4, p24-36. 13p.
Subject Terms: *Delphi method, *Medical school graduates, Medical genetics, Genomics, Genetics, Population genetics
Geographic Terms: New Zealand
Abstract: Introduction: Genetics and genomics are of increasing importance in diagnosis and treatment of patients. We aimed to determine relevant genetics and genomics curricular content and learning objectives for contemporary New Zealand medical graduates. Methods: International and national undergraduate medical genetics curricula were identified and learning outcomes collated. Invited New Zealand subject experts (n = 58) contributed further learning objectives, with final pool of 73 learning objectives. A survey-based two-round Delphi process was used to gain consensus on the level of learning for each learning objective. Learning outcomes with consensus for learning greater than "in some depth" or "in detail" were included in the proposed curriculum. Results: The response rate for the Delphi rounds were 41% (n = 24/58) and 29% (n = 17/58) for Rounds 1 and 2, respectively. Experts reached consensus on retaining 58/60 (97%) of proposed learning objectives that were to be learned to at least "some depth". Learning objectives in interprofessional skills, pharmacogenetics, clinical reasoning and information management were retained but refined. Learning outcomes specifically related to Indigenous health included taking an appropriate genetic history, understanding cultural tenets connected to whakapapa (genealogy), an understanding of DNA samples and genomic data being taonga (sacred), the application of genetic data to Māori and other Indigenous populations and the role of genetics in colonisation and racism and their impact on healthcare. Conclusions: Learning objectives for contemporary medical genetics curricula should consider including those focusing on Indigenous health. Findings highlight the necessity of timely re-evaluation of medical curricula. [ABSTRACT FROM AUTHOR]
Copyright of Focus on Health Professional Education (2204-7662) is the property of ANZAHPE: Australian & New Zealand Association for Health Professional Educators and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Education Research Complete
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  Data: A Delphi consensus exercise to determine a genetics and genomics curriculum for primary medical degree in Aotearoa New Zealand.
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  Data: <searchLink fieldCode="JN" term="%22Focus+on+Health+Professional+Education+%282204-7662%29%22">Focus on Health Professional Education (2204-7662)</searchLink>. 2023, Vol. 24 Issue 4, p24-36. 13p.
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  Data: *<searchLink fieldCode="DE" term="%22Delphi+method%22">Delphi method</searchLink><br />*<searchLink fieldCode="DE" term="%22Medical+school+graduates%22">Medical school graduates</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+genetics%22">Medical genetics</searchLink><br /><searchLink fieldCode="DE" term="%22Genomics%22">Genomics</searchLink><br /><searchLink fieldCode="DE" term="%22Genetics%22">Genetics</searchLink><br /><searchLink fieldCode="DE" term="%22Population+genetics%22">Population genetics</searchLink>
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  Data: Introduction: Genetics and genomics are of increasing importance in diagnosis and treatment of patients. We aimed to determine relevant genetics and genomics curricular content and learning objectives for contemporary New Zealand medical graduates. Methods: International and national undergraduate medical genetics curricula were identified and learning outcomes collated. Invited New Zealand subject experts (n = 58) contributed further learning objectives, with final pool of 73 learning objectives. A survey-based two-round Delphi process was used to gain consensus on the level of learning for each learning objective. Learning outcomes with consensus for learning greater than "in some depth" or "in detail" were included in the proposed curriculum. Results: The response rate for the Delphi rounds were 41% (n = 24/58) and 29% (n = 17/58) for Rounds 1 and 2, respectively. Experts reached consensus on retaining 58/60 (97%) of proposed learning objectives that were to be learned to at least "some depth". Learning objectives in interprofessional skills, pharmacogenetics, clinical reasoning and information management were retained but refined. Learning outcomes specifically related to Indigenous health included taking an appropriate genetic history, understanding cultural tenets connected to whakapapa (genealogy), an understanding of DNA samples and genomic data being taonga (sacred), the application of genetic data to Māori and other Indigenous populations and the role of genetics in colonisation and racism and their impact on healthcare. Conclusions: Learning objectives for contemporary medical genetics curricula should consider including those focusing on Indigenous health. Findings highlight the necessity of timely re-evaluation of medical curricula. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Focus on Health Professional Education (2204-7662) is the property of ANZAHPE: Australian & New Zealand Association for Health Professional Educators and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.11157/fohpe.v24i4.653
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      – SubjectFull: Medical genetics
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      – SubjectFull: Population genetics
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      – SubjectFull: New Zealand
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      – TitleFull: A Delphi consensus exercise to determine a genetics and genomics curriculum for primary medical degree in Aotearoa New Zealand.
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              Text: 2023
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