Assessing the Impact of Genomic Pathology Training
In 2016, results the success of the initial three TRIG live workshops were published as an “Educational Innovation” in the Journal of Graduate Medical Education.
To assess objective outcomes, a genomic oncology exam, testing both knowledge and performance-based skills was developed and validated using Rasch analysis, a method typically used in high-stakes testing. With results published in 2020 in the Archives of Pathology and Laboratory Medicine, the exam was administered to residents both immediately prior and after a TRIG workshop. There was significant improvement in exam performance after the workshop, with a mean preworkshop score of 37.5% (range, 17%–61%) and a mean postworkshop score of 75% (range, 50%–100%; P < .001). This exam was also used to demonstrate the efficacy of online modules that translate the live team-based learning experience to a virtual format. Please contact us to obtain a copy of the exam and answer key.
Workshops held at the annual meetings at the American Heart Association (AHS), American Academy of Neurology (AAN), and American Academy of Ophthalmology (AAO) have also been positively reviewed by participants. Data has been published in Circulation: Genomic and Precision Medicine, on a successful workshop held at an AHA Scientific Sessions Meeting.
The TFIG curriculum is currently being piloted at over 10 fellowship programs. Feedback is being collected from both participating fellows and instructors.
The TRIG approach to genomic education has also involved assessing trainee genomic knowledge nationally. The Pathology Resident In-Service Exam (RISE) is administered, by the American Society for Clinical Pathology (ASCP), to almost all pathology residents in the United States. The assessment included knowledge questions, first implemented as ungraded but subsequently made an official component of the exam, and those related to subjective impressions of training. An initial publication in the American Journal of Clinical Pathology included data from the 2013 RISE with a with an update published in 2020.
The RISE-FIRST, also administered by ASCP, has been used to nationally assess medical student training in genomics. This exam is given nationally to post-graduate year 1 (PGY-1) pathology residents. Results from the 2019 RISE-FIRST have been published in Genetics in Medicine.
The use of the RISE and RISE-FIRST represent a unique approach, trainee in-service exams, to gauge genomics curricular integration into medical education on a national scale.
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