Imperial College London
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DrKevinMonahan

Faculty of Medicine, Department of Surgery & Cancer

Honorary Clinical Senior Lecturer
 
 
 
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Contact

 

k.monahan Website

 
 
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Location

 

CRUKSt Marks HospitalNorthwick Park and St Marks Site

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Summary

 

Publications

Citation

BibTex format

@article{Al:2019:10.1136/bmjopen-2019-030505,
author = {Al, Bakir I and Sebepos-Rogers, G and Burton, H and Monahan, K},
doi = {10.1136/bmjopen-2019-030505},
journal = {BMJ Open},
title = {Mainstreaming of genomic medicine in gastroenterology, present and future: a Nationwide Survey of UK Gastroenterology Trainees},
url = {http://dx.doi.org/10.1136/bmjopen-2019-030505},
volume = {9},
year = {2019}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - Objective: Genomics  and  personalised  medicine  are  increasingly  relevant  for  patients  with gastroenterological  conditions.  We  aim  to  capture  the  current  state  of  genomics  training  in gastroenterology   to   review   current   understanding,   clinical   experience   and   long-term educational needs of UK trainees.Design  &  Setting: A  web-based  nationwide  survey  of  all  UK  gastroenterology  specialty trainees was conducted in 2017.Results: 100 trainees (14% of UK gastroenterology trainees) completed this survey. Only 9% and 16% of respondents believe that their local training programme adequately prepares them for future clinical practice utilising genomic medicine and personalised medicine respectively. Barriers  identified  include  the  need  for  greater  trainee  education  (95%),  inadequate  clinical guidance  to  base  interventions  on  the  results  of  genomic  testing  (53%),  concerns  over misinterpretation by patients (43%) and overuse/misuse of testing by clinicians (34%).Survey  respondents  felt  prepared  to  perform HFE genotyping  (98%),  assess  TPMT  status (97%),  and  interpret  HLA-subtyping  for  suspected  coeliac  disease  (85%).  However,  only  a minority  felt  prepared  to  perform  the  following  investigations:  polyposis  screening  (34%), hereditary pancreatitis screening (30%), testing for Lynch Syndrome (33%), and KRAS testing for colorectal cancer (20%).Most respondents would support holding dedicated training days on genomic medicine (83%), formal training provisions for the mainstreaming of genomic testing (64%), an update to the UK gastroenterology specialty training curriculum and examinations (57%), and better-defined referral pathways for local genomic services (91%).Conclusion: Most  gastroenterology  trainees  in  this  survey  feel  ill-equipped  to  practice genomic and personalised medicine as consultants. We propose specific revisions to the UK gastroenterology specialty curriculum t
AU  - Al,Bakir I
AU  - Sebepos-Rogers,G
AU  - Burton,H
AU  - Monahan,K
DO  - 10.1136/bmjopen-2019-030505
PY  - 2019///
SN  - 2044-6055
TI  - Mainstreaming of genomic medicine in gastroenterology, present and future: a Nationwide Survey of UK Gastroenterology Trainees
T2  - BMJ Open
UR  - http://dx.doi.org/10.1136/bmjopen-2019-030505
UR  - http://hdl.handle.net/10044/1/72785
VL  - 9
ER  -
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