Genetics in Primary Care Institute
Recent advancements in the fields of genetics, genomics, and epigenetics have led to the increased understanding about the interplay between genetics and environmental factors as a determinant of health. The American Academy of Pediatrics (AAP) identified a need to capitalize on this increased understanding as well as advancements in related technologies, so that quality personalized medicine—providing care that is tailored to the unique genetic traits and needs of the individual—can become the standard of care. As a result of this need, The Genetics in Primary Care Institute (GPCI)—a 3 year cooperative agreement between the Health Resources & Services Administration Maternal & Child Health Bureau and the AAP—has been established.
Through the GPCI, the AAP will work with primary care providers in the context of a medical home to enhance such things as understanding of basic genetic principles, collection and interpretation of family history, education regarding new and emerging technologies and tests, navigation of ethical considerations regarding genetics-related issues, and integration of genetic medicine into health information technology.
Leading the project as co-medical directors are Robert Saul, MD, FAAP and Beth Tarini, MD, MS, FAAP. Dr Saul, a pediatric geneticist, serves as the chairperson of the AAP Committee on Genetics and is on the board of directors for the American College of Medical Genetics. Dr Tarini practices general, primary care pediatrics and is an assistant professor of pediatrics at the University of Michigan. Dr Tarini is also a member of the AAP Committee on Genetics.
Webinar—Update on the Genetics in Primary Care Institute (May 2012)
Webinar—Overview of the Genetics in Primary Care Institute (November 2011)
Purpose
To provide stakeholders with information for better understanding of the relevance of genetic medicine to primary care. To increase awareness and education regarding the provision of genetic medicine in primary care. To improve health care providers’ understanding of their roles and the roles of others related to the provision of genetic medicine in primary care settings.
AudiencePrimary care clinicians, pediatricians, pediatric sub-specialists, family physicians, nurse practitioners, genetic counselors, geneticists, and other stakeholders.
ObjectiveThe webinars will provide an introduction to the topic; explain the relevance to primary care; and showcase a few case examples of how the topic is relevant to primary care and can be integrated into everyday practice. Participants will be provided with practical take-home messages and strategies for implementation in practice.
2012 Time Out for Genetics Webinar Schedule
| TOPIC | FACULTY / PRESENTER(S) | DATE/TIME |
| Integrating Genetics in Primary Care—Why Does it Matter? | Tim Geleske, MD, FAAP Bruce Korf, MD, PhD, FAAP | March 20, 2012 |
| Building an Accurate Family History, Constructing a Pedigree—An Overview for Primary Care | Emily Chen, MD, PhD, FAAP, FACMG Bob Saul, MD, FAAP, FACMG | April 26, 2012 |
| Ordering the Right Tests—Genetics in Primary Care | Leah Burke, MD, FACMG, FAAP | May 31, 2012 |
| Genetics Evaluation, Referrals, and More—What To Do Next | Carol Greene, MD, FAAP John Moeschler, MD, FAAP | June 28, 2012 |
| Myths of Primary Care Providers and Patients/Families Regarding Genetics—Setting the Record Straight | Wendy Chung, MD, PhD Beth Tarini, MD, MS, FAAP | July 26, 2012 |
| Heard About Genetic Counseling? What Does it Mean for You, Patients and Families? | Karin Dent, MS, LCGC | August 30, 2012 |
| Genetics and Coding: What the Primary Care Provider Needs to Know REGISTER NOW! | Marc Williams, MD, FACMG, FAAP | Thursday, September 27 12 to 12:30pm (Central) |
| Top 10 Genetics Resources for Pediatric Primary Care Providers REGISTER NOW! | Kim Keppler-Noreuil, MD | Thursday, October 25 12 to 12:30pm (Central) |
| Genetics Across the Lifespan—Putting It All Together REGISTER NOW! | Melissa Parisi, MD, PhD | Thursday, November 29 12 to 12:30pm (Central) |
| Epigenetics—What Your Patients are Asking, What You Need to Know REGISTER NOW! | Bob Saul, MD, FAAP, FACMG Robert Wright, MD, MPH, FAAP | Thursday, December 20 12 to 12:30pm (Central) |
For additional information on the Time Out for Genetics webinar series, contact Natalie Mikat-Stevens, MPH, Manager, Genetics in Primary Care Institute, Division of Children with Special Needs, AAP, at 847/434-4738 or Contact Us.
The overall vision of the GPCI is to increase primary care provider (PCP) knowledge and skills in providing genetic-based services. This will be accomplished by achievement of the following goals: - Mobilizing a community of learners (PCPs) that will utilize quality improvement science to develop, implement, and evaluate strategies to enhance PCP knowledge, practice, and attitudes regarding the provision of genetic-related services.
- Implementing a strategy to address systems and policy to accelerate the provision of genetic medicine via the establishment of a technical assistance center.
- Assessing and addressing residency training needs in order to more fully imbed the practice of genetic medicine into the future PCP workforce.
A Project Advisory Committee (PAC) has been established comprised of experts in the field of genetics, primary care medicine, public health, and consumer advocacy; the PAC will provide strategic oversight for the GPCI. Additionally, the AAP will utilize its established quality improvement program—Quality Improvement Innovation Network (QuIIN)—to work with an Expert Group and a community of learners (primary care providers and their practice staff) on the development of a change package including strategies and tools to enhance primary care delivery of genetic medicine. In order to increase mentorship capacity for PCP nationwide, GPCI also will develop structured processes to pair PCPs with genetic experts at state and local levels.
Systems and Policy Development
A colloquium on genetic literacy will be organized to provide a forum for the development of key recommendations to support ongoing work in this arena with the goal of further increasing the knowledge base about, and awareness of, genetic literacy in the medical home. The AAP will also establish a Technical Assistance Center (TAC) to serve as a means to further coordinate systems and policy development. The TAC will accelerate the provision of genetic medicine by fostering ongoing education, technical assistance, systems linkages, policy development, and information for key stakeholders.
Continuing Medical Education and Training
The AAP has established multi-faceted and expansive communication, education, and training networks. Facilitated via these networks and established relationships with other primary care societies, GPCI will embed the practice of genetic medicine into the PCP workforce. This will be accomplished through the assessment of current pediatric residency training curricula, development of a curriculum that integrates genetics into existing core competencies, and the integration of key concepts identified through the GPCI into ongoing continuing education offerings.
For additional information on the GPCI, contact Natalie Mikat-Stevens, MPH, Manager, Genetics in Primary Care Institute, Division of Children with Special Needs, AAP, at 847/434-4738 or Contact Us.
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