Training Residents in Genomics (TRIG) Working Group Update: March 2013

Richard L. Haspel, MD, PhDDirector, Laboratory Medicine Residency Training Program

Beth Israel Deaconess Medical CenterChair, TRIG Working Group

Coming to a clinic near you…

Do you currently have a curriculum for pathology residents in genomics and personalized medicine?

69%

31%

9/2010; N=42

PRODS Genomics Survey:We Need Training!

YES

NO

91% want to teach their residents genomic medicine

Training Residents in Genomics (TRIG) Working Group

• Goal: Help ensure implementation of a genomics curriculum in every pathology residency program by July 2012

• Revise the BIDMC curriculum and develop tools for national implementation

• Utilize outreach resources of participant organizations including meetings/courses/resident forums to promote curricula.

• Develop questions for the RISE.

July: Present objectives/lecturesat APC/PRODSAnnual Meeting

September: SubmitRISE questions/survey

Conferences: ACLPS, ASCP, NSGC, NCHPEG, USCAP

March: Present lectures at USCAP Annual Meeting

June: Possible R25 grant funding, $300,000 per year for 5 years

2011 2012

TRIG on track for 2012!

March: Genomics appears on RISE

March: Objectives/structure completed

2010

December: First conference call

May: Publication of TRIG review in Personalized Medicine

http://www.pathologytraining.org/trig_lecture.htm

Cancer Education Grants Program (R25/PAR-08-120)

• Purpose: This Funding Opportunity Announcement (FOA), issued by the National Cancer Institute (NCI), encourages applications for the development of: – Innovative cancer education programs; and – Cancer research dissemination projects that can

be completed within 5 years.

R25: Specific Aims

1) To develop a pathology resident genomic medicine curriculum, with a major focus on cancer care, as well as tools for national implementation.– The TRIG Working Group will collaborate with the ASCP Continuing

Professional Development (CPD) team. – Both instructional guides and online education modules will be developed.

2) To evaluate the curriculum using a pre/post-test design at four pathology residency programs using validated assessment tools. – Assessment tools will be created to evaluate knowledge, communication

skills and attitudes related to genomics. – The residency directors at the four sites are Dr. Richard Haspel, Dr. Karen

Kaul, Dr. Debra Leonard and Dr. Henry Rinder. All are TRIG Working Group members and are key personnel on the grant.

R25: Specific Aims3) To promote curriculum implementation using the resources

of major national pathology organizations so that >90% of pathology residency programs nationwide have high-quality training in cancer genomics by the end of year 5. – Build on the current success of the TRIG Working Group in promoting

genomics education through major pathology organizations.

4) To assess the degree of nationwide implementation and efficacy of curricula in genomic medicine using the pathology resident in-service exam (RISE).– This aspect of the grant will build on the current success of the TRIG

Working Group in developing exam and survey questions for the RISE. 10/2012: Awarded

$1.3 million over 5 years

Lectures and instructional guide completed, made available

Year 2 Year 3Year 1

Online modules completed, deployed

Year 4 Year 5

Online modules tested at five residency programs

Assessment tool completed

Questions on RISE

Cancer genomics training in >90% of US pathology residency programs, assessed by RISE

Dissemination at conferences,Year 3: Begin “Train-the-Trainer” sessions

Funding: A new TRIG timeline

Training Residents in Genomics (TRIG) Working Group

TRIG Still On Track• New TRIG members

– ACMG Representative: Madhuri Hedge, PhD– Andrew Beck, MD– John Pfeifer, MD, PhD– Iris Schrijver, MD, PhD

• 2013 RISE: survey and knowledge questions submitted • Workshops/Courses at major meetings

– ASCP Annual Meeting (9/2013): Day-long resident workshop– CAP Annual Meeting (10/2013): Half-day course– USCAP Annual Meeting (2014): Submitted for resident workshop– ACLPS Annual Meeting (2014): Possible train-the-trainer session

• Curriculum:– Survey-based review completed (11)– Day-long meeting today– Designing exercises related to annotation and report generation

TRIG: Continuing to Evolve• Achieved several major goals

– Lectures– Dissemination

• Presentations• Abstracts• Articles

– RISE survey and knowledge questions

• The future: R25 funding – Resident workshops– Online modules– Design assessment tools– Evaluate curriculum Need your help to

spread the word!

www.genomicmedicineinitiative.orghttp://www.pathologytraining.org/trig_lecture.htm

Thanks!• TRIG Working Group• PRODS Council• Suzanne Ziemnik, Eric Parks

and the ASCP• Mark Sobel, MD, PhD • ICPI• BIDMC Faculty and

Residents– Jeffrey Saffitz, MD, PhD

Food for Thought

As with the practice of medicine, the best hope for understanding the quality of current educational techniques and for evaluating proposed new approaches is by conducting and disseminating research based on sound principles.

Robert M. Golub, MD JAMA. 2009;301(9):972