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Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: The need for medical education reform: genomics and the changing nature of health information | Nelson and McGuire Genome Medicine 2010 2 18 http genomemedicine.eom content 2 3 18 w Genome Medicine COMMENTARY L__ The need for medical education reform genomics and the changing nature of health information Elizabeth A Nelson1 and Amy L McGuire 2 Abstract No course in genetics can prepare the practicing physician to interpret whole-genome data. We argue that genetics is a microcosm of the changing dynamics of the practice of medicine. It illustrates the perfect storm of exponential increases in raw data with undetermined clinical relevance ease of access to large amounts of data via the internet and shifting expectations of the doctor-patient relationship and the very mechanisms of health care delivery. Educational reform is needed across the continuum of medical education from the student to the faculty training them and requires a shift in focus from factual knowledge to data management and interpretation. Physician patient and personalized medicine Most physicians would say that good medicine has always been personalized. Physicians use their medical expertise to apply known data to the lifestyle and health of the individual patients in their offices. Yet patients interested in the concept of personalized medicine are no longer satisfied with a discussion that involves population-based benchmarks and generic side effect profiles. Many believe that a physician s ability to provide more personalized information on the basis of a patient s individualized genetic and epigenetic profile will soon be a reality given the technological advances of the past decade and the unprecedented wealth of biological data that has been generated by the Human Genome Project. Yet studies suggest that most physicians do not have the expertise to interpret even the simplest of genetic tests 1 . To prepare physicians for the onslaught of genomewide information some have suggested that courses in genetics be integrated throughout the entire medical Correspondence .
