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Sharing Knowledge: Human Variome Project
Initiatives in Education and Skills
Development

                   Linda Roberts
                University of Vermont
       College of Nursing and Health Sciences

                  12 June 2012
               UNESCO, Paris, France
Background
HVP Education Working Group
 Independent group, emerged in 2008 from 3
  other groups: Ethics, Data Integration & Access,
  and Developing Countries.

 Charged to conduct an Educational Needs
  Assessment, completed in Feb 2010 and
  presented at HVP Forum in November 2010

                   UNESCO, Paris, 2012               2
Methods
 A Web-based survey was conducted to solicit
  thoughts and opinions of the HVP constituency

 Email invitation in Feb 2010 to participate
    Included HVP members and colleagues and others
    Menu with choices to check, and Open-ended
     responses



                    UNESCO, Paris, 2012               3
Survey Content
There were 6 questions asking about:
• Purpose of the working group
• Specific unmet educational needs
• Country specific emerging issues and
  challenges
• Ideas for structuring programming


                   UNESCO, Paris, 2012   4
101 Respondents, all continents
Types of people responding         Organizations represented

Clinical Geneticists              Molecular laboratories
Molecular Genetics Faculty        Centers for Genomics
PhD Researchers                   Hospitals
Database Coordinators             Government research labs
Informaticians                    Centers for Genetics
Policy and Standards                Education



                        UNESCO, Paris, 2012                    5
80% Perceived a Need for Educational
Sessions
   Question 3c. Who should these potential educational targets be?




                           UNESCO, Paris, 2012                       6
Specific Unmet Educational Needs
Question 3a and 3b: What specific unmet educational needs exist? What topics do you think would
be useful for educational sessions for HVP participants?


                                                   Responses
                      Specific Diseases
 Molecular Diagnostics Technologies
                              Databases
Informatics / Interpretative software
       Methods to interpet variants
                                  ELSCI*
  Regulatory / Governmental Policy
                        Other needs**

                                            0            20             40   60            80


 *Ethical, Legal, Social, Cultural Implications

                                                  UNESCO, Paris, 2012                             7
Approaches for Structuring Educational
Programming
Question 5: How shall the HVP approach structuring proposed Educational Programs?




                                UNESCO, Paris, 2012                                 8
What should the purpose of this
Education Working Group be?
 Themes from n=71 responses
   Collaboration – help in accessing educational
    resources, standardizing and unifying of data
   Sharing- e.g. curricula, tools
   Whom to Educate- stake holders, other scientists,
    policymakers, patients. There was an urgency to
    “POPULARIZE” and make people aware
   Development of teaching/training materials

                       UNESCO, Paris, 2012              9
Country Specific Challenges
Question 4b: Are there issues or challenges specific to your country that you would like
to see the HVP address?

 Comments:



  Interpreting/classifying variants, correlate with
   pathology (n=5)
  Lack of Funding (n=4)
  Policy makers/regulation (n=4)
  Cultural delays in adoption (Italy, India, Kuwait)

                                     UNESCO, Paris, 2012                                   10
Existing Educational Standards & Core
Competencies
  ESHG – European Society of Human Genetics
  NCHPEG – National Coalition for Health
   Professional Education in Genetics
  HGSA – Human Genetic Society of Australasia
  Assessed curriculum: Knowledge, Skills, Attitudes,
  Learning Objectives

                     UNESCO, Paris, 2012               11
Action Items from the
2010 HVP Education Forum (1)
Validate educational tools and programs with
  international societies (ASHG, ESHG, etc)
Develop validated Web resources:
  Target MDs and other professionals, public
  Translate into multiple languages
Use Social Media
  Enhance the HVP web site and Facebook page, blogs

                      UNESCO, Paris, 2012             12
Action Items from the
2010 HVP Education Forum (2)
Write a paper to bring up these issues:
  Genetic disease is important
  Primary care MDs are inadequately trained
  Use (re)-certification exams as incentive
  HVP can provide tools and standards
Engage journalists, “write the story”


                     UNESCO, Paris, 2012      13
Acknowlegements
Richard Cotton                 Suzanne Albustan
Carol Barash                   Rania Horaitis
Elizabeth Shepard              Heather Howard
Ian Phillips                   Lauren Martin
Ming Qi                        Jumana Al ama
Ingrid Winship                 Hamed Sherifa
Ray Dagleish                   Sue Povey
Agnes Bankier                  Susie Sobrido
                    UNESCO, Paris, 2012           14
Collaboration                                  Standardize / Unify data
-among different groups
                                                Access existing resources

 Sharing of
                                                        Education
Information                                             -stakeholders
                                            -other scientists and young scientists
                                                    - materials/workshops
                                                -popularize/raise awareness
Teaching/Training                                        -Curriculum
      - Scientists



                                    Patient Education
                                   -strategies for patients/ familiarize
                                   individuals


                          UNESCO, Paris, 2012                                  15
Topics to Discuss
• Curriculum Assessment and Accreditation
• Role for HVP in education at multiple
  levels of medical training and the public
• Existing national and international
  resources that can be leveraged
• How to use clinicians and scientists,
  especially early career

                 UNESCO, Paris, 2012      16
HVP Pillar : Building Capacity
 •   What value-added contribution can HVP make – not re-inventing the wheel
     or duplicating?
 •   HVP secretariat, Consortium members, greater global stakeholders – ripple
     effect of Human Variome Project
 •   Coordination, facilitation and clearing house
 •   Focus on developing countries; international collaboration

 1. Curriculum, etc. (recommendations for online and free educational
    resources)
 2. Role at multiple levels (advocacy with politicians, training workshops on
    HPV and specific subjects)
 3. National & international resources (NGOs, scientific associations, societies.
    Networks, intergovernmental organisations, e.g ICGEB, UN)
 4. Early career scientists and clinicians (promote “twinning” between resource-
    rich and resource-constrained groups/countries

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Sharing Knowledge: Human Variome Project initiatives in education and skills development

  • 1. Sharing Knowledge: Human Variome Project Initiatives in Education and Skills Development Linda Roberts University of Vermont College of Nursing and Health Sciences 12 June 2012 UNESCO, Paris, France
  • 2. Background HVP Education Working Group  Independent group, emerged in 2008 from 3 other groups: Ethics, Data Integration & Access, and Developing Countries.  Charged to conduct an Educational Needs Assessment, completed in Feb 2010 and presented at HVP Forum in November 2010 UNESCO, Paris, 2012 2
  • 3. Methods  A Web-based survey was conducted to solicit thoughts and opinions of the HVP constituency  Email invitation in Feb 2010 to participate  Included HVP members and colleagues and others  Menu with choices to check, and Open-ended responses UNESCO, Paris, 2012 3
  • 4. Survey Content There were 6 questions asking about: • Purpose of the working group • Specific unmet educational needs • Country specific emerging issues and challenges • Ideas for structuring programming UNESCO, Paris, 2012 4
  • 5. 101 Respondents, all continents Types of people responding Organizations represented Clinical Geneticists Molecular laboratories Molecular Genetics Faculty Centers for Genomics PhD Researchers Hospitals Database Coordinators Government research labs Informaticians Centers for Genetics Policy and Standards Education UNESCO, Paris, 2012 5
  • 6. 80% Perceived a Need for Educational Sessions Question 3c. Who should these potential educational targets be? UNESCO, Paris, 2012 6
  • 7. Specific Unmet Educational Needs Question 3a and 3b: What specific unmet educational needs exist? What topics do you think would be useful for educational sessions for HVP participants? Responses Specific Diseases Molecular Diagnostics Technologies Databases Informatics / Interpretative software Methods to interpet variants ELSCI* Regulatory / Governmental Policy Other needs** 0 20 40 60 80 *Ethical, Legal, Social, Cultural Implications UNESCO, Paris, 2012 7
  • 8. Approaches for Structuring Educational Programming Question 5: How shall the HVP approach structuring proposed Educational Programs? UNESCO, Paris, 2012 8
  • 9. What should the purpose of this Education Working Group be?  Themes from n=71 responses  Collaboration – help in accessing educational resources, standardizing and unifying of data  Sharing- e.g. curricula, tools  Whom to Educate- stake holders, other scientists, policymakers, patients. There was an urgency to “POPULARIZE” and make people aware  Development of teaching/training materials UNESCO, Paris, 2012 9
  • 10. Country Specific Challenges Question 4b: Are there issues or challenges specific to your country that you would like to see the HVP address? Comments:  Interpreting/classifying variants, correlate with pathology (n=5)  Lack of Funding (n=4)  Policy makers/regulation (n=4)  Cultural delays in adoption (Italy, India, Kuwait) UNESCO, Paris, 2012 10
  • 11. Existing Educational Standards & Core Competencies  ESHG – European Society of Human Genetics  NCHPEG – National Coalition for Health Professional Education in Genetics  HGSA – Human Genetic Society of Australasia Assessed curriculum: Knowledge, Skills, Attitudes, Learning Objectives UNESCO, Paris, 2012 11
  • 12. Action Items from the 2010 HVP Education Forum (1) Validate educational tools and programs with international societies (ASHG, ESHG, etc) Develop validated Web resources: Target MDs and other professionals, public Translate into multiple languages Use Social Media Enhance the HVP web site and Facebook page, blogs UNESCO, Paris, 2012 12
  • 13. Action Items from the 2010 HVP Education Forum (2) Write a paper to bring up these issues: Genetic disease is important Primary care MDs are inadequately trained Use (re)-certification exams as incentive HVP can provide tools and standards Engage journalists, “write the story” UNESCO, Paris, 2012 13
  • 14. Acknowlegements Richard Cotton Suzanne Albustan Carol Barash Rania Horaitis Elizabeth Shepard Heather Howard Ian Phillips Lauren Martin Ming Qi Jumana Al ama Ingrid Winship Hamed Sherifa Ray Dagleish Sue Povey Agnes Bankier Susie Sobrido UNESCO, Paris, 2012 14
  • 15. Collaboration Standardize / Unify data -among different groups Access existing resources Sharing of Education Information -stakeholders -other scientists and young scientists - materials/workshops -popularize/raise awareness Teaching/Training -Curriculum - Scientists Patient Education -strategies for patients/ familiarize individuals UNESCO, Paris, 2012 15
  • 16. Topics to Discuss • Curriculum Assessment and Accreditation • Role for HVP in education at multiple levels of medical training and the public • Existing national and international resources that can be leveraged • How to use clinicians and scientists, especially early career UNESCO, Paris, 2012 16
  • 17. HVP Pillar : Building Capacity • What value-added contribution can HVP make – not re-inventing the wheel or duplicating? • HVP secretariat, Consortium members, greater global stakeholders – ripple effect of Human Variome Project • Coordination, facilitation and clearing house • Focus on developing countries; international collaboration 1. Curriculum, etc. (recommendations for online and free educational resources) 2. Role at multiple levels (advocacy with politicians, training workshops on HPV and specific subjects) 3. National & international resources (NGOs, scientific associations, societies. Networks, intergovernmental organisations, e.g ICGEB, UN) 4. Early career scientists and clinicians (promote “twinning” between resource- rich and resource-constrained groups/countries

Editor's Notes

  1. the 2ndintl meeting meeting in spainThere was talk about education through out the meeting – from ethics and Developing CountriesEducational Needs survey to determine existing and anticipated educational needs to further the Project’s Goals.
  2. It was CIB and LR and MG who designed that final version of the questions with input with others from the committee.And we shared with them that the survey should take a maximum of 8 minutes to complete. And I believe there were 2 additional reminders sent – via mail distribution list.We incorporated a mixed venue of questions – select all responses that apply, open ended and specify is other.Survey was open for just one month.In the spirit of collaboration – we wished to welcome and give credit for individual contributions.
  3. What are the products or end results of this working group. Evaluation4 sets of education material.Society/patients (Lay people)Clinical specialistsFunding bodies agencies, governmentsOurselves – means genetic specials already involved – strategies for funding – already have buy in – but need direction to go further.- those who are interested but go home and supports, need basic indication to get started. DEVELOP materials:Why edu important, difficulties etc. Discuss structure, methodologies applicable to each education task and focus.
  4. This represents the number of people responding – NOT percentage.clinicians were the largest number…….under other specify…..Other specify: laboratory scientists, genetic counselors, journalists, potential funding sources, diagnostic scientists, media, politicians, regulatory bodies, educators, informatics personal, undergraduates and graduates, genetic diagnostic labs, Medical/Dental curriculum directors, biochemists
  5. Most frequently chosen category for unmet need was Methods to interpret variants ……..With respect to other needs – respondents told us**Other needs: Future trends, submission and searching, incorporation of genetics into clinical workflow, criteria for variation/phenotype associations, environment effects on genetic expressions, collection of cohorts of samples for genetics, functional expression of mutants in appropriate cells lines to assist in pathogenicity assessment.
  6. Other ideas were mentioned and are available in the report which will be posted on the HVP website.*Other suggestions: Conference call and email list, workshops with policymakers, mailing list for ad hoc questions and answers, form local working groups, use HGVS, develop PowerPoint talks summarizing HVP work, provide funding to attend these meeting, create documented, indexed and searchable in the ideal world.
  7. We received n=71 responses. We identified the common themesWe believe these are a manageble number of “Categories/themes” from which we can develop objectives and make recommendations
  8. As a starting point…..there were three groups in different parts of the world that came up with the same idea of setting KSA’s
  9. Engage journalists and guide them to what you would like them to write