Improved awareness of national genomic initiatives is needed to facilitate genomic education and training in Wales for pharmacists
DOI:
https://doi.org/10.46542/pe.2022.221.805813Keywords:
Education, Genomic, Genomic literacy, Pharmacist, TrainingAbstract
Background: Wales has placed itself at the centre of the genomics revolution with the ambitious aim of improving patient outcomes and encouraging new discoveries. Whilst pharmacists play a key role in precision medicine; linking patients and their medication, there is a paucity of research pertaining to their genomic literacy and educational training needs.
Objectives: This study sought to explore Welsh pharmacists' genomic awareness, knowledge, and educational needs.
Methods: To gauge awareness, an online questionnaire was developed and disseminated.
Results: Over 88% of respondents (n = 94) reported no awareness of key genomic initiatives and services. Furthermore, 27.7% of respondents believe genomics is not relevant to their profession. This in turn has a detrimental impact on their perceptions of genomic educational and training needs.
Conclusion: The authors conclude that there is a disconnect between national policy rhetoric and the reality of pharmacists, highlighting the need for greater engagement with the healthcare workforce if Wales is to become a key player in genomic medicine.
References
Albassam, A., Alshammari, S., Ouda, G., Koshy, S., & Awad, A. (2018). Knowledge, perceptions and confidence of physicians and pharmacists towards pharmacogenetics practice in Kuwait. PloS one, 13(9). https://doi.org/10.1371/journal.pone.0203033
All Wales Medical Genomics Service. (2021). Pharmacogenetics (online). Available from: https://www.medicalgenomicswales.co.uk/index.php/about/pharmacogenetics.
Andrews, V., Tonkin, E., Lancastle, D. & Kirk, M. (2014). Using the Diffusion of Innovations theory to understand the uptake of genetics in nursing practice: identifying the characteristics of genetic nurse adopters. Journal of Advanced Nursing, 70(4), 878– 893
Bain, T.K., Schwartz, E.J., Knowlton, O.V., Knowlton, C.H., &Turgeon, J. (2018). Implementation of a pharmacist-led pharmacogenomics service for the program of all-inclusive care for the elderly (PHARM-GENOME-PACE). Journal of the American Pharmacists Association, 1-9
Bovill, C., Aitken, G., Hutchison, J., Morrison, F., Roseweir, K., Scott, A. & Sotannde, S. (2010). Experiences of learning through collaborative evaluation from a Postgraduate Certificate in Professional Education. International Journal for Academic Development, 15(2), 143-154. https://doi.org/10.1080/13601441003738343
Bwanga, O. (2020). Barriers to Continuing Professional Development (CPD) in Radiography: A Review of Literature from Africa. Health Professions Education, 6(4), 472-480
Calzone, K.A., Kirk, M., Tonkin, E., Badzek, L., Benjamin, C., & Middleton A. (2018). Increasing nursing capacity in genomics: Overview of existing global genomics resources. Nurse Education Today, 69, 53-59
Carrasco-Ramiro, F., Peiró-Pastor, R. & Aguado, B. (2017). Human genomics projects and precision medicine. Gene Therapy, 24(9), 551-561
Chakraborty, P., Mittal, P., Gupta, M.S., Yadav, S., & Arora, A. (2021). Opinion of students on online education during the COVID-19 pandemic. Human Behaviour & Emerging Technologies, 3, 357– 365
David, V., Fylan, B., Bryant, E., Smith, H., Sagoo, G., & Ratteray, M. (2021). An analysis of pharmacogenomic-guided pathways and their effect on medication changes and hospital admissions: A systematic review and meta-analysis. Frontiers in Genetics, 12, 1-17
Department for Health & Social Care (2021). Genome UK: 2021 to 2022 implementation plan (online). Available from: https://www.gov.uk/government/publications/genome-uk-2021-to-2022-implementation-plan/genome-uk-2021-to-2022-implementation-plan
Elewa, H., & Awaisu, A. (2019) Pharmacogenomics In Pharmacy Practice: Current Perspectives. Integrated Pharmacy Research and Practice, 8, 97-104
Farndon, P.A., & Bennett, C. (2008) Genetics education for health professionals: strategies and outcomes from a national initiative in the United Kingdom. Journal of Genetic Counselling, 17, 161–169
Ferreri, S.P., Greco, A.J., Michaels, N.M., O’Connor, S.K., Chater, W.R., Viera, J.A., Faruki, H., McLeod, L.H., & Roederer, W.M. (2014). Implementation of a pharmacogenomics service in a community pharmacy. Journal of American Pharmacy Association, 54(2), 172–180
Formea, C.M., Nicholson, W.T., Vitek, C.R., Wix, K.K., McCullough, K.B., Cunningham, J.L., Zeuli, J.D., Matey, E.T., Merten, J.A., Richardson, D.M., Billings, A.L., & Schramm, G.E. (2018). Implementation of a pharmacogenomics education program for pharmacists. American journal of health-system pharmacy: AJHP: official journal of the American Society of Health-System Pharmacists, 75(23), 1939–1946
Genomics Education Programme (2020). Genomics Education Programme: Preparing the workforce to harness the power of genomic medicine (online). Available from: https://www.genomicseducation.hee.nhs.uk/about-us
Genomics Education Programme (2020). Genomics Awareness Survey Report (online). Available from: https://www.genomicseducation.hee.nhs.uk/wp-content/uploads/2020/11/Genomics-awareness-survey-report-2020.pdf
Genomics England. (2018). Wales Joins the 100,000 Genomes Project (online). Available from: https://www.genomicsengland.co.uk/wales-joins-the-100000-genomes-project
Genomics Partnership Wales (2020). Genomics Nurse and Midwives Survey (online). Available from: https://genomicspartnership.wales/news/nursemidwivessurvey
Gov.UK (2022) Genome UK: shared commitments for UK-wide implementation for 2022 to 2025 (online). Available from: https://www.gov.uk/government/publications/genome-uk-shared-commitments-for-uk-wide-implementation-2022-to-2025/genome-uk-shared-commitments-for-uk-wide-implementation-2022-to-2025
Hassan, M., Awan, F.M., Naz, A., deAndrés-Galiana, E.J., Alvarez, O., Cernea, A., Fernández-Brillet, L., Fernández-Martínez, J.L., & Kloczkowski, A. (2022). Innovations in Genomics and Big Data Analytics for Personalized Medicine and Health Care: A Review. International Journal of Molecular Sciences, 23, 4645
Hayward, J., McDermott, J., Qureshi, N., & Newman, W. (2021). Pharmacogenomic testing to support prescribing in primary care: a structured review of implementation models. Pharmacogenomics, 22(12), 761-776
Health Education England (2018). The Topol Review. Preparing the Healthcare Workforce to deliver the digital future (online). Available from: https://topol.hee.nhs.uk/the-topol-review/
HEIW (Health Education Improvement Wales). (2020). Wales Community Pharmacy Workforce Survey 2019 (online). Available from: https://weds.heiw.wales/assets/Uploads/07283f0226/Pharmacyfinal.pdf
Hughes, C. (2021). The Changing Learning Technological Landscape for Trainers in the Wake of COVID-19. Advances in Developing Human Resources, 23(1), 66–74
Jamie, K. (2013) Pharmacogenetics and pharmacy education in the UK: mind the generation gap. Journal of Pharmacy Education, 13, 114-117
Kaminski, J. (Spring 2011). Diffusion of Innovation Theory. Canadian Journal of Nursing Informatics, 6(2). Theory in Nursing Informatics Column
Kings Fund (2020). The Role of Pharmacists during COVID-19 (online). Available from: https://www.kingsfund.org.uk/audio-video/pharmacist-role-covid-19-nadia-bukhari
Knowles, M. (1984) The Adult Learner: A neglected Species (3rd ed.) Houston: Gulf Publishing Company
Koskal, I. (2020). The rise of online learning. Forbes (online). Available from: https://www.forbes.com/sites/ilkerkoksal/2020/05/02/the-rise-of-online-learning/?sh=65cd66ae72f3
McCullough, K.B., Formea, C.M., Berg, K.D., Burzynski, J.A., Cunningham, J.L., Ou, N.N., Rudis, M.I., Stollings, J.L., & Nicholson, W.T. (2011). Assessment of the pharmacogenomics educational needs of pharmacists. American Journal of Pharmaceutical Education, 75(3), 51
McMahon, T., & Tucci, J. (2011). The perceptions of pharmacists in Victoria, Australia on pharmacogenetics and its implications. Pharmacy Practice, 9(3), 141–147
NHS Digital. (2020). NHS workforce Statistics (online). Available from: https://digital.nhs.uk/data-and-information/publications/statistical/nhs-workforce-statistics
NHS England (2020). Genomic Medicine Service alliances and the role of pharmacy within the new structure (online). Available from: https://www.england.nhs.uk/wp-content/uploads/2020/07/B0044-GMS-update-for-Chief-Pharmacists-14-July.pdf.
Online Surveys (n.d.) Online Surveys |Powerful, flexible online surveys (online). Available from: https://www.onlinesurveys.ac.uk/
Panigrahi, R., Ranjan, P., & Sharma, D. (2018). Online learning: Adoption, continuance, and learning outcome – A review of literature. International Journal of Information Management, 43, 1-14
Phillips, K.A., Veenstra, D.L., Oren, E., Lee, J.K., & Sadee, W. (2001). Potential role of pharmacogenomics in reducing adverse drug reactions: a systematic review. JAMA, 286(18), 2270–2279. https://doi.org/10.1001/jama.286.18.2270
Rogers, M.E. (2003) Diffusions of Innovations (4th Ed.). Simon and Schuster
Simpson, S., Seller, A., & Bishop, M. (2019) Using the Findings of a National Survey to Inform the Work of England’s Genomics Education Programme. Frontiers in Genetics, 10, 1265
Spear, B.B., Heath-Chiozzi, M., & Huff, J. (2001). Clinical application of pharmacogenetics. Trends in Molecular Medicine, 7(5), 201–204
Weeks. G., George, J., Maclure, K., & Stewart, D. (2016). Non-medical prescribing versus medical prescribing for acute and chronic disease management in primary and secondary care. Cochrane Database Systematic Reviews, (11)
Welsh Government (2017). Genomics for Precision Medicine Strategy (online). Available from: https://gov.wales/sites/default/files/publications/2019-04/genomics-for-precision-medicine-strategy.pdf
Welsh Government (2020) Staff directly employed by the NHS (online). Available from: https://gov.wales/staff-directly-employed-nhs-30-june-2020. https://gov.wales/sites/default/files/publications/2019-04/genomics-for-precision-medicine-strategy.pdf
Welsh Government. (2021). Community Pharmacy services: April 2019 to March 2020 (online). Available from: https://gov.wales/community-pharmacy-services-april-2019-march-2020-htm
Wu, X.V., Chan, Y.S., Tan, K.H.S., & Wang, W. (2018). A systematic review of online learning programs for nurse preceptors. Nurse Education Today, 60, 11-22.
Youseff, E., Mostafa, S., & Wright, D. (2020). Pharmacogenomic testing and its future in community pharmacy. The Pharmaceutical Journal, 304(7933)
Yuhanna, I., Alexander, A., & Kachik, A. (2020). Advantages and disadvantages of Online Learning. Journal Educational Verkenning, 1(2), 13-19
Zlotos, L., & Stewart, F. (2022). Measuring the evolution of online pharmacy education in a national CPD programme, in Scotland, pre-pandemic (2013-14 vs 2018-19). Education for Primary Care, 33(1), 46-52