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Genet Med. 2014 Nov;16(11):804-9. doi: 10.1038/gim.2014.35. Epub 2014 Apr 24.

Framework for development of physician competencies in genomic medicine: report of the Competencies Working Group of the Inter-Society Coordinating Committee for Physician Education in Genomics.

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Department of Genetics, University of Alabama at Birmingham, Birmingham, Alabama, USA.
1] CellNetix Pathology & Laboratories, Swedish Cancer Institute, Seattle, Washington, USA [2] Department of Pathology, University of California, San Francisco, San Francisco, California, USA.
Association for Molecular Pathology, Bethesda, Maryland, USA.
Center for Cardiovascular Genetics, University of Texas Health Sciences Center, Houston, Texas, USA.
Genomic Medicine Institute, Geisinger Health System, Danville, Pennsylvania, USA.
Partners HealthCare System, Boston, Massachusetts, USA.
National Human Genome Research Institute, Bethesda, Maryland, USA.
Department of Pharmaceutical Sciences, St Jude Children's Research Hospital, Memphis, Tennessee, USA.
American College of Physicians, Philadelphia, Pennsylvania, USA.
1] American Association for Clinical Chemistry, Washington, DC, USA [2] Department of Pathology, Geisel School of Medicine at Dartmouth, Dartmouth Hitchcock Medical Center and Norris Cotton Cancer Center, Lebanon, New Hampshire, USA.


Completion of the Human Genome Project, in conjunction with dramatic reductions in the cost of DNA sequencing and advances in translational research, is gradually ushering genomic discoveries and technologies into the practice of medicine. The rapid pace of these advances is opening up a gap between the knowledge available about the clinical relevance of genomic information and the ability of clinicians to include such information in their medical practices. This educational gap threatens to be rate limiting to the clinical adoption of genomics in medicine. Solutions will require not only a better understanding of the clinical implications of genetic discoveries but also training in genomics at all levels of professional development, including for individuals in formal training and others who long ago completed such training. The National Human Genome Research Institute has convened the Inter-Society Coordinating Committee for Physician Education in Genomics (ISCC) to develop and share best practices in the use of genomics in medicine. The ISCC has developed a framework for development of genomics practice competencies that may serve as a starting point for formulation of competencies for physicians in various medical disciplines.

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