Precision medicine within health professions education: Defining a research agenda for emergency medicine using a foresight and strategy technique (FaST) review

Author:

Chan Teresa M.12ORCID,Thoma Brent13ORCID,Finnell John T.4ORCID,Gordon Bradley D.56ORCID,Farrell Susan7,Pusic Martin8ORCID,Cabrera Daniel9ORCID,Gisondi Michael A.10ORCID,Caretta‐Weyer Holly A.11ORCID,Stave Christopher12ORCID,Ankel Felix56ORCID

Affiliation:

1. School of Medicine Toronto Metropolitan University Toronto Ontario Canada

2. Division of Emergency Medicine Division of Education & Innovation, Department of Medicine McMaster Education Research, Innovation, and Theory Centre Faculty of Health Sciences, McMaster University Hamilton Ontario Canada

3. Department of Emergency Medicine University of Saskatchewan Saskatoon Saskatchewan Canada

4. Clinical Emergency Medicine Indiana University Bloomington Indiana USA

5. Emergency Medicine Regions Hospital Saint Paul Minnesota USA

6. Emergency Medicine University of Minnesota Minneapolis Minnesota USA

7. Emergency Medicine Harvard Medical School Boston Massachusetts USA

8. Pediatrics and Emergency Medicine Harvard Medical School Boston Massachusetts USA

9. Emergency Medicine Mayo Clinic Rochester Minnesota USA

10. Department of Emergency Medicine Stanford School of Medicine Stanford California USA

11. Department of Emergency Medicine Stanford University School of Medicine Palo Alto California USA

12. Stanford University Stanford California USA

Abstract

AbstractBackgroundPrecision medicine, sometimes referred to as personalized medicine, is rapidly changing the possibilities for how people will engage health care in the near future. As technology to support precision medicine exponentially develops, there is an urgent need to proactively improve our understanding of precision medicine and pose important research questions (RQs) related to its inclusion in the education and training of future emergency physicians.MethodsA seven‐step process was employed to develop a research agenda exploring the intersection of precision and emergency medicine education/training. A literature search of articles about precision medicine was conducted first, which informed the creation of future four scenarios in which trainees and practicing physicians regularly discuss and incorporate precision medicine tools into their discussions and work. Based on these futurist narratives, potential education RQs were generated by an expert panel. A total of 59 initial questions were subsequently categorized and refined to a priority list through a nominal group voting method. The top/priority questions were presented at the 2023 SAEM Consensus Conference on Precision Medicine, Austin, Texas, for further input.ResultsEight high‐value education RQs were developed, reflecting a holistic view of the challenges and opportunities for precision medicine education in the knowledge, skills, and attitudes relevant to emergency medicine. These questions contend with topics such as most effective pedagogical methods; intended resulting outcomes and behaviors; the generational differences between practicing emergency physicians, educators, and future trainees; and the desires and expectations of patients.ConclusionsEmergency medicine and emergency physicians must be prepared to understand precision medicine and incorporate this information into their “toolbox” of thinking, problem solving, and communication with patients and colleagues. This research agenda on how best to educate future emergency physicians in the use of personalized data to provide optimal health care is the focus of this article.

Publisher

Wiley

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