Evidence map›Paper›PMID 32647274›Full record

ArticleGenetics in medicine : official journal of the American College of Medical Genetics2020

Educating military primary health-care providers in genomic medicine: lessons learned from the MilSeq Project.

Megan D Maxwell, Rebecca Hsu, Rubaiya Islam, Jill O Robinson, Stacey Pereira, Cubby L Gardner, Robert C Green, MilSeq Project, Mauricio De Castro

Open access · bronzeAbstract read
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In one paragraph

Article in Genetics in medicine : official journal of the American College of Medical Genetics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.6field-weighted citation impact, top 16% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 12 citations in OpenAlex.

  1. Article
  2. Primary Care Providers' Experiences With an Active Elective Genetic Testing Program.Health education & behavior : the official publication of the Society for Public Health Education · 2025
    Article
  3. Article
  4. Article
  5. Review
  6. Airmen and health-care providers' attitudes toward the use of genomic sequencing in the US Air Force: findings from the MilSeq Project.Genetics in medicine : official journal of the American College of Medical Genetics · 2020
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 5 institutions in 1 country.

Megan D MaxwellUniversity Health System, San Antonio, TX, USA. Megan.Maxwell@uhs-sa.com.ORCID http://orcid.org/0000-0003-2890-9243
Rebecca HsuBaylor College of Medicine, Houston, TX, USA.
Rubaiya IslamBaylor College of Medicine, Houston, TX, USA.
Jill O RobinsonBaylor College of Medicine, Houston, TX, USA.
Stacey PereiraBaylor College of Medicine, Houston, TX, USA.
Cubby L GardnerUS Army Medical Research and Development Command, Fort Detrick, MD, USA.
Robert C GreenBrigham and Women's Hospital, Boston, MA, USA.
MilSeq Project
Mauricio De CastroAir Force Medical Genetics Center, Keesler Air Force Base, Biloxi, MS, USA.
Baylor College of Medicine · USBrigham and Women's Hospital · USBroad Institute · USUnited States Army Medical Research and Development Command · USKeesler Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeWith few trained genetics professionals, the Military Health System is ill-equipped to manage the rapid expansion of genomic medicine. The MilSeq Project introduces an alternative service delivery model (ASDM) in which primary health-care providers (HCPs) provide post-test counseling (PTC) to healthy Airmen who have undergone exome sequencing. We describe HCP performance after a prerequisite educational intervention (EI).

methodsAfter a brief EI and pre-/posteducation surveys, HCPs were eligible to provide PTC with a genetic counselor available for consult. PTC was recorded, transcribed, and reviewed. Opportunities for improvement were organized into four error adjustment categories: (1) knowledge limitation, (2) minor, (3) moderate, and (4) critical. Thematic analysis was also performed.

resultsPre-/posteducation survey responses revealed statistically significant improvements in all domains. Minor error adjustments were most represented (n = 93), followed by knowledge limitation (n = 39) and moderate (n = 19). No critical errors were identified, and 17 transcripts required no adjustment. Thematic analysis revealed four themes that would benefit from more focused education: (1) family-centered care, (2) conveying risk, (3) disease knowledge, and (4) assay knowledge.

conclusionHCPs demonstrated competence in basic PTC after a brief EI. This ASDM may be a viable interim response to the shortage of genetics professionals in some systems.

Indexed as

CounselorsHealth PersonnelCounselingGenomicsHumanseducationexome sequencinggenetic counselinggenetic servicesintervention

Identifiers

PMID32647274
OpenAlexW3041240518

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.