title: Efficacy of a medical genetics rotation during pediatric training.
abstract: OBJECTIVE
  With the greater understanding that genetics underlies the basis of health and disease, the practice of medicine is changing such that we are now in an era of genomic medicine. However, there has been a deficiency of training in genetics and genomics among primary care residents.
  
  
  METHODS
  We describe the experience of our institution, which requires pediatric, child neurology, and medicine-pediatric residents to complete a subspecialty rotation in medical genetics. Standardized end-of-rotation evaluation results were analyzed and thematic analysis was performed.
  
  
  RESULTS
  The mean overall educational quality of the rotation rated on a 5-point scale ranging from 1 (poor) to 5 (excellent) was 4.49. The participation in medical genetics had three main outcomes: (i) a variety of learning opportunities were presented such that it was one of the most educational rotations that trainees experienced; (ii) both trainee competence and confidence in clinical practice improved through knowledge gained; and (iii) an increased awareness and appreciation for interprofessional relationships, especially for the genetic counseling profession, was highly valued. In addition, some residents have gone on to choose medical genetics as a profession.
  
  
  CONCLUSIONS
  A rotation in medical genetics increases knowledge and awareness of the importance that medical genetics has in clinical practice.
authors.affiliation: Division of Medical Genetics, Department of Pediatrics, University of Texas Medical School at Houston, Houston, Texas, USA.
authors.forename: Joanne
authors.identifier: http://orcid.org/0000-0002-4747-5383
authors.initials: J
authors.lastname: Nguyen
authors.affiliation: Division of Medical Genetics, Department of Pediatrics, University of Texas Medical School at Houston, Houston, Texas, USA.
authors.forename: Jennifer
authors.identifier: http://orcid.org/0000-0001-5914-0428
authors.initials: J
authors.lastname: Lemons
authors.affiliation: Division of Neonatal-Perinatal Medicine, Department of Pediatrics, University of Texas Medical School at Houston, Houston, Texas, USA.
authors.forename: Sharon
authors.initials: S
authors.lastname: Crandell
authors.affiliation: Division of Medical Genetics, Department of Pediatrics, University of Texas Medical School at Houston, Houston, Texas, USA.
authors.forename: Hope
authors.initials: H
authors.lastname: Northrup
mesh_terms: D002983:Clinical Competence; D003479:Curriculum; D005826:Genetics, Medical / Q000193:education*; D010372:Pediatrics / Q000193:education*