• McHughJana KJK0000-0002-8210-6188Institute of Cancer Research, London, UK. jana.mchugh@icr.ac.uk.Royal Marsden NHS Foundation Trust, London, UK. jana.mchugh@icr.ac.uk., Gozie Offiah, Sean Daly, Nazmy El Beltagi, Michael Kevin Barry, Seamus O'Reilly, and Terri P McVeigh.
• Institute of Cancer Research, London, UK. jana.mchugh@icr.ac.uk.
• Ir J Med Sci. 2022 Jun 1; 191 (3): 142714341427-1434.

BackgroundAs genomic profiling of constitutional and tumour-derived DNA becomes increasingly critical in cancer risk estimation, prognostication and treatment, there is a growing need for clinicians involved in cancer care to up-skill in Cancer Genetics. In the Republic of Ireland (ROI), this is particularly crucial, given a paucity of vocationally trained Clinical Geneticists per capita compared to other European countries.AimsWe aimed to assess the self-reported confidence of postgraduate medical/surgical trainees in ROI in requesting, interpreting, and managing genomic data in patients with cancer, and to assess their selfreported experience, and demand for future training in this area.MethodsA cross-sectional survey of postgraduate trainees in four specialties (Medical and Radiation Oncology, Surgery, and Obstetrics and Gynaecology (O&G)), training in ROI, was undertaken. A bespoke electronic questionnaire was designed to capture data regarding preceding experience, and confidence across several hypothetical clinical scenarios involving genomic testing. The survey was circulated to eligible participants by training programme administrators, after relevant institutional ethical approval. Data was collected anonymously.ResultsThe study cohort included 62 respondents. A paucity of cancer genetics training at every level was demonstrated, with "hardly any" or "none at all" reported by 47(76%), 62(100%), and 50(81%) during undergraduate, core specialty, and higher specialist training, respectively. A relative lack of confidence in all clinical scenarios was apparent, particularly among Surgery/O&G trainees. Most respondents would value more training in Cancer Genetics.ConclusionsThis study demonstrates an unmet need in dedicated Cancer Genetics training for postgraduate specialty trainees in ROI.© 2021. Royal Academy of Medicine in Ireland.

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