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The TRIG Approach: Progress and Potential ISCC In-Person Meeting Richard L. Haspel, MD, PhD Director of Medical Education, Department of Pathology Beth Israel Deaconess Medical Center Associate Professor, Harvard Medical School Chair, TRIG Working Group

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Page 1: The TRIG Approach: Progress and Potential ISCC In-Person ... · Academy of Ophthalmology (October 2016); American Heart Association (November 2015, 2016) • Developing Instructor

TheTRIGApproach:ProgressandPotentialISCCIn-PersonMeeting

RichardL.Haspel,MD,PhDDirectorofMedicalEducation,DepartmentofPathology

BethIsraelDeaconessMedicalCenterAssociateProfessor,HarvardMedicalSchool

Chair,TRIGWorkingGroup

Page 2: The TRIG Approach: Progress and Potential ISCC In-Person ... · Academy of Ophthalmology (October 2016); American Heart Association (November 2015, 2016) • Developing Instructor

TrainingResidentsinGenomics(TRIG)WorkingGroup

Page 3: The TRIG Approach: Progress and Potential ISCC In-Person ... · Academy of Ophthalmology (October 2016); American Heart Association (November 2015, 2016) • Developing Instructor

Astructuredapproachtoteaching1. Formnationalworking

group2. Developcurriculum3. Implement:workshops4. Providingtoolsfor

otherstoimplemento Onlineresourceso TraintheTrainersessions

5. Evaluationo Workshopso Residentin-serviceexam

6. Dissemination/Research

Obtained$1.3millioninNCIR25funding

25international

>9000pageviews;>550downloadersfrom15countries

7TRIG-relatedpublications

Adaptedtootherspecialties

QueryallUSresidents(>2000)abouttheirgenomicstraining

Page 4: The TRIG Approach: Progress and Potential ISCC In-Person ... · Academy of Ophthalmology (October 2016); American Heart Association (November 2015, 2016) • Developing Instructor

Curriculum:AbreastcancerpatientExercise1:Singlegenetesting

Exercise2:Prognosticgenepaneltesting

Exercise3:DesignofaCancergenepanel

Exercise4:Whole-exomesequencing

Page 5: The TRIG Approach: Progress and Potential ISCC In-Person ... · Academy of Ophthalmology (October 2016); American Heart Association (November 2015, 2016) • Developing Instructor

TBLWorkshops:WorkingTogether!

Page 6: The TRIG Approach: Progress and Potential ISCC In-Person ... · Academy of Ophthalmology (October 2016); American Heart Association (November 2015, 2016) • Developing Instructor

Dissemination:Comprehensiveguidance

• 87pageInstructorHandbook

• Workshoplectures• Handouts/

References– Pre-workshop– Activities– Post-workshop

• Peerreviewed• Downloaderssurvey

(n=67)– Usedinteaching

>1100trainees– Allwouldrecommend

tocolleagues

Page 7: The TRIG Approach: Progress and Potential ISCC In-Person ... · Academy of Ophthalmology (October 2016); American Heart Association (November 2015, 2016) • Developing Instructor

TRIG Curricular Resources

http://www.pathologylearning.org/trig

• Testingat11residencyprograms

• Pre-Posttestdesign

Page 8: The TRIG Approach: Progress and Potential ISCC In-Person ... · Academy of Ophthalmology (October 2016); American Heart Association (November 2015, 2016) • Developing Instructor

Adaptability:UniversalmodulesthroughISCC

• ISCCInnovativeApproachesWorkingGroup:TRIG-based“UniversalModules”• $100,000NHGRIsupplementtoNCIR25todevelopnon-cancerrelatedtools• Workshops:AmericanAcademyofNeurology(April2016,2017)American

AcademyofOphthalmology(October2016);AmericanHeartAssociation(November2015,2016)

• DevelopingInstructorHandbookandToolkit:PlannedISCCIAWGreview• OtherorganizationswelcometoadaptUniversalModules

Page 9: The TRIG Approach: Progress and Potential ISCC In-Person ... · Academy of Ophthalmology (October 2016); American Heart Association (November 2015, 2016) • Developing Instructor

NewInitiative:UndergraduateTraininginGenomics(UTRIG)WorkingGroup

• BuildonTRIGmodel,developmedicalstudentgenomicscurriculum

• TestatUMEDS/PRODSmedicalschoolsites• TrackprogressusingtheRISE-FIRST• Recruitingadditionalorganizations• AppliedforR25grantrenewal

Page 10: The TRIG Approach: Progress and Potential ISCC In-Person ... · Academy of Ophthalmology (October 2016); American Heart Association (November 2015, 2016) • Developing Instructor

Astructuredapproachtoteaching1. Formnationalworking

group2. Developcurriculum3. Implement:workshops4. Providingtoolsfor

otherstoimplemento Onlineresourceso TraintheTrainersessions

5. Evaluationo Workshopso Residentin-serviceexam

6. Dissemination/Research

Obtained$1.3millioninNCIR25funding

25international

>9000pageviews;>550downloadersfrom15countries

7TRIG-relatedpublications

Adaptedtootherspecialties

QueryallUSresidents(>2000)abouttheirgenomicstraining

Page 11: The TRIG Approach: Progress and Potential ISCC In-Person ... · Academy of Ophthalmology (October 2016); American Heart Association (November 2015, 2016) • Developing Instructor

Thanks!TRIGWorkingGroupMembersMembers• RichardL.Haspel,MD,PhD(Chair)• ElizabethAzzato,MD,PhD• FredericBarr,MD,PhD• AndrewH.Beck,MD,MS• KarenFrank,MD,PhD• Madhuri Hegde,PhD,FACMG• KarenKaul,MD,PhD• DebraLeonard,MD,PhD• JohnPfeifer,MD,PhD• HenryRinder,MD• MarkE.Sobel,MD,PhD• VOSpeights,MD*• ElizabethVarga,MS,CGC• ChadVanderbilt,MDAdvisors• LaurenBriere,MS,CGC• GraceHuang,MD• PeterTonellato,PhD• LorenJoseph,MD

NHGRISupplementCo-Investigators• KiranMusunuru,MD,PhD;VeeralShah,MD,PhD;

TimothyStout,MD,PhD;JefferyVance,MD,PhD

UTRIG• RebeccaWilcoxPhD (Co-chair)• RichardL.Haspel,MD,PhD(Co-chair)• JamesAtkinson,MD• LelaBuckingham,PhD,MB(ASCP),DLM(ASCP)• Shoumita Dasgupta,PhD• RobinD.LeGallo,MD• PriscillaS.Markwood,CAE• KateShane-Carson,MS,LGC• MarkE.Sobel,MD,PhD• EricSuarez,CDER,MC,USN• LauraJ.Tafe,MD• JuliadelaGarza,MD

ASCPStaff• EricParks,SuzanneZiemnik,Karisa Munoz,Matt

Smith,Asma Ali,MichelleMartin,JayWagner

APC,PRODSCouncil,UMEDSCouncilandtheTRIG-supportingorganizations!!

SupportedbyanR25grantfromtheNCI(1R25CA168544-01)andasupplementfromNHGRI

Page 12: The TRIG Approach: Progress and Potential ISCC In-Person ... · Academy of Ophthalmology (October 2016); American Heart Association (November 2015, 2016) • Developing Instructor

TRIG Curricular Resources

http://www.pathologylearning.org/trig

• FutureWorkshops– Pathology:2017AACCASCP,CAPandUSCAPAnnualMeetings– Otherspecialties:2017AANAnnualMeeting– Train-the-Trainer:2017ACMGAnnualMeetings

• FutureGoals:InputWelcome!– AdditionalTRIGandUTRIGorganizationalrepresentation– Developingnewcancer-researchTRIG-based

committee/curriculum– R25supplement:DevelopInstructorHandbook/Toolkit– ISCCIAWG:ideasfornewprojects,reviewofUniversal

ModuleHandbook/Toolkit(attendourmeetingtoday!)– AdditionalorganizationsinterestedinadaptingUniversal

Modulestotheirspecialty– Additionalfundingforcancerandnon-cancerrelated

genomicseducation(R25renewal,NHGRI)