TRIG Report - Association of Pathology Chairs

Training Residents in Genomics (TRIG)
Working Group
Update: March 2013
Richard L. Haspel, MD, PhD
Director, Laboratory Medicine Residency Training Program
Beth Israel Deaconess Medical Center
Chair, TRIG Working Group
Coming to a clinic near you…
PRODS Genomics Survey:
We Need Training!
Do you currently have a curriculum for pathology
residents in genomics and personalized medicine?
9/2010; N=42
91% want to teach their residents genomic medicine
Training Residents in Genomics (TRIG)
Working Group
Goal: Help ensure implementation of a genomics
curriculum in every pathology residency program
by July 2012
Revise the BIDMC curriculum and develop tools for
national implementation
Utilize outreach resources of participant
organizations including meetings/courses/resident
forums to promote curricula.
Develop questions for the RISE.
TRIG on track for 2012!
Conferences: ACLPS, ASCP,
December: First
conference call
March: Objectives/
structure completed
June: Possible R25
grant funding,
$300,000 per year for
5 years
September: Submit
May: Publication of TRIG
review in Personalized
March: Present lectures at
USCAP Annual Meeting
July: Present
Annual Meeting
March: Genomics
appears on RISE
Cancer Education Grants Program
• Purpose: This Funding Opportunity
Announcement (FOA), issued by the National
Cancer Institute (NCI), encourages
applications for the development of:
– Innovative cancer education programs; and
– Cancer research dissemination projects that can
be completed within 5 years.
R25: Specific Aims
1) To develop a pathology resident genomic medicine
curriculum, with a major focus on cancer care, as well as
tools for national implementation.
– The TRIG Working Group will collaborate with the ASCP Continuing
Professional Development (CPD) team.
– Both instructional guides and online education modules will be
2) To evaluate the curriculum using a pre/post-test design at
four pathology residency programs using validated
assessment tools.
– Assessment tools will be created to evaluate knowledge,
communication skills and attitudes related to genomics.
– The residency directors at the four sites are Dr. Richard Haspel, Dr.
Karen Kaul, Dr. Debra Leonard and Dr. Henry Rinder. All are TRIG
Working Group members and are key personnel on the grant.
R25: Specific Aims
3) To promote curriculum implementation using the resources
of major national pathology organizations so that >90% of
pathology residency programs nationwide have highquality training in cancer genomics by the end of year 5.
– Build on the current success of the TRIG Working Group in promoting
genomics education through major pathology organizations.
4) To assess the degree of nationwide implementation and
efficacy of curricula in genomic medicine using the
pathology resident in-service exam (RISE).
– This aspect of the grant will build on the current success of the TRIG
Working Group in developing exam and survey questions for the RISE.
10/2012: Awarded
$1.3 million over 5 years
Funding: A new TRIG timeline
Dissemination at conferences,
Year 3: Begin “Train-the-Trainer” sessions
Questions on RISE
Year 1
Year 2
Year 3
Year 4
Online modules
completed, deployed
Assessment tool
Lectures and
instructional guide
completed, made
Online modules
tested at five
residency programs
Year 5
training in >90%
of US pathology
assessed by
Training Residents in Genomics (TRIG)
Working Group
TRIG Still On Track
• New TRIG members
ACMG Representative: Madhuri Hedge, PhD
Andrew Beck, MD
John Pfeifer, MD, PhD
Iris Schrijver, MD, PhD
• 2013 RISE: survey and knowledge questions submitted
• Workshops/Courses at major meetings
ASCP Annual Meeting (9/2013):
CAP Annual Meeting (10/2013):
USCAP Annual Meeting (2014):
ACLPS Annual Meeting (2014):
Day-long resident workshop
Half-day course
Submitted for resident workshop
Possible train-the-trainer session
• Curriculum:
– Survey-based review completed (11)
– Day-long meeting today
– Designing exercises related to annotation and report generation
TRIG: Continuing to Evolve
• Achieved several major goals
– Lectures
– Dissemination
• Presentations
• Abstracts
• Articles
– RISE survey and knowledge
• The future: R25 funding
Resident workshops
Online modules
Design assessment tools
Evaluate curriculum
Need your help to
spread the word!
• TRIG Working Group
• PRODS Council
• Suzanne Ziemnik, Eric Parks
and the ASCP
• Mark Sobel, MD, PhD
• BIDMC Faculty and
– Jeffrey Saffitz, MD, PhD
Food for Thought
As with the practice of medicine, the
best hope for understanding the quality
of current educational techniques and
for evaluating proposed new approaches
is by conducting and disseminating
research based on sound principles.
Robert M. Golub, MD
JAMA. 2009;301(9):972

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