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April 15, 2024

Does Genomics Matter in Primary Care?

Genomics is here... and it is important to our clinical work - time to catch-on.

"This episode made a great argument for the importance of genomic medicine in primary care. Excellent!"

"…very next day in practice I saw a couple who were planning pregnancy and wanted info/counselling about Huntingdon’ Love this idea of ‘learn one, do one’!"

Do you have any idea about how much of a role Genomics is beginning to play in the care of our patients?  Or do you continue to pretend it doesn't matter?

We're excited to introduce a 6-part series that demystifies genomics for Primary Care staff.  In a manner that is easy-to-understand and grounded in the realities of working in Primary Care, the experts cover everything we need to know, step-by-step.  This is episode 1 of 6. 

THIS EPISODE Is about helping you understand the importance of Genomics to Primary Care Professionals.  You will learn that applying Genomics is actually more for Primary Care than for anyone else (including geneticists).  You'll also learn that it doesn't have to be complicated.

As your 'average' frontline GP and paramedics, co-hosts Munir Adam and Claire Green  speak to the experts, to whom we are grateful:

  • Dr Angela George, North Thames Genomic Medicine Service Co-Medical Director, and Consultant Medical Oncologist and Consultant in Oncogenetics at the Royal Marsden Hospital. 
  • Dr Anwar Khan, working GP and GP Lead for Genomics (NTGMSA).

SPONSOR:  The Genomics mini-series was sponsored by, and co-produced with the North Thames Genomics Medicine Service.  

USEFUL LINKS:
The NTGMS:  https://norththamesgenomics.nhs.uk/about-the-gms/
FH Article:  Summary of Management of Familial Hypercholesterolaemia in General Practice | RCGP Learning


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DISCLAIMER: This podcast is aimed at specified categories of clinical staff working in the UK, and the content provided is both time and location specific. The aim is to ensure information is accurate, up-to-date and comprehensive, but this is not guaranteed. Hosts, other contributors, and the organisations they represent do not accept liability for any actions, consequences or effects that result, directly or indirectly from the information provided.

Specifically, this podcast is NOT intended for use by the general public or patients and must not be used as a substitute for seeking appropriate medical or any other advice. Views expressed are the opinion of the speakers, is general advice only and should not be used as a substitute for seeking advice from a specialist. Healthcare professionals accessing information must use their own professional judgement, and accept full responsibility when interpreting the information and deciding how best to apply it, whether for the treatment of patients, or for other purposes.

(C)Therapeutic Reflections Limited.

Chapters

00:05 - Introduction to Genomics series

04:41 - Can Genomics be Made Easy?

06:16 - Genomics vs Genetics

08:03 - Relevant to Primary Care, why?

21:32 - Relevance to the multi-professional workforce

32:36 - Off-the-shelf Genetic testing: Beware

33:27 - Does free Will exist?

36:22 - Over to you

39:08 - Disclaimer

Dr Angela George Profile Photo

Dr Angela George

Consultant Medical Oncologist and Onco-Geneticist

Dr Angela George Title: North Thames Genomic Medicine Service Co-Medical Director, and Consultant Medical Oncologist and Consultant in Oncogenetics at the Royal Marsden Hospital.

Dr Angela George is a Consultant Medical Oncologist and Consultant in Oncogenetics at the Royal Marsden Hospital. She specialises in the systemic treatment of gynaecological cancers and has a particular focus on the use of genomic information in treatment. She is also Clinical Director of Genomics at the Royal Marsden, overseeing the Centre for Molecular Pathology, and undertakes testing for inherited cancer syndromes in her Oncogenetics practice.
Dr George trained initially in New Zealand in Medical Oncology, before moving to the Royal Marsden and undertaking additional training in Oncogenetics at the Institute of Cancer Research, where she was awarded the Chairman’s Prize for her Thesis in Ovarian Cancer Genetics. She led the implementation of the Mainstreaming Cancer Genetics programme, which involved incorporating genetic testing into the routine care of patients with ovarian, breast and pancreatic cancers. These programmes have now been adopted across the UK and Dr George has helped set these programmes up across the world, expanding into multiple tumour types and revolutionising the use of routine genomic information in cancer management. She currently runs several programmes investigating the role of molecular profiling in cancer management and holds a number of grants for research into molecular profiling, genomic screening, and the early detection of cancer in individu… Read More

Dr Anwar Khan Profile Photo

Dr Anwar Khan

General Practitioner

Anwar qualified from Westminster Medical School (University of London) in 1982. After completing Vocational Training for GP and spending 3 years or so in genetics, he realised that his niche was in primary care given its emphasis on relationship-based care promoting continuity of care within a community.
Anwar Khan has been a GP Principal since 1991, Trainer since 1995 and MRCGP Examiner since 1996; he was recently appointed as Honorary Professor at University of East London (UEL) to help promote widening participation agenda and developing medical education at UEL. Also, he is currently GP lead in Genomics for NTGMSA due to his passion for implementation of advances in genomics in primary care
His senior roles in Assessment and Clinical Commissioning Groups (North-East London CCG Chair) are driven by a passion to promote patient safety through significant event analysis, education and promoting safe systems around hard-working professionals on the frontline. He also has a Senior Clinical Advisor tole to the Safety and Learning Team for General Practice in NHS Resolution where his endeavours are not only to maximize learning from claims but also promoting activities to reduce harm within primary care.
As well as his role as an Examiner, he has been heavily involved in assessment both in UK and Internationally for many years. He was Deputy Medical Director of Assessment between 2007-2010 when the new MRCGP was being implemented and International Developmental Advisor to Oman between 2005-2014. He is the current Medical Director for International Accreditation … Read More