Reflecting the complexity of implementing genomic medicine research

Stephanie Best, Ilias Goranitis, Danya Vears, Monica Ferrie, Sebastian Lunke, Jeffrey Braithwaite, Clara Gaff, Tiffany Boughtwood, Zornitza Stark

Research output: Contribution to conferenceAbstractpeer-review

Abstract

Equitable and effective implementation of genomic medicine research into routine clinical practice is challenging. Not only are healthcare organisations ‘complex adaptive systems’, with accompanying non-linear interactions and emergent behaviours, but the clinical intervention of genomic medicine is also complex. Evidence is evolving demanding dynamic clinical/laboratory team membership for effective implementation. This coalition of complexity requires an interdisciplinary approach to incorporate the multiple influences on implementation for delivery of equitable patient-centred care.

Internationally, genomic alliances have been established to meet this call. Australian Genomics, for example, brings together organisational leaders, clinicians and laboratory specialists (practice and research), researchers (e.g., health economic, bioethics, implementation science) and consumers to provide a holistic view of implementation. However, interdisciplinary collaboration does not occur by osmosis and requires active management to achieve optimal outputs from each discipline and thereby maximise outcomes. There are many points of divergence across these groups, including research philosophy (between clinicians, researchers and patients AND between research specialties), research priorities, questions posed, approaches to data collection and analysis. However, it is these differences that can enrich genomic medicine research.

Using the research pathway, from initiating studies to dissemination of findings, we demonstrate our approach to interdisciplinary genomic medicine research through three case studies: 1.Ultra-rapid genomic testing for critically ill children; 2.Genomic data collection and storage; 3.Genomic newborn screening. Through these studies we map our research experiences to features of complex adaptive systems identifying added value of interdisciplinary genomic medicine research. We share tips for successful collaboration and identify potential pitfalls.
Original languageEnglish
Number of pages1
Publication statusPublished - 2023
EventXXIIIrd International Congress of Genetics: Genetics and Genomics: Linking Life and Society - Melbourne Convention & Exhibition Centre, Melbourne, Australia
Duration: 16 Jul 202321 Jul 2023
Conference number: 23
https://www.icg2023.com.au/

Conference

ConferenceXXIIIrd International Congress of Genetics
Country/TerritoryAustralia
CityMelbourne
Period16/07/2321/07/23
Internet address

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