UNIVERSITY OF FLORIDA



UNIVERSITY OF FLORIDA

COLLEGE OF NURSING

COURSE SYLLABUS

Fall 2012

COURSE NUMBER NGR 6930sect 14d3, 14d4

COURSE TITLE Genomics in Health Care

CREDITS 3

PLACEMENT Elective

PREREQUISITES NGR 6002C Advanced Health Assessment and Diagnostic Reasoning

NGR 6140 Physiology and Pathophysiology for Advanced Nursing Practice

NGR 6192 Pharmacotherapeutics for Advance Practice Nursing

COREQUISITES None

FACULTY

Rose M. Nealis, PhD, ARNP,

ACPNP, PNP-BC HPNP 2220 Monday 1-3 pm

nealirm@ ufl.edu (352)273-6412 or by appointment

Jacqui Hoffman, DNP, ARNP, NNP-BC (727) 709-9211

NNP Clinical Track Coordinator

Clinical Assistant Professor

hoffmanjm@ufl.edu

DEPARTMENT CHAIR

Susan Schaffer, PhD, ARNP, HPNP 2229 Monday 11:30-1:30

FNP-BC Office 352-273-6366

Clinical Associate Professor

sdschaf@ufl.edu

JACKSONVILLE CAMPUS DIRECTOR

Andrea C. Gregg, DSN, RN Jacksonville Campus By Appointment

greggac@nursing.ufl.edu Ofc#: 904-244-5172

COURSE DESCRIPTION

The course is designed build on the advance practice nursing skills while incorporating concepts and principles of genetic/genomics to clinical nursing phenomena. Using case-based methodology, students will be asked to integrate the concepts and principles of genetics, genetic testing, genetic diseases, and evaluate the strengths and limitations of genetic therapies. Ethical, legal, and clinical practice issues and perspectives, including, but not limited to bias, will be covered.

COURSE OBJECTIVES

Upon completion of the course, the student will:

1. Integrate the concepts and principles genetics/genomics to identified clinical cases utilizing genetic/genomic terminology

2. Construct and analyze a family pedigree utilizing the recognized pedigree symbols to analyze patterns of inheritance .

3. Discuss the application and implication of genetic testing in identified populations.

4. Discuss the limitations of gene therapies in selected patient populations.

5. Incorporate Ethical, legal and clinical practice issues in to selected clinical cases.

6. Discuss the role of the health care providers in the management of genetic disorders.

COURSE SCHEDULE Web Based

E-Learning is the course management system that you will use for this course. E-Learning is accessed by using your Gatorlink account name and password at . There are several tutorials and student help links on the E-Learning login site. If you have technical questions call the UF Computer Help Desk at 352-392-HELP or send email to helpdesk@ufl.edu.

It is important that you regularly check your Gatorlink account email for College and University wide information and the course E-Learning site for announcements and notifications.

Course websites are generally made available on the Friday before the first day of classes.

ATTENDANCE: . Students are responsible for responding to online assignments as part of their attendance. Timeframes for the posting and receiving of materials are listed in the course materials on the course web-site. Students may expect to receive feedback regarding submitted assignments within 2 weeks, barring unforeseen circumstances. A grade penalty 0f 10%/day will be assigned for late assignments. Students are responsible for responding to online assignments as part of their attendance.

ACCOMMODATIONS DUE TO DISABILITY:

Each semester, students are responsible for requesting a memorandum from the Disability Resource Center to notify faculty of their requested individual accommodations. This should be done at the start of the semester.

STUDENT HANDBOOK:

Students are to refer to the College of Nursing Student Handbook for information about College of Nursing student policies, honor code, and professional behavior. Of particular importance for this course are the sections on appearance in clinical practice, personal liability insurance, and student safety.

ACADEMIC HONESTY

The University of Florida Student Conduct and Conflict Resolution Policy may be found at

UNIVERSTY COUNSELING AND MENTAL HEALTH SERVICES



TOPICAL OUTLINE

1. Human Genome Project

2. Genetic Biology

3. Interpreting Family History

4. Genetic Referrals

5. Genetic Testing

6. Ethical, Legal and Societal Issues

7. Pharmacogenomics/Pharmacogenetics

8. Environmental Genetics and Complex disease

9. Role of health Care Providers in Genomics

TEACHING METHODS: Self paced modules,

LEARNING ACTIVITIES: On-line modules,

EVALUATION METHODS/COURSE GRADE CALCULATION

Module Completion. Pedigree Construction

GRADING SCALE

A 94-100 C 74-81*

B+ 92- 93 D+ 72-73

B 84-91 D 64-71

C+ 82-83 E 63 or below

* 74 is the minimal passing grade

REQUIRED TEXTS

Genetics Education Program for Nurses, University of Cincinnati modules.

complete the free multimedia resources first.

Click

Order the 4 independent self paced modules.

Learning Activities: Complete the following activities:

Go to the following sites and complete the readings and or activities:

Genetics Education Program for Nurses, University of Cincinnati modules.

Click



complete the free multimedia resources first.

Free Multimedia Instructional Resources

Chromosome, DNA, Gene Presentation - The objective of this audio slide presentation is to help nurses distinguish between the terms chromosome, DNA and gene.

Genetics is Relevant Now: Nurses’ Views and Patient Stories - The purpose of this resource is to inform nurses about the relevance of genetics and genomics in patient care and nursing practice.

Introduction to Genetic Counseling - The objective of this audio slide presentation is to increase awareness about the role of genetic counselors and how they interact with other health care professionals.

Mendelian Inheritance - Meiosis Connection -- The purpose of this interactive, audio FLASH presentation is to demonstrate the basic relationship between Meiosis and Mendelian Inheritance.

Multiple Roles of Genetics Nurses -- The objective of this audio slide presentation is to increase awareness about the practice, education, research and administration roles of genetics nurses.

Perspectives on Genetic Conditions - Sharing the Journey Video Clips - A compilation of video clips from 3 of the 5 Consumer Panels hosted during the Genetics Summer Institutes at Cincinnati Children’s Hospital Medical Center are presented. The panels, from which the video clips were extracted, were taped in 1998, 2001 and 2003. Use of these clips requires a registration and log on

Click on



Order the 4 independent self paced modules.

Interpreting Family History Self-Paced Module (login link for PC & Mac users)

This module is designed to enable the learner interpret family history information to identify and refer clients who can benefit from genetic services. Nurses who complete the entire module and related evaluation will be awarded 5.8 nursing contact hours.

Ethical and Social Issues Related to Genetic Testing Self-Paced Module (login link for PC & Mac users)

This module is designed to help the learner identify ethical and social issues related to genetic testing and recording of genetic information. Nurses who complete the entire module and related evaluation will be awarded 4.7 nursing contact hours.

Nurses’ Role in Pharmacogenetics / Pharmacogenomics (login link for PC & Mac users)

This module is designed to enable the learner to help patients understand the purpose and limitations of pharmacogenetics testing and the implications of their test results. Nurses who complete the entire module and related evaluation will be awarded 4.3 nursing contact hours.

Promoting Informed Decision Making about Genetic Testing (login link for PC & Mac users)

This module is designed to help the learner promote a person’s / family’s ability to make an informed decision about genetic testing. Nurses who complete the entire module and related evaluation will be awarded 5.8 nursing contact hours

Each module is $15

You must submit your certificate with Test Scores in the Course Drop-Box.

March of Dimes Genetics and Your Practice . You will need to register at this site. Take the Self Assessment Quiz, Complete the modules Genetic Testing and Screening, Family Health and Social History, Referral, Complete the Case study at the end of each module.

Genetics in the Physician Assistant’s Practice

Complete the Case study on Stephanie Henderson or Andrew Johnson , The Genetics Primer and the Family History Exercises, Also read the material on Genetic Testing

Construct a 3-generation pedigree using the posted case study data

Evaluation: Complete Genetics Education Program for Nurses, University of Cincinnati modules. With a grade of 90 or higher. Turn in Certificates 60%

Complete march of dimes Modules- Turn in Pretest and Post Test 10%

Complete the Genetics in the Physician Assistant’s Practice 10%

Submitted 3 generation pedigree. Using correct symbols and interpretation. 10%

Paper on application of Genetics to Practice 10%

March of Dimes Genetics and Your Practice . You will need to register at this site. Take the Self Assessment Quiz, Complete the modules Genetic Testing and Screening, Family Health and Social History, Referral, Complete the Case study at the end of each module.

Nussbaum, R.L., McInnes, R. R. & Willard, H. F. (2007) Thompson & Thompson Genetics in Medicine: With STUDENT CONSULT Online Access (GENETICS IN MEDICINE).Philadelphia: W. B. Saunders

Web based Assignments:











.

RECOMMENDED TEXTS : None

WEEKLY CLASS SCHEDULE : You may work at your own pace, I have attached a schedule to keep you on Track.

|DATE |TOPIC/EVALUATION |ASSIGNMENTS/READINGS |FACULTY |

|Week of |Self Assessment of Genetic| |Nealis |

|8/22/12 |Knowledge | | |

| | | | |

| | |Genetic Competencies: | |

| | | | |

| | |Genetics Is Relevant Now | |

| | | |

| | Human Genome | | |

|8/29/12 | | | |

| | |Genetics Tutorial Chromosomes and DNA | |

| | | | |

|9/5/12 |Genetic Biology |Neoplasia | |

| | |Meiosis- | |

| | | | |

|9/12/12 |Genetic Biology |Cardiovascular Relevance of Genetics and Genomics for the Treatment and Prevention of | |

| | |Cardiovascular Disease | |

| | | | |

|9/19/12 | Genetic Testing |Understanding Genetic Testing: | |

| | | | |

| | |Genetics in the Physician Assistant’s Practice | |

| | | | |

| | | | |

| | |Genetic Testing and Screening in Your practice | |

| | | | |

|9/26/12 |Genetic Testing |Genetic Testing University of Cincinnati Module | |

|10/3/12 |Pharmacogenetics |University of Cincinnati Module | |

|10/10/12 |Family History |University of Cincinnati Module | |

| | |CDC- | |

| | | | |

| | | | |

| | |Genetics in the Physician Assistant’s Practice | |

|10/17/12 |Genetic Counseling | |

| | |m | |

|10/24/12 |Ethics and Social Policy |Ethics and Social Policy- | |

| | |Informed Decision Making – University of Cincinnati Module | |

|10/31/12 |Ethics and Social Policy |Information for Researchers and Health Care Professionals | |

| | | | |

| | |GINA : | |

| | | | |

| | | | |

| | |University of Cincinnati Module | |

|11/6/12 |Environmental Genetics |University of Cincinnati Module | |

| | | | |

|11/13/12 |Public Health Genomics |EGAPP/CDC Cardiovascular Health: Genomic profiling to assess cardiovascular risk to improve | |

| | |cardiovascular health | |

| | | | |

|11/20/12 |Genetic Referrals |March of Dimes | |

|11/27/12 |Role of Health Care |Gene Clinics | |

| |Providers |Genetics in the Physician Assistant’s Practice | |

| | | | |

|!2/4/12 | |All Certificates, Genograms and Paper are due by 5pm. EST | |

| | | | |

References:

American Society of Human Genetics

Medical School Core Curriculum in Genetics

Jenkins, J. F., Dimond, E., & Steinberg, S. (2001). Preparing for the future through genetics nursing education. Journal of Nursing Scholarship, 33(2), 191-195.

Jenkins, J.F., Prows, C., Dimond, E., Monsen, R. & Williams, J. (2001). Recommendations for Educating Nurses in Genetics. Journal of Professional Nursing, 17(6), 283-290.

American Society of Human Genetics

Medical School Core Curriculum in Genetics

Genomic Competencies for the Public Health Workforce

Genomics Workforce Competencies 2001

National Coalition of Health Care Professionals' Education in Genetics

Core Competencies in Genetics Essential for All Health-Care Professionals

Approved: Academic Affairs Committee 2008

Faculty 2008

UF Curriculum 2008

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