Personalized Precision Medicine represents a paradigm shift and a new care reality for the health system, with training being a fundamental tool to contribute to its full inclusion and application in clinical practice. it appeared in the day Configuring the Medicine of the Future: The Need for Training in Personalized Precision Medicine’, Organized by Next Education in collaboration with the Roche Institute Foundation.
this day, Various experts in the national context engrossed in Training needs and challenges health professionals faced and opportunity who brings Acquisition of skills in new areas of knowledge As a lever to incorporate Personalized Precision Medicine, for the benefit of patients and society in general.
Doctor in sociology, journalist and president of Next Education, Manuel Campo Vidal, who commissioned this panel to see where we are, where we are going and where we want to go “because no time to waste Is”.
Training of health professionals in the 21st century
Celia Gómez González, General Director of Occupational Regulation of the Ministry of Health, in an interview by Manuel Campo Vidal assures that “we are at a time when plans are already being made”, expressing the importance of big Data and Artificial Intelligence. “We have a pool of leaders to help the rest”, although “not all centers get this training today”.
Are we more advanced in capturing than in analysis? According to the expert, yes: “You have to share experiences and the best way to teach is by analyzing success stories.”
According to him, the pandemic has made it possible to make the leap to digital health, which is a fundamental tool for the system. Similarly, he stressed that what we want is tools that have equal access to all professionals, thereby disseminating knowledge. To do that, you have to rely on leaders, he said. All this is a great “cultural change, but it is a necessary process with a holistic approach”. And that “having a global vision is fundamental”.
Thus, he has insisted that if this position has taught us anything, it is that limits do not exist. That the more data we have, the better and more knowledge we have. Therefore, it will make european health zoneBeing able to organize knowledge, providing an opportunity to share data for what may be required.
Regarding the speed of applications to catch up, he believes that “the pandemic has helped speed up the process, although it is not new. In addition, we have the challenge of European funds etc.” In conclusion: “You have to be optimistic.”
Training, the key to future medicine
After that, there has been Discussion table with great experts, in which they discussed the subject.
Juan Cruz Sigudosa, The Minister of Universities, Innovation and Digital Transformation of the Government of Navarra specified that “we lack training in precision medicine” and stressed that “Spain is the only country in Europe to have a recognized clinical genetics program”. The specialty is not hospital “.
Thus, sustainability comes from two sources: ensuring a satisfactory budget for all and we have to work together: “Digitalization and equity are fundamental. Data works. ,
In all of this we find 4 barriers, explained to the professional: technical, training, ethical and legal knowledge, in addition to involving the patient in the decision.
Call of interest to institutions. All – in – one
Fernando Martin SanchezProfessor of Research in Biomedical Informatics at the National School of Health. Carlos III Health Institute, maintains that we must learn to manage data and has experts specialized in betting on precision medicine. “There are countries that have already gone through commercialization, defining accreditation programs. In Spain we are a little behind in this area.” Furthermore, he specified that, above all, it should be kept in mind that precision medicine differs from genomics in that it has a more holistic approach.
Health professionals are going to have two basic tools, they describe: clinical history, “which probably needs to be changed and improved, to support this type of process” and, second, decision support systems. . Without them, not everything can be put into practice, because we exceed the cognitive limit of any individual”.
According to the expert, it is now necessary to obtain the interests of the institutions (ministries, ministries, professional associations…) so that they give impetus to all the tools which are based on the framework of competencies, and which they take to keep the professionals and Those steps to make a credentialing mechanism a reality in this area.
recover data
Frederick PlazaThe vice president of the Roche Institute Foundation explained that in this document (‘Proposal for Qualifications in Personalized Precision Medicine for Health Professionals’), which they present, experts from a variety of disciplines and consultants have participated because “we understand that Precision medicine aims to have a multidisciplinary profile”. And it is that, as he pointed out, an important milestone has occurred in these years: on the one hand, the exponential growth of health was accompanied by the rise of omic sciences (genomics and others). What are the conditions for optimizing the health system? To do this, “professionals need to be trained, not only to have the tools, but to know how to use them.” Likewise, he has stressed that “patients have to be an active part of the system’s transformation”.
Thus, precision medicine is not a requirement that has been imposed, but a clear societal demand supported by digitization, he specified. And it is, as he remarks, “the data recovers and the research model is changing”.
In this way, this recommendation proposal document becomes “a roadmap that the system must follow, with the maximum possible traceability”.
“Nothing makes sense if it is not done in the environment and for a social purpose”
Carlos Lopez-OtinProfessor of Biochemistry and Molecular Biology at the University of Oviedo has said that “if we do not educate ourselves globally we will miss the train of innovation”. In this sense, it is committed to education and devotes all efforts to create educational structures. “For this the knowledge of languages ​​must be put in so that they are not foreign.”
We should talk about configuring the medicine of the future, describing how medicine is generated to respond to our imperfections. And you have to stop. “Society has to educate itself and be co-responsible for its health.”
On the other hand, he remarks that, at times, “it seems that only an elite will have some innovation and this is not true. The best way to combat this is to invest in primary care.”
In short, you have to be familiar with the data. “You have to lose the fear” to ask and get into it completely. Data must be taken not only from patients, but also from the environment. And that no human mind can contain them all. We should not delve into post-humanism until we have solved humanism. “We must not lose the human component yet. Knowledge is not scary, whereas ignorance is.
