Developing Medical Genetics Education Through Curriculum Reforms And Establishment of Postgraduate Training Programs EACEA

During 02-26 October, 2015, a training program was organized and held at the S. Orsola Hospital of the University of Bologna, Italy, for the specialists of Yerevan State Medical University, Tel-Aviv University, and Technion Institute of Technology of Israel. The training program was on how to manage and practice genetic counselling skills on patients with hereditary cancers, WES and bioinformatics.

The main topics discussed during the training were:

* Counseling and diagnostic skills for hereditary    cancers, including:

- introduction to protocols and clinical paths
  adopted in the cancer genetics clinic

- participation in discussion and genetic
  counselling of 18 cases at the units of Medical
  Genetics, Medical Oncology and at the Bellaria

- Participation into the clinical meeting and the
  joint clinical&lab meeting, and genetic testing
  for cancer predisposition

* WES lab procedures:

- introduction to sample enrichment for exome and target gene analysis

- the Nextera approach

- DNA fragmentation and first PCR

- PCR purification and first hybridization Second capture and clean-up

- Second PCR and purification

* Bioinformatics analyses of raw data:

- Genome and Exome sequencing

- basis of Exome Analysis: annotation, filtering and prioritization

- application to dominant and recessive Mendelian models: identification of pathogenic mutations

- application to trio (de novo) and ROH analysis

- incidental Findings in Exomes

- non coding mutations

- identification of CNVs in Exomes

- clinical exomes sequencing

Importantly, the training included lectures provided by invited speakers The bioinformatics training will be centered on analysis of whole exome sequencing, in which the Unibo staff has validated experience. Sequencing technology and analysis evolve rapidly, and new approaches are being developed continuously towards a better understanding of the mechanistic functions of our genome. The training included lectures provided by invited speakers who are recognized young scientists in this field and are pioneering novel applications of bioinformatics analysis of the genome in human disease genetics. Christian Gilissen introduced whole genome sequencing in the characterization of intellectual disability, as reported in his Nature's publication in 2014. Malte Spielmann is exploring the contribution of non-coding variation in human genetic syndromes, and has been a chair-person of a session at the last ASHG meeting on this topic. The possibility of having these speakers at the course was regarded as an added value for participants.

Training Agenda

Yerevan State Medical University Russian-Armenian (Slavonic) University Alma Mater Studiorum Universita di Bologna Technion-Israel Institute of Technology Tel Aviv University
Medical University of Graz University of Plymouth Charles University in Prague European Centre for Knowledge and Technology Transfer Universite Paris Descartes
This project has been funded with support from the European Commission: Grant Agreement 544331-TEMPUS-1-2013-1-AM-TEMPUS-JPCR
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