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Suggested Citation:"Appendix A: Workshop Agenda." National Academies of Sciences, Engineering, and Medicine. 2020. Exploring the Current Landscape of Consumer Genomics: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25713.
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Appendix A

Workshop Agenda

Exploring the Current Landscape of Consumer Genomics—A Workshop

October 29, 2019

Keck Building of the National Academies
500 Fifth Street, NW
Room 100
Washington, DC 20001

8:30 a.m. Opening Remarks

GEOFFREY GINSBURG, Roundtable Co-Chair

Director, Duke Center for Applied Genomics & Precision Medicine

Professor, Medicine, Pathology, and Biomedical Engineering Duke University Medical Center

MICHELLE PENNY, Roundtable Co-Chair

Head of Translational Genome Sciences

Biogen

Suggested Citation:"Appendix A: Workshop Agenda." National Academies of Sciences, Engineering, and Medicine. 2020. Exploring the Current Landscape of Consumer Genomics: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25713.
×
8:35 a.m. Charge to Workshop Speakers and Participants

GREG FEERO, Workshop Co-Chair

Professor, Department of Community and Family Medicine

Geisel School of Medicine

Faculty, Maine Dartmouth Family Medical Residency Program

Associate Editor, Journal of the American Medical Association

CATHY WICKLUND, Workshop Co-Chair

Director, Graduate Program in Genetic Counseling

Past President, National Society of Genetic Counselors

Associate Professor, Feinberg School of Medicine, Center for Genetic Medicine

Northwestern University

8:50 a.m. Opening Keynote

ROBERT NUSSBAUM

Chief Medical Officer

Invitae

9:10 a.m. Clarifying Questions from Workshop Participants

SESSION I: UNDERSTANDING CONSUMER GENOMICS UTILIZATION

Session Objectives:

  • Explore how consumers are engaging (or not engaging) with direct-to-consumer and consumer-driven genomics services and whether there are lessons that can be learned about overall health engagement
  • Learn how patients and providers are using genomic data procured through consumer genomics applications along with health data from other sources to inform overall health care decision making

Session Moderator: Tina Hesman Saey, Science News

9:15 a.m. Consumer Genomics Engagement and Outlook

CINNAMON BLOSS

Associate Professor

Departments of Psychiatry and Family Medicine and Public Health

University of California, San Diego

Suggested Citation:"Appendix A: Workshop Agenda." National Academies of Sciences, Engineering, and Medicine. 2020. Exploring the Current Landscape of Consumer Genomics: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25713.
×
9:30 a.m. Consumer Perspectives

SARA ALTSCHULE

Freelance Writer

Bustle Magazine

DOROTHY POMERANTZ

Managing Editor

FitchInk

10:00 a.m. Panel Discussion with Speakers and Workshop Participants
10:30 a.m. Break

SESSION II: EXPLORING THE ROLE OF DIVERSITY AND HEALTH DISPARITIES IN CONSUMER GENOMICS

Session Objectives:

  • Discuss the lack of diversity in current genomics databases and biorepositories and how this may affect health disparities
  • Explore how consumer genomics is (or is not) reaching diverse populations (e.g., racial, ethnic, geographic, socioeconomic) and the implications for health disparities

Session Moderator: Jacquelyn Taylor, New York University

10:45 a.m.

JOYCE TUNG

Vice President, Research

23andMe

11:00 a.m.

MALIA FULLERTON

Professor of Bioethics and Humanities

University of Washington School of Medicine

11:15 a.m.

SHAWNEEQUA CALLIER

Associate Professor of Clinical Research and Leadership

The George Washington University

11:30 a.m. SADIE HUTSON

Director, Cancer Genetics Program

Pikeville Medical Center

Assistant Dean, Graduate Programs

University of Tennessee, Knoxville

Suggested Citation:"Appendix A: Workshop Agenda." National Academies of Sciences, Engineering, and Medicine. 2020. Exploring the Current Landscape of Consumer Genomics: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25713.
×
11:45 a.m. Panel Discussion with Speakers and Workshop Participants
12:30 p.m. Working Lunch

SESSION III: INTEGRATION WITHIN SCIENTIFIC AND MEDICAL COMMUNITIES

Session Objectives:

  • Discuss factors that may affect how consumer genomics data are integrated with clinical care
  • Examine the challenges of and opportunities for using consumer genomics for research
  • Explore emerging cross-sector collaborations and potential lessons that can be learned

Session Moderator: Bruce Blumberg, Kaiser Permanente School of Medicine

1:30 p.m.

ANDREW SINGLETON

Senior Investigator

Laboratory of Neurogenetics

National Institute on Aging

1:45 p.m.

SIOBHAN DOLAN

Professor and Vice Chair for Research

Department of Obstetrics and Gynecology and Women’s Health

Albert Einstein College of Medicine

2:00 p.m.

DANIELLE BONADIES

Director of Genetics

My Gene Counsel

2:15 p.m.

MATTHEW FERBER

Associate Professor of Laboratory Medicine and Pathology

Consultant, Division of Laboratory Genetics and Genomics, Department of Laboratory Medicine and Pathology

Mayo Clinic

2:30 p.m. Panel Discussion with Speakers and Workshop Participants
3:00 p.m. Break
Suggested Citation:"Appendix A: Workshop Agenda." National Academies of Sciences, Engineering, and Medicine. 2020. Exploring the Current Landscape of Consumer Genomics: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25713.
×

SESSION IV: REGULATORY AND HEALTH POLICY ISSUES

Session Objectives:

  • Address data sharing, privacy, and security issues in the context of consumer genomics testing
  • Explore the landscape of emerging regulatory issues in consumer genomics

Session Moderator: Victoria M. Pratt, Association for Molecular Pathology

3:15 p.m.

AMY MCGUIRE

Leon Jaworski Professor Biomedical Ethics

Director, Center for Medical Ethics and Health Policy

Baylor College of Medicine

3:30 p.m.

GAIL JAVITT

Member, Health Care and Life Sciences Practice

Epstein Becker Green

3:45 p.m.

JORDAN LASER

Senior Director

Cytogenetics and Molecular Pathology of Pathology and Laboratory Medicine

Long Island Jewish Medical Center

4:00 p.m. Panel Discussion with Speakers and Workshop Participants

SESSION V: HOW CAN CONSUMER GENOMICS BE BETTER INTEGRATED TO IMPROVE HEALTH?

Session Objectives:

  • What is the role of consumer genomics in the health care system in the next 5 years? 10 years?
    • What is viewed as actionable information by a health system?
  • Are health systems, consumers, and providers prepared for downstream challenges? If not, are there opportunities for ensuring that consumer genomics is more effective in clinical care?
  • How can we make consumer genomics the best it can be for consumers and systems?
    • What needs to be better understood about low-cost consumer genomics and the implications for access and health disparities?

Session Moderator: Huntington Willard, Geisinger National Precision Health

Suggested Citation:"Appendix A: Workshop Agenda." National Academies of Sciences, Engineering, and Medicine. 2020. Exploring the Current Landscape of Consumer Genomics: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25713.
×
4:30 p.m. Reflections on the Day and Next Steps

DANIELLE BONADIES

SHAWNEEQUA CALLIER

SIOBHAN DOLAN

ROBERT NUSSBAUM

DOROTHY POMERANTZ

Additional Discussant:

TIMOTHY STENZEL

Director, Office of In Vitro Diagnostics and Radiological Health

Office of Product Evaluation and Quality

Center for Devices and Radiological Health

Food and Drug Administration

5:00 p.m. Final Discussion with Workshop Participants
5:20 p.m. Final Remarks from Workshop Co-Chairs

GREG FEERO, Workshop Co-Chair

Professor, Department of Community and Family Medicine

Geisel School of Medicine

Faculty, Maine Dartmouth Family Medical Residency Program

Associate Editor, Journal of the American Medical Association

CATHY WICKLUND, Workshop Co-Chair

Director, Graduate Program in Genetic Counseling

Past President, National Society of Genetic Counselors

Associate Professor, Feinberg School of Medicine, Center for Genetic Medicine

Northwestern University

5:35 p.m. Adjourn
Networking Reception
Suggested Citation:"Appendix A: Workshop Agenda." National Academies of Sciences, Engineering, and Medicine. 2020. Exploring the Current Landscape of Consumer Genomics: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25713.
×
Page 71
Suggested Citation:"Appendix A: Workshop Agenda." National Academies of Sciences, Engineering, and Medicine. 2020. Exploring the Current Landscape of Consumer Genomics: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25713.
×
Page 72
Suggested Citation:"Appendix A: Workshop Agenda." National Academies of Sciences, Engineering, and Medicine. 2020. Exploring the Current Landscape of Consumer Genomics: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25713.
×
Page 73
Suggested Citation:"Appendix A: Workshop Agenda." National Academies of Sciences, Engineering, and Medicine. 2020. Exploring the Current Landscape of Consumer Genomics: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25713.
×
Page 74
Suggested Citation:"Appendix A: Workshop Agenda." National Academies of Sciences, Engineering, and Medicine. 2020. Exploring the Current Landscape of Consumer Genomics: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25713.
×
Page 75
Suggested Citation:"Appendix A: Workshop Agenda." National Academies of Sciences, Engineering, and Medicine. 2020. Exploring the Current Landscape of Consumer Genomics: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25713.
×
Page 76
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Consumer genomics, encompassing both direct-to-consumer applications (i.e., genetic testing that is accessed by a consumer directly from a commercial company apart from a health care provider) and consumer-driven genetic testing (i.e., genetic testing ordered by a health care provider in response to an informed patient request), has evolved considerably over the past decade, moving from more personal utility-focused applications outside of traditional health care to interfacing with clinical care in nontraditional ways. As consumer genomics has increasingly intersected with clinical applications, discussions have arisen around the need to demonstrate clinical and analytical validity and clinical utility due to the potential for misinterpretation by consumers. Clinical readiness and interest for this information have presented educational and training challenges for providers. At the same time, consumer genomics has emerged as a potentially innovative mechanism for thinking about health literacy and engaging participants in their health and health care.

To explore the current landscape of consumer genomics and the implications for how genetic test information is used or may be used in research and clinical care, the Roundtable on Genomics and Precision Health of the National Academies of Sciences, Engineering, and Medicine hosted a public workshop on October 29, 2019, in Washington, DC. Discussions included such topics as the diversity of participant populations, the impact of consumer genomics on health literacy and engagement, knowledge gaps related to the use of consumer genomics in clinical care, and regulatory and health policy issues such as data privacy and security. A broad array of stakeholders took part in the workshop, including genomics and consumer genomics experts, epidemiologists, health disparities researchers, clinicians, users of consumer genomics research applications, representatives from patient advocacy groups, payers, bioethicists, regulators, and policy makers. This publication summarizes the presentations and discussion of the workshop.

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