Workplace Support

Engagement was easier where workplaces valued professional development, research, collective decisions, inclusive training, standardisation, and protected learning time. Lack of continuous training contributes to insecurity by reducing practice and confidence. Participants framed time pressure as a systemic institutional problem rather than only an individual workload problem. Workplace culture and institutional support influenced social opportunity for engaging with polygenic risk score education. Health systems are recommended to provide practical initial training and periodic refreshers focused on diagnosis and hands-on manoeuvres. Adequate consultation time and physical environments are identified as institutional priorities for manoeuvre performance. Time pressure was the most frequently cited reason for not performing BPPV manoeuvres. Lack of protected time and covered training costs was a major barrier to education engagement. Small teams and remote settings may struggle more to create team-based learning environments. The study argues that polygenic risk score education requires shared responsibility beyond individual clinicians.