Critical components of genomic medicine practice for non‐genetics healthcare professionals: Genetic counselors' perspectives and implications for medical education.

Genetic services are increasingly provided by non‐genetics healthcare professionals (NGHPs) with minimal formal training in genetics/genomics. Research demonstrates gaps in knowledge and clinical practices in genetics/genomics among NGHPs, but there is a lack of consensus on the specific knowledge n...

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Publicado en:Journal of Genetic Counseling Vol. 32; no. 4; pp. 798 - 812
Autores principales: Coleman, Tanner, Bensend, Tracy, Mills, Rachel, Orlando, Lori A., Doyle, Lauren
Formato: research tables/charts Journal Article
Publicado: Wiley-Blackwell Aug2023
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Aug2023
      vid: 32
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        10.1002/jgc4.1689
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        atl: Critical components of genomic medicine practice for non‐genetics healthcare professionals: Genetic counselors' perspectives and implications for medical education.
      aug:
        au:
          Coleman, Tanner
          Bensend, Tracy
          Mills, Rachel
          Orlando, Lori A.
          Doyle, Lauren
        affil: HudsonAlpha Institute for Biotechnology, Huntsville Alabama,, USA
      sug:
        subj:
          Genetics Education
          Attitude of Health Personnel
          Genomic Medicine
          Genetic Counseling
          Human
          Genetic Counselors
          Surveys
          Multimethod Studies
          Interviews
          Genetic Screening
          Collaboration
          Health Knowledge
          Descriptive Statistics
          Funding Source
          Health Personnel
          Education, Continuing
      ab: Genetic services are increasingly provided by non‐genetics healthcare professionals (NGHPs) with minimal formal training in genetics/genomics. Research demonstrates gaps in knowledge and clinical practices in genetics/genomics among NGHPs, but there is a lack of consensus on the specific knowledge needed by NGHPs to effectively provide genetic services. As clinical genetics professionals, genetic counselors (GCs) have insight into the critical components of genetics/genomics knowledge and practices needed by NGHPs. This study explored GCs' beliefs regarding whether NGHPs should provide genetic services and identified GCs' perceptions of the components of knowledge and clinical practice in genetics/genomics that are most critical for NGHPs providing genetic services. Two hundred and forty GCs completed an online quantitative survey with 17 participating in a follow‐up qualitative interview. Descriptive statistics and cross‐comparisons were generated for survey data. Interview data were analyzed using an inductive qualitative method for cross‐case analysis. Most GCs disagreed with NGHPs providing genetic services, but beliefs varied widely, ranging from disagreement due to perceived gaps in knowledge or clinical skills to acceptance of NGHPs providing genetic services due to limited access to genetics professionals. Across survey and interview data, GCs endorsed the interpretation of genetic test results, understanding implications of results, collaboration with genetics professionals, knowledge of the risks and benefits to testing, and recognizing indications for genetic testing as critical components of knowledge and clinical practice for NGHPs. Several recommendations for improving the provision of genetic services were provided by respondents including educating NGHPs to provide genetic services through case‐based continuing medical education and increasing collaboration between NGHPs and genetics professionals. As GCs are healthcare providers with experience and vested interests in educating NGHPs, their perspectives can help inform the creation of continuing medical education to ensure patients' access to high‐quality genomic medicine care from providers of varying backgrounds.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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