GPs' views on their role in cancer genetics services and current practice.
Alison Fry,Harry Campbell,Hafrun Gudmundsdottir,Robert Rush,Mary Porteous,Dermot Gorman,Ann Cull +6 more
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TLDR
GPs readily identify a role for themselves in cancer genetics services, but admit to a lack of confidence in this area, calling for clear referral guidelines and specialist community support.Abstract:
Results. GPs identified their role to be: taking a family history; making appropriate referrals to specialist services; providing emotional support; teaching breast self-examination; and discussing need for screening. Lack of confidence within this role was reflected in low levels of understanding of cancer genetics and in inappropriate referral practices. Concerns were expressed about the increasingly specialist role demanded of primary care. A desire for referral guidelines and community genetics clinics was identified. Conclusions. GPs readily identify a role for themselves in cancer genetics services, but admit to a lack of confidence in this area, calling for clear referral guidelines and specialist community support. Current inappropriate referral to specialist services results from a lack of confidence in estimating cancer risk, highlighting the need for the development of clear referral criteria. Given the rapidly increasing demand for cancer genetics services and the vital role of primary care, it is important to identify a model of these services that facilitates effective involvement of GPs without further increasing their workload.read more
Citations
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Differences in physician referral practices and attitudes regarding hereditary breast cancer by clinical practice location
TL;DR: A need for increased clinical genetics outreach, physician education, and public awareness of genetic services for hereditary breast cancer in rural areas is demonstrated.
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Genetic services for hereditary breast/ovarian and colorectal cancers - physicians' awareness, use and satisfaction.
June Carroll,Mario Cappelli,Fiona A. Miller,Brenda Wilson,E. Grunfeld,C. Peeters,Alasdair G. W. Hunter,C. Gilpin,Preeti Prakash +8 more
TL;DR: Ontario physicians are aware of cancer genetics services, and use is associated with increased knowledge of services,, and confidence in skills, but would like more timely services and education about hereditary cancers and susceptibility testing.
Journal ArticleDOI
GenetiKit: a randomized controlled trial to enhance delivery of genetics services by family physicians.
June C. Carroll,June C. Carroll,Brenda Wilson,Judith Allanson,Judith Allanson,Jeremy M. Grimshaw,Jeremy M. Grimshaw,Sean M. Blaine,Sean M. Blaine,Wendy S. Meschino,Wendy S. Meschino,Joanne A. Permaul,Ian D. Graham +12 more
TL;DR: It is demonstrated that a complex educational intervention was able to significantly improve practice intent for clinical genetics scenarios found in primary care, as well as confidence in genetics skills.
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Referral for genetic counselling during pregnancy: limited alertness and awareness about genetic risk factors among GPs.
TL;DR: During pregnancy, the gatekeeper function of the GP in the referral for genetic counselling is undermined and the implementation of routine family history taking in general practice is advocated.
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Knowledge About Genetics Among African Americans
TL;DR: The results of this study suggest that genetics education targeted to African Americans may need to focus on increasing understanding about technical concepts related to genetics.
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