Literature DB >> 23390885

Physicians' preparedness for integration of genomic and pharmacogenetic testing into practice within a major healthcare system.

Christina G Selkirk1, Scott M Weissman, Andy Anderson, Peter J Hulick.   

Abstract

PURPOSE: Physicians will play a large role in the delivery of genomic medicine, given the limited number of trained genetics professionals. The objective of this study was to assess physician preparedness for incorporating genomic testing (GT) and pharmacogenetic testing (PT) into practice by determining knowledge, experience, comfort level, and barriers, as well as their expectations for practice and educational needs.
METHODS: A 30-question survey was distributed to physicians spanning all disciplines within our healthcare system.
RESULTS: Perceived knowledge was poor; 40%-72% reported "no to minimal knowledge" for all genomics topics. Recent graduates or those with no patients who had undergone GT or PT had lower comfort levels. Participating physicians anticipate usage to increase; however, most were uncertain when and how to incorporate genomics into practice. Physicians perceived lack of knowledge and time to keep updated as their greatest barriers to incorporating GT and PT into practice.
CONCLUSION: Overall, physicians appear underprepared, perceiving they lack sufficient knowledge and confidence to incorporate GT and PT into practice. The majority of physicians expect their role in GT and PT to increase. The results underscore the importance of enhancing policies and initiatives to increase physician knowledge and comfort level.

Entities:  

Mesh:

Year:  2013        PMID: 23390885     DOI: 10.1089/gtmb.2012.0165

Source DB:  PubMed          Journal:  Genet Test Mol Biomarkers        ISSN: 1945-0257


  55 in total

1.  Discussing molecular testing in oncology care: Comparing patient and physician information preferences.

Authors:  Ana P M Pinheiro; Rachel H Pocock; Jeffrey M Switchenko; Margie D Dixon; Walid L Shaib; Suresh S Ramalingam; Rebecca D Pentz
Journal:  Cancer       Date:  2017-01-31       Impact factor: 6.860

2.  Genetic Counselors' Perspectives About Cell-Free DNA: Experiences, Challenges, and Expectations for Obstetricians.

Authors:  Patricia K Agatisa; Mary Beth Mercer; Marissa Coleridge; Ruth M Farrell
Journal:  J Genet Couns       Date:  2018-06-27       Impact factor: 2.537

3.  Attitudes and Knowledge of Maternal-Fetal Medicine Fellows Regarding Noninvasive Prenatal Testing.

Authors:  Paul Swaney; Emily Hardisty; Lauren Sayres; Samantha Wiegand; Neeta Vora
Journal:  J Genet Couns       Date:  2015-05-01       Impact factor: 2.537

4.  Attitudes of Australian health professionals towards rapid genomic testing in neonatal and paediatric intensive care.

Authors:  Zornitza Stark; Amy Nisselle; Belinda McClaren; Fiona Lynch; Stephanie Best; Janet C Long; Melissa Martyn; Chirag Patel; Luregn J Schlapbach; Christopher Barnett; Christiane Theda; Jason Pinner; Marcel E Dinger; Sebastian Lunke; Clara L Gaff
Journal:  Eur J Hum Genet       Date:  2019-05-31       Impact factor: 4.246

5.  A Viewpoint on the Information Sharing Paradox.

Authors:  Shane P Stenner; William Rice; Scott D Nelson
Journal:  Appl Clin Inform       Date:  2020-07-08       Impact factor: 2.342

6.  A theory-informed systematic review of clinicians' genetic testing practices.

Authors:  Jean L Paul; Hanna Leslie; Alison H Trainer; Clara Gaff
Journal:  Eur J Hum Genet       Date:  2018-06-11       Impact factor: 4.246

7.  The Undergraduate Training in Genomics (UTRIG) Initiative: early & active training for physicians in the genomic medicine era.

Authors:  Rebecca L Wilcox; Patricia V Adem; Ebrahim Afshinnekoo; James B Atkinson; Leah W Burke; Hoiwan Cheung; Shoumita Dasgupta; Julia DeLaGarza; Loren Joseph; Robin LeGallo; Madelyn Lew; Christina M Lockwood; Alice Meiss; Jennifer Norman; Priscilla Markwood; Hasan Rizvi; Kate P Shane-Carson; Mark E Sobel; Eric Suarez; Laura J Tafe; Jason Wang; Richard L Haspel
Journal:  Per Med       Date:  2018-05-30       Impact factor: 2.512

8.  Current Status and Future Opportunities in Lung Precision Medicine Research with a Focus on Biomarkers. An American Thoracic Society/National Heart, Lung, and Blood Institute Research Statement.

Authors:  Ann Chen Wu; James P Kiley; Patricia J Noel; Shashi Amur; Esteban G Burchard; John P Clancy; Joshua Galanter; Maki Inada; Tiffanie K Jones; Jonathan A Kropski; James E Loyd; Lawrence M Nogee; Benjamin A Raby; Angela J Rogers; David A Schwartz; Don D Sin; Avrum Spira; Scott T Weiss; Lisa R Young; Blanca E Himes
Journal:  Am J Respir Crit Care Med       Date:  2018-12-15       Impact factor: 21.405

Review 9.  A review of consent practices and perspectives for pharmacogenetic testing.

Authors:  Susanne B Haga; Rachel Mills
Journal:  Pharmacogenomics       Date:  2016-08-17       Impact factor: 2.533

10.  Hospital nursing leadership-led interventions increased genomic awareness and educational intent in Magnet settings.

Authors:  Kathleen A Calzone; Jean Jenkins; Stacey Culp; Laurie Badzek
Journal:  Nurs Outlook       Date:  2017-11-13       Impact factor: 3.250

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