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Published on: January 16, 2019
Attitudes and practices among internists concerning genetic testing
Robert Klitzman1, Wendy Chung, Karen Marder
1Department of Psychiatry, College of Physicians & Surgeons, Columbia University, New York State Psychiatric Institute, 1051 Riverside Drive, Unit 15, New York, NY 10032, USA. rlk2@columbia.edu
Journal of Genetic Counseling
|May 16, 2012
Summary
Physicians frequently lack knowledge regarding genetic testing but are eager for training. Patient inquiries and access to genetic counselors significantly influence ordering genetic tests.
Area of Science:
- Medical Genetics
- Clinical Practice
- Physician Education
Background:
- Physician decision-making regarding genetic testing remains unclear.
- Understanding factors influencing genetic test ordering is crucial for clinical practice.
Purpose of the Study:
- To investigate internists' utilization of genetic testing.
- To identify factors affecting physicians' decisions to order genetic tests.
- To assess physicians' perceived knowledge gaps and training needs in genetic testing.
Main Methods:
- A survey was administered to 220 internists at two academic medical centers.
- Data collected included genetic test utilization, counseling practices, referrals, and perceived knowledge.
- Statistical analysis, including multiple logistic regression, was used to identify associated factors.
Main Results:
- Factor V Leiden and Breast/Ovarian Cancer were the most frequently ordered genetic tests.
- A significant percentage of physicians reported ordering genetic tests (44%) and counseling patients (65%).
- Physicians expressed poor knowledge of genetics and testing guidelines, highlighting a need for training.
Conclusions:
- Physicians acknowledge their knowledge deficits in genetic testing and express a strong interest in further education.
- Patient inquiries and the availability of genetic specialists are key drivers for ordering genetic tests.
- Improving physician education on genetic testing is essential for advancing personalized medicine.
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