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Evaluating and improving the implementation of a community-based hereditary cancer screening program.

Samantha Greenberg1,2, Beverly M Yashar3, Mark Pearlman4

  • 1Department of Human Genetics, University of Michigan, 4909 Buhl Building, 1241 E Catherine St, Ann Arbor, MI, 48109-5618, USA. samgreen@umich.edu.

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A new screening tool helps identify women at high risk for hereditary cancers. Education improved clinician confidence in genetic counseling and testing, addressing healthcare disparities in cancer genetic services.

Keywords:
Access to genetic servicesBRCA1/2 mutationsCancer genetic servicesCancer risk evaluationGenetic educationMedically underserved populations

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Area of Science:

  • Oncology
  • Genetics
  • Public Health

Background:

  • Healthcare disparities in cancer genetic services, including BRCA1/2 mutation testing, are prevalent.
  • A screening tool was developed to identify high-risk women in community health settings.

Purpose of the Study:

  • To evaluate the implementation of a cancer genetic screening tool in a community health setting.
  • To identify opportunities for improving cancer genetic screening and clinician education.

Main Methods:

  • A mixed-method approach was used, including surveys and semi-structured interviews with clinicians.
  • Novel surveys assessed clinician acceptance and implementation of the screening tool.
  • Educational modules were developed and evaluated to address identified knowledge and confidence gaps.

Main Results:

  • Clinicians reported confidence in using the tool but less confidence in cancer genetics knowledge and connecting clients to services.
  • Educational modules significantly improved clinician knowledge on genetic topics and confidence in referring patients.
  • Clinicians recognized the benefits of genetic testing for informing medical management in high-risk patients.

Conclusions:

  • Gaps in knowledge and confidence challenge community clinicians' ability to connect patients with genetic services.
  • Consistent, genetics-focused education is crucial for non-genetic clinicians to enhance screening program effectiveness.
  • Improving clinician capacity is vital for reducing healthcare disparities in cancer genetic services.