Still Becoming: Global Reflections on the Future of the Genetic Counseling Profession

Research has highlighted persistent obstacles to the professionalization of the genetic counseling profession (GCp). This study aims to capture international experts' reflections on shared and anticipated global challenges in the near-term and how they perceive the GCp evolving worldwide. A qualitative exploratory study using semi-structured interviews was conducted with 23 GCp experts involved in professionalization processes across diverse countries/regions worldwide. Online interviews, conducted between late 2023 and early 2025, were flexible and participant-led, and data were analyzed using reflexive thematic analysis. Four overarching themes were constructed: (a) Drivers of professionalization centred on the persistent lack of formal recognition, the importance of accreditation and registration frameworks, the need for governmental and institutional support, and the heterogeneity of integration and resources across regions; (b) Expansion and sustainability of the genetic counseling workforce reflected concerns about the shortage of trained professionals facing high workload and demand, continuing professional development, sustainable career pathways, and the need to raise visibility and build a culture of evidence-based practice; (c) Evolving roles and scope of practice captured balancing expanding responsibilities with preserving professional identity, overcoming misconceptions, and integrating technological change; (d) Ethical and societal challenges encompassed equity of access to genetic services, navigating ethical complexities, and harmonizing practice while embracing contextual and cultural adaptation. This study contributes to clarifying shared priorities and potential areas for collective action. While meaningful progress is underway worldwide, substantial work remains. Global collaboration and cohesion are revealed as fundamental strategies. GCp is still becoming: advancing through ongoing negotiation of recognition, identity, and standards across diverse systems.