Characterization of genetic counselor practices in inpatient care settings.

Autor: Magness E; Department of Pediatrics, Baylor College of Medicine, San Antonio, TX, USA.; Department of Molecular and Human Genetics, Baylor College of Medicine, Houston, TX, USA., Magoulas P; Department of Molecular and Human Genetics, Baylor College of Medicine, Houston, TX, USA., Moscarello T; Stanford Center for Inherited Cardiovascular Disease, Stanford, CA, USA.; Department of Pediatrics, Division of Medical Genetics, Stanford University, Stanford, CA, USA., Ma D; Smidt Heart Institute Cedars Sinai Medical Center, Los Angeles, CA, USA., Helm BM; Department of Medical & Molecular Genetics, Indiana University School of Medicine, Indianapolis, IN, USA.; Department of Epidemiology, Indiana University Fairbanks School of Public Health, Indianapolis, IN, USA., Mizerik E; Department of Molecular and Human Genetics, Baylor College of Medicine, Houston, TX, USA.
Jazyk: angličtina
Zdroj: Journal of genetic counseling [J Genet Couns] 2021 Aug; Vol. 30 (4), pp. 1181-1190. Date of Electronic Publication: 2021 Mar 13.
DOI: 10.1002/jgc4.1401
Abstrakt: Rapid genomic testing is increasingly used in inpatient settings for diagnostic and treatment purposes. With the expansion of genetic testing in this setting, requests for inpatient genetics consultations have increased. There have been reports of genetic counselors working in inpatient care, though their specific roles are not well described. In this study, we characterized the roles of genetic counselors practicing in inpatient care settings in the United States and Canada. Genetic counselors were recruited via professional organization listservs to complete an online survey. The survey gathered information on participants' roles and workflow of inpatient genetics consultation services at their institution. Responses from 132 participants demonstrate that 50.4% of genetic counselors cover genetics consultations as needed or on a rotating schedule (34.6%). They practice in general pediatric (59.1%), neonatal (42.5%), cancer (28.3%), and/or prenatal (18.9%) specialties, among others. Participants reported working independently (16.1%) or with other providers (54.8%), including geneticists and other attending physicians. The workflow of genetics consultation services varies between institutions in the delivery of consults, members of the inpatient genetics consultation care team, and administrative support. Fifty percent of participants reported having no exposure to inpatients during graduate training, and 87.3% of participants reported receiving no institutional training for their inpatient role. This is the first study to describe roles of genetic counselors in inpatient care. It establishes a foundation for future research on inpatient genetic counseling and genetic counseling outcomes in inpatient services. As demand for genetics expertise in inpatient care grows, genetic counselors can be hired to serve inpatient populations alongside genetics and non-genetics providers.
(© 2021 National Society of Genetic Counselors.)
Databáze: MEDLINE
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