Workforce Considerations When Building a Precision Medicine Program
CLB Zawatsky et al, J Per Med, November 20, 2022
This paper describes one healthcare system’s approach to strategically deploying genetic specialists and pharmacists to support the implementation of a precision medicine program. We report the necessary staffing including the genetic counselors, genetic counseling assistants, pharmacists, and geneticists. We examined the administrative and electronic medical records data to summarize genetic referrals over time as well as the uptake and results of an enterprise-wide genetic screening test. Between 2013 and 2020, the number of genetic specialists increased by 190%, from 10.1 full-time equivalents (FTEs) to 29.3 FTEs.
The genetic counsellor role in the United Kingdom
A Middleton et al, EJHG, November 1, 2022
Genetic counsellors are an internationally recognized group of highly skilled healthcare professionals with training and expertise in genomic medicine and counselling skills. The delivery of genetic counselling in a clinical setting is underpinned by evidence, genetic counselling theory, uses established, validated outcome measures to evaluate success and is highly valued by patients. The number of genetic counsellors globally is approximately 7000, practicing in at least 28 countries. In the UK, there are approximately 300 genetic counsellors, the vast majority practicing clinically in the publicly funded National Health Service.
Genetic Counselling Needs for Reproductive Genetic Carrier Screening: A Scoping Review
S Edwards et al, J Per Medicine, October 2022
Four broad themes were identified in the existing literature: (1) The offer—when and in what context to offer screening; (2) Information—the importance of and what to include in education, and pre- and post-test counselling; (3) Who and how—who the genetic counselling is performed by and how; (4) Personalization—how do we find the balance between standardized and individualized approaches? Based on the existing literature, we present a set of recommendations for consideration in implementing population-scale reproductive genetic carrier screening as well as suggested areas for future research.
Psychosocial Issues Related to Newborn Screening: A Systematic Review and Synthesis
A Tluzcek et al, IJNS, September 2022
Psychosocial consequences of receiving unexpected neonatal screening results and unsolicited genetic information remain significant risks to expansion of NBS. Findings suggest that risks may be mitigated by improved parent NBS education, effective communication, individualized genetic counseling, and anticipatory developmental guidance. Clinicians need to take extra measures to ensure equitable service delivery to marginalized subpopulations.