Cancer-Related Genetic Testing and Counseling by Institute of Medicine, National Cancer Policy Forum

By Institute of Medicine, National Cancer Policy Forum

These lawsuits of a workshop awarded to the Institute of Medicine's (IOM) nationwide melanoma coverage discussion board on March 30, 2007, are the results of discussion board discussions approximately genetic checking out and counseling at its conferences on June sixteen and October 30, 2006. these discussions, led by means of discussion board participants Betty Ferrell and Patricia Ganz, famous that genetic trying out and counseling have gotten extra advanced and critical for informing sufferers and households of hazards and merits of definite classes of motion, and but equipped professional courses are briefly supply.

The subject material consists of not just the clinical and scientific features but in addition crew and compensation concerns, between others. Drs. Ferrell and Ganz proposed that the discussion board may provide an invaluable evaluation of a few of the very important implications of those concerns by way of preserving and reporting a workshop at the topic. They volunteered to paintings with employees to arrange and lead this type of workshop. The time table for the workshop is reproduced within the appendix to those complaints. It contains the shows of the invited audio system and the reviews of audio system, discussion board individuals, and others in attendance as transcribed and edited to put off redundancies, grammatical blunders, and another way cause them to extra readable. Cancer-Related Genetic trying out and Counseling : Workshop Proceedings summarizes the workshop.

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Ms. Javitt: That’s right. If you say no to everything except Ashkenazi Jewish ancestry they still recommend testing. You receive a personalized report. The company states that it has board-certified genetic counselors on staff and provides posttest consultation as part of the service. If you fill out the online questionnaire answering no to every question except that you were diagnosed with breast cancer after age 50—for example, no to any family history and things like that—the site recommends full gene sequencing because you are the first person in the family to be tested, and you don’t have Ashkenazi Jewish ancestry.

There is also a concern about the potential to undermine the relationship between the provider and the patient. For example, this could happen, if it hasn’t happened already: a patient who gets the 2D6 assay might tell her oncologist that she feels she shouldn’t be on tamoxifen. It is the wrong drug for her, and she wants a different drug because she is a poor metabolizer of CyP2D6. The provider may disagree. I think there is not consensus among physicians about whether this testing Copyright © National Academy of Sciences.

Geneticists? Dr. Weitzel: The American Board of Medical Genetics decided they were no longer able to maintain certification. D. geneticists are clinical counseling geneticists, and from the standpoint of cost, maintaining certification for such a small group was inefficient. So they stopped offering the board I think last year or the year before. Ms. ’s. Ms. Bennett: The current genetic counseling programs are primarily in academic medical centers, and they are mostly in public schools. The number of students in a genetic counseling program ranges in each class from 6 to 8, although some classes in the larger programs have 20 to 22 students (average 16).

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