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. 2021 Aug;30(4):1181-1190.
doi: 10.1002/jgc4.1401. Epub 2021 Mar 13.

Characterization of genetic counselor practices in inpatient care settings

Emily Magness  1   2 , Pilar Magoulas  2 , Tia Moscarello  3   4 , Daria Ma  5 , Benjamin M Helm  6   7 , Elizabeth Mizerik  2
Affiliations

Characterization of genetic counselor practices in inpatient care settings

Emily Magness et al. J Genet Couns. 2021 Aug.

Abstract

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.

Keywords: genetic counselors; genetics services; inpatient genetics; professional development; workforce.

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References

REFERENCES

    1. Accreditation Counsel for Genetic Counseling (2019). Standards of accreditation for graduate programs in genetic counseling. Retrieved from https://www.gceducation.org/standards-of-accreditation/
    1. Angus, D. C., Shorr, A. F., White, A., Dremsizov, T. T., Schmitz, R. J., & Kelley, M. A. (2006). Critical care delivery in the united states: Distribution of services and compliance with leapfrog recommendations. Critical Care Medicine, 34(4), 1016-1024. https://doi.org/10.1097/01.CCM.0000206105.05626.15
    1. Ayres, S., Gallacher, L., Stark, Z., & Brett, G. R. (2019). Genetic counseling in pediatric acute care: Reflections on ultra-rapid genomic diagnoses in neonates. Journal of Genetic Counseling, 28(2), 273-282. https://doi.org/10.1002/jgc4.1086
    1. Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77-101. https://doi.org/10.1191/1478088706qp063oa
    1. Bupp, C. P., Demmer, L. A., & Saul, R. A. (2015). Surveying the current landscape of clinical genetics residency training. Genetics in Medicine, 17(5), 386-390. https://doi.org/10.1038/gim.2014.108

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