Genetic Testing: Consent and Result Disclosure for Primary Care Providers

W Andrew Faucett; Holly Peay; Curtis R Coughlin 2nd

doi:10.1016/j.mcna.2019.07.001

Genetic Testing: Consent and Result Disclosure for Primary Care Providers

Med Clin North Am. 2019 Nov;103(6):967-976. doi: 10.1016/j.mcna.2019.07.001. Epub 2019 Aug 20.

Authors

W Andrew Faucett¹, Holly Peay², Curtis R Coughlin 2nd³

Affiliations

¹ Office of the Chief Scientific Officer, Geisinger, MC 30-42, 100 North Academy Avenue, Danville, PA 17822, USA. Electronic address: wafaucett@geisinger.edu.
² Center for Newborn Screening, Ethics, and Disability Studies, RTI International, 3040 East Institute Drive, Research Triangle Park, NC 27709, USA.
³ Department of Pediatrics, Section of Genetics, University of Colorado Anschutz Medical Campus, East 17th Avenue, Aurora, CO 80045, USA.

Abstract

Historically, both pretest and posttest genetic counseling has been standard of care for genetic testing. This model should be adapted for primary care providers (PCPs) willing to learn critical information about the test and key concepts that patients need to make an informed testing decision. It is helpful for PCPs to discuss a few initial patients with a genetic counselor to prepare for the key concepts of pretest and posttest counseling. This article provides guidance about the recommended level of involvement of PCPs based on the test indication, test complexity, disorder management, and the potential for psychosocial sequela.

Keywords: CADRe; ClinGen; Genetic testing; Genomic testing; Informed consent; Return of results.

Publication types

Review

MeSH terms

Disclosure*
Genetic Counseling* / ethics
Genetic Counseling* / methods
Genetic Counseling* / psychology
Humans
Practice Guidelines as Topic
Primary Health Care* / methods
Primary Health Care* / standards

Abstract

Publication types

MeSH terms

Grants and funding