title: Family physician self-efficacy with screening for inherited cancer risk.
abstract: BACKGROUND
  Recent evidence has shown low and inconsistent rates of family history screening among generalist physicians. Little has been done to investigate the physician factors likely to mediate this behavior. We investigated family physicians' beliefs about screening their patients for inherited cancer risk, measuring their perceptions of self-efficacy and the importance of screening.
  
  
  METHODS
  We mailed a cross-sectional, 1-page questionnaire to all active members (691) of the Massachusetts Academy of Family Physicians, measuring their attitudes about predictive genetic cancer screening.
  
  
  RESULTS
  We received responses from 300 of the 691 members (43%). Although 87% believed screening to be important, less than two thirds believed they were effective in screening.
  
  
  CONCLUSIONS
  Many family physicians lack confidence in their ability to screen patients for a family history of cancer despite recognizing its importance to their practice.
authors.affiliation: Department of Family Medicine, Brown Medical School, Memorial Hospital of Rhode Island, Pawtucket, RI 02860, USA. Robert_Gramling@Brown.edu
authors.forename: Robert
authors.initials: R
authors.lastname: Gramling
authors.forename: Justin
authors.initials: J
authors.lastname: Nash
authors.forename: Karen
authors.initials: K
authors.lastname: Siren
authors.forename: Charles
authors.initials: C
authors.lastname: Eaton
authors.forename: Larry
authors.initials: L
authors.lastname: Culpepper
mesh_terms: D000328:Adult; D002983:Clinical Competence; D019538:Health Care Surveys; D006801:Humans; D008403:Mass Screening / Q000706:statistics & numerical data; D008875:Middle Aged; D009369:Neoplasms / Q000517:prevention & control*; D010819:Physician's Role; D010821:Physicians, Family; D010818:Practice Patterns, Physicians' / Q000706:statistics & numerical data