Genetic competencies essential for health care professionals in primary care.
The completion of the sequencing of the human genome in 2003 signaled the onset of the genomic era in health care. The knowledge gleaned from the Human Genome Project has led to the understanding that every health problem has a genetic component and that clinicians should include the application of genetic information in all aspects of health care. This article describes the genetic competencies essential for all health care professionals in primary care. Health care professionals should augment their current practice by obtaining a multigenerational genetic family history for each patient, assessing all patients for potentially heritable conditions, providing referrals to genetic health professionals as needed, offering genetic testing when indicated, and considering an individual's genetic makeup in the selection of medications and treatments for that person. Finally, all health care professionals ought to be prepared to address the complex personal, cultural, theological, ethical, legal, and social issues associated with genetic testing and other genetic issues commonly encountered in clinical practice.
Engstrom
Janet L
JL
Nurse-Midwifery and women's Health Nurse Practitioner Programs, University of Illinois at Chicago, Chicago, IL 60612, USA. engstrom@uic.edu
Sefton
Marlene G S
MG
Matheson
Jolie Kim
JK
Healy
Kristine M
KM
D002983:Clinical Competence; D030342:Genetic Diseases, Inborn; D020022:Genetic Predisposition to Disease; D033142:Genetic Services / Q000592:standards*; D005826:Genetics, Medical / Q000193:education; D006801:Humans; D009774:Obstetrics / Q000193:education; D011320:Primary Health Care