title: The use of noninvasive prenatal testing in obstetric care: educational resources, practice patterns, and barriers reported by a national sample of clinicians.
abstract: OBJECTIVE
  The aim of this study was to identify how physicians develop their knowledge base and practice patterns regarding noninvasive prenatal testing (NIPT).
  
  
  METHODS
  A survey was used to assess physicians' informational sources and practice patterns regarding NIPT.
  
  
  RESULTS
  While most of the 258 participants acquire knowledge about NIPT from the medical literature or didactic educational programming, 74 (28.7%) cite commercial laboratories as an initial source and 124 (47.8%) as a way to keep current with changes in NIPT. About one-third (n = 94, 36.4%) seek information about ethical issues related to NIPT. Half of the OB/GYN respondents (n = 136, 52.7%) provide pretest counseling; fewer refer to a genetic counselor or maternal fetal medicine specialist (MFM) (n = 94, 34.6%, n = 29, 11.2%, respectively). Pretest counseling content and the comfort with which participants discuss topics pertinent to patients' utilization of NIPT varied between OB/GYNs and MFMs.
  
  
  CONCLUSIONS
  Advances in cff DNA technology emphasize the need for effective strategies for physicians to develop competency and practice patterns regarding NIPT. Study findings speak to the need for effective educational resources for obstetric providers, not just early adopters of NIPT but also for primary OB/GYNs as they serve in the role of the first point of contact for women considering their prenatal testing options. © 2016 John Wiley & Sons, Ltd.
authors.affiliation: Department of Obstetrics and Gynecology, Cleveland Clinic, Cleveland, OH, USA.|Department of Bioethics, Cleveland Clinic, Cleveland, OH, USA.|Genomic Medicine Institute, Cleveland Clinic, Cleveland, OH, USA.
authors.forename: Ruth M
authors.initials: RM
authors.lastname: Farrell
authors.affiliation: Department of Bioethics, Cleveland Clinic, Cleveland, OH, USA.
authors.forename: Patricia K
authors.initials: PK
authors.lastname: Agatisa
authors.affiliation: Department of Bioethics, Cleveland Clinic, Cleveland, OH, USA.
authors.forename: Mary Beth
authors.initials: MB
authors.lastname: Mercer
authors.affiliation: Department of Bioethics, Cleveland Clinic, Cleveland, OH, USA.
authors.forename: Ariane G
authors.initials: AG
authors.lastname: Mitchum
authors.affiliation: Genomic Medicine Institute, Cleveland Clinic, Cleveland, OH, USA.
authors.forename: Marissa B
authors.initials: MB
authors.lastname: Coleridge
mesh_terms: D022126:Access to Information; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D004247:DNA / Q000097:blood / Q000235:genetics; D004992:Ethics, Medical / Q000193:education; D005817:Genetic Counseling; D006801:Humans; D057226:Information Seeking Behavior; D062145:Maternal Serum Screening Tests; D008875:Middle Aged; D009774:Obstetrics / Q000193:education*; D010500:Perinatology; D010818:Practice Patterns, Physicians'; D011296:Prenatal Diagnosis; D011795:Surveys and Questionnaires
chemical_list: D004247:DNA