Genetic Testing: Consent and Result Disclosure for Primary Care Providers.

Author information

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.