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How genomic information is accessed in clinical practice: an electronic survey of UK general practitioners

R. H. Evans, William; Tranter, Jennifer; Rafi, Imran; Hayward, Judith; Qureshi, N.

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Authors

Jennifer Tranter

Imran Rafi

Judith Hayward



Abstract

Genomic technologies are having an increasing impact across medicine, including primary care. To enable their wider adoption and realise their potential, education of primary healthcare practitioners will be required. To enable the development of such resources, understanding where GPs currently access Genomic information is
needed.

Method: 159 UK GPs completed the survey in response to an open invitation, between September 2017 and September 2018. Questions were in response to 4 clinical genomic scenarios, with further questions exploring resources used for rare disease patients, direct to consumer genetic testing and collecting a family history.

Results: Respondents were most commonly GP principals (independent GPs who own their clinic) (64.8%), aged 35-49 years (54%), worked as a GP for more than 15 years (44%), and practiced within suburban locations (typically wealthier) (50.3%).

The most popular ”just in time” education source for all clinical genomic scenarios were online primary care focussed resources with general Internet search engines also popular. For genomic continuous medical education over 70% of respondents preferred online learning.

Considering specific scenarios: local guidelines were a popular resource for the familial breast cancer scenario. A large proportion (41%) had not heard of Genomics England’s 100,000-genome project. Few respondents (4%) would access rare disease specific internet resources (Orphanet, OMIM). 25% of respondents were unsure how
to respond to a direct to consumer commercial genetic test query, with 41% forwarding such queries to local genetic services.

Conclusion: GPs require concise, relevant, primary care focussed resources in trusted and familiar online repositories of information. Inadequate genetic education of GPs could increase burden on local genetic services.

Citation

R. H. Evans, W., Tranter, J., Rafi, I., Hayward, J., & Qureshi, N. (2020). How genomic information is accessed in clinical practice: an electronic survey of UK general practitioners. Journal of Community Genetics, 11(3), 377–386. https://doi.org/10.1007/s12687-020-00457-5

Journal Article Type Article
Acceptance Date Feb 13, 2020
Online Publication Date Mar 3, 2020
Publication Date 2020-07
Deposit Date Feb 18, 2020
Publicly Available Date Mar 29, 2024
Journal Journal of Community Genetics
Print ISSN 1868-310X
Electronic ISSN 1868-6001
Publisher Springer Verlag
Peer Reviewed Peer Reviewed
Volume 11
Issue 3
Pages 377–386
DOI https://doi.org/10.1007/s12687-020-00457-5
Keywords Genetics(clinical); Public Health, Environmental and Occupational Health; Epidemiology
Public URL https://nottingham-repository.worktribe.com/output/3985294
Publisher URL https://link.springer.com/article/10.1007%2Fs12687-020-00457-5
Additional Information Received: 23 October 2019; Accepted: 13 February 2020; First Online: 3 March 2020; : All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2000 (5). Informed consent was obtained from all patients for being included in the study.; : This study was approved by the local ethics committee: UoN FMHS REC ref. no E10022017.; : WRH Evans declares that he has no conflict of interest. WRH Evans has received honorarium as a speaker and advisor to Intrabio and Mendelian.N Qureshi declares that he has no conflict of interest. N Qureshi has received previous lecture honorarium from AMGEN.J Tranter declares that she has no conflict of interest.I Rafi is the RCGP and AoRMC joint clinical champion for genomics.J Hayward is an advisor to HEE GEP and the RCGP and AoRMC joint clinical champion for genomics.

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