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Genetic Testing and Primary Care
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To the Editor: In their Commentary, Dr Cheng and colleagues1 discussed the evolving role of primary care physicians in the diagnosis and management of genetic conditions. Although the authors appropriately stressed the potential to further involve primary care physicians in the management of genetic conditions, we believe they have oversimplified the diagnostic challenges.
The issue of informed consent before genetic testing was not considered. We question whether the current realities of primary care practice provide adequate resources to address the complexities of patient education, test interpretation, and disease management. This is supported by data demonstrating that in a survey of physicians from 8 specialties, only 29% of 820 primary care physicians felt qualified to provide genetic counseling to their patients regarding genetic screening for risk of cancer.2
Although genetic testing exists for a number of conditions, it is generally not appropriate to perform testing that will not affect management. Rather . . . [Full Text of this Article]
Shawn E. Lipinski, ScM
slipinski@virginia.edu
Department of Pediatrics
Michael J. Lipinski, MD
Department of Internal Medicine
William G. Wilson, MD
Department of Pediatrics
University of Virginia Health System
Charlottesville
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