Protocol to evaluate a pilot program to upskill clinicians in providing genetic testing for familial melanoma Article Swipe
Clare Primiero
,
Anna Finnane
,
Tatiane Yanes
,
Betsy Peach
,
H. Peter Soyer
,
Aideen McInerney‐Leo
·
YOU?
·
· 2022
· Open Access
·
· DOI: https://doi.org/10.1371/journal.pone.0275926
YOU?
·
· 2022
· Open Access
·
· DOI: https://doi.org/10.1371/journal.pone.0275926
Introduction Genetic testing for hereditary cancers can improve long-term health outcomes through identifying high-risk individuals and facilitating targeted prevention and screening/surveillance. The rising demand for genetic testing exceeds the clinical genetic workforce capacity. Therefore, non-genetic specialists need to be empowered to offer genetic testing. However, it is unknown whether patient outcomes differ depending on whether genetic testing is offered by a genetics specialist or a trained non-genetics clinician. This paper describes a protocol for upskilling non-genetics clinicians to provide genetic testing, randomise high-risk individuals to receive testing from a trained clinician or a genetic counsellor, and then determine whether patient outcomes differed depending on provider-type. Methods An experiential training program to upskill dermatologically-trained clinicians to offer genetic testing for familial melanoma is being piloted on 10–15 clinicians, prior to wider implementation. Training involves a workshop, comprised of a didactic learning presentation, case studies, simulated sessions, and provision of supporting documentation. Clinicians later observe a genetic counsellor led consultation before being observed leading a consultation. Both sessions are followed by debriefing with a genetic counsellor. Thereafter, clinicians independently offer genetic testing in the clinical trial. Individuals with a strong personal and/or family history of melanoma are recruited to a parallel-group trial and allocated to receive pre- and post- genetic testing consultation from a genetic counsellor, or a dermatologically-trained clinician. A mixed method approach measures psychosocial and behavioural outcomes. Longitudinal online surveys are administered at five timepoints from baseline to one year post-test disclosure. Semi-structured interviews with both patients and clinicians are qualitatively analysed. Significance This is the first program to upskill dermatologically-trained clinicians to provide genetic testing for familial melanoma. This protocol describes the first clinical trial to compare patient-reported outcomes of genetic testing based on provider type (genetic counsellors vs trained non-genetic clinicians).
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- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1371/journal.pone.0275926
- https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0275926&type=printable
- OA Status
- gold
- Cited By
- 5
- References
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- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4311828113
All OpenAlex metadata
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https://openalex.org/W4311828113Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1371/journal.pone.0275926Digital Object Identifier
- Title
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Protocol to evaluate a pilot program to upskill clinicians in providing genetic testing for familial melanomaWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2022Year of publication
- Publication date
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2022-12-07Full publication date if available
- Authors
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Clare Primiero, Anna Finnane, Tatiane Yanes, Betsy Peach, H. Peter Soyer, Aideen McInerney‐LeoList of authors in order
- Landing page
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https://doi.org/10.1371/journal.pone.0275926Publisher landing page
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https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0275926&type=printableDirect link to full text PDF
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YesWhether a free full text is available
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goldOpen access status per OpenAlex
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https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0275926&type=printableDirect OA link when available
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Protocol (science), Genetic testing, Medicine, Computer science, Computational biology, Bioinformatics, Biology, Internal medicine, Alternative medicine, PathologyTop concepts (fields/topics) attached by OpenAlex
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5Total citation count in OpenAlex
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2024: 2, 2023: 2, 2022: 1Per-year citation counts (last 5 years)
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71Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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