Genetic Counseling Program

Untitled Document

Prevelence and Patient Satisfaction of Telephoned BRCA1/2 Genetic Test Results.   By Larisa Baumanis 

Introduction:  The original model for breast cancer genetic counseling involved three clinic visits: a pretest visit for counseling, a blood draw visit, and a results session.  Increasingly, clinics are departing from the traditional model and are providing cancer genetic test results by telephone..  The few studies on telephone counseling provide conflicting results about its desirability and efficacy.  The current study aims to (1) Gather preliminary data regarding U.S. prevalence of providing BRCA1/2 mutation test results by phone as well as (2) Ascertain patient satisfaction of results delivered by telephone versus results delivered in person.  Methods:  The study consists of two parts. (1) A survey was sent electronically to all members of the Cancer Special Interest Group on the National Society of Genetic Counselor’s list-serve (n=~475) to ascertain how many counselors are participating in BRCA1/2 telephone results delivery.  (2) Patients seen by the University of North Carolina Chapel Hill Cancer Genetics Clinic were mailed a survey designed to ascertain their satisfaction with their mode of results delivery.   Results indicate the majority of counselors (92.5%) have delivered BRCA1/2 genetic test results by telephone under some circumstance.  Most counselors (63.9%) report delivering results by telephone to <25% of their patient population.  Patients were equally satisfied with their results session regardless of mode of delivery (phone v. in person).  Patients given a choice regarding mode of results delivery reported significantly higher satisfaction with results delivery than those who did not have a choice.

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  • "I chose to attend UNCG because of its shared learning environment and the access to some of the leading institutions in the country. "

  • "UNCG is a great fit for me. The program directors have extensive experience in the world of genetic counseling and provide you with opportunities to work with some of the best medical centers in the country. Our location allows us to have expert guest lecturers, many of whom you also get to work alongside or observe in your clinical rotations in your second year. We also have some really wonderful and unique opportunities as a part of this program: we observe in syndrome specific support groups and clinics, tour genetic laboratories, and are matched with a family with a genetic disease to learn what it is like to live with a genetic condition. Finally, our directors are genuinely invested in each of us, and care about our success and getting to know each of us personally."

  • "The director and assistant director do their best to ensure that our program provides a collaborative learning experience.  Both are active members of the Genetic Counseling community and strive to introduce you to all aspects of this field.  We also have renowned clinical sites and the beautiful state of North Carolina at our disposal.”