Attitudes and Practices Among Internists Concerning Genetic Testing

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ORIGINAL RESEARCH

Attitudes and Practices Among Internists Concerning Genetic Testing Robert Klitzman & Wendy Chung & Karen Marder & Anita Shanmugham & Lisa J. Chin & Meredith Stark & Cheng-Shiun Leu & Paul S. Appelbaum

Received: 23 September 2011 / Accepted: 17 April 2012 / Published online: 15 May 2012 # National Society of Genetic Counselors, Inc. 2012

Abstract Many questions remain concerning whether, when, and how physicians order genetic tests, and what factors are involved in their decisions. We surveyed 220 internists from two academic medical centers about their utilization of genetic testing. Rates of genetic utilizations varied widely by disease. Respondents were most likely to have ordered tests for Factor V Leiden (16.8 %), followed by Breast/Ovarian Cancer (15.0 %). In the past 6 months, 65 % had counseled patients on genetic issues, 44 % had ordered genetic tests, 38.5 % had referred patients to a genetic counselor or geneticist, and 27.5 % had received ads from commercial labs for genetic testing. Only 4.5 % had tried to hide or disguise genetic information, and