Implementing mainstream genetic counseling within the area-wide network of the German Consortium Hereditary Breast and Ovarian Cancer (GC-HBOC): Satisfaction of primary care providers with the provided state-of-the-art training by the Cologne Center.
Natalie HeroldKathrin BredowCorinna ErnstAnja TüchlerBritta BlümckeAnke WahaEbru KeserJan HaukeBarbara WappenschmidtEric HahnenRita Katharina SchmutzlerKerstin RhiemPublished in: Journal of genetic counseling (2024)
The German Cancer Society (Deutsche Krebsgesellschaft DKG) has published a position paper to address the challenges of cancer patient care in the era of genomic medicine. The German Consortium Hereditary Breast and Ovarian Cancer (GC-HBOC) has implemented this recommendation in its care concept for families at risk. Core elements are the outcome-oriented evaluation of structured and standardized clinical measures and reporting recommendations derived therefrom to primary care providers and patients. A cross-sector network with certified breast cancer and gynecological cancer centers was founded in 2015, starting from the Cologne Center of the GC-HBOC. To guarantee the knowledge transfer for mainstream genetic counseling, the Cologne center has established an educational program for physicians and specialized nurses in order to pilot trans-sectoral knowledge transfer on risk assessment and risk-stratified care. It consists of face-to-face lectures with written knowledge test, attending a genetic case conference and genetic counseling sessions with the opportunity to counsel under supervision. The lectures were accompanied by a structured evaluation of the participants' satisfaction and feedback of the needs in mainstream genetic counseling. Thereby, the network ensures that genetic counseling and testing is provided according to state-of-the-art knowledge and allows physicians to participate in knowledge-generating care outside the university setting and patients to receive care close to home. After multiple feedback cycles to improve the educational program, the GC-HBOC, in cooperation with the German Cancer Society, has now adopted this concept and developed a common and uniform online curriculum funded by the Federal Ministry of Health. https://www.krebsgesellschaft.de/fortbildung-familiaerer-krebs.html.
Keyphrases
- healthcare
- primary care
- quality improvement
- papillary thyroid
- palliative care
- end stage renal disease
- genome wide
- copy number
- squamous cell
- risk assessment
- smoking cessation
- chronic kidney disease
- ejection fraction
- newly diagnosed
- hiv testing
- childhood cancer
- prognostic factors
- systematic review
- social media
- peritoneal dialysis
- lymph node metastasis
- clinical trial
- gene expression
- dna methylation
- gas chromatography
- squamous cell carcinoma
- affordable care act
- pain management
- men who have sex with men
- young adults
- mass spectrometry
- health information
- study protocol
- health insurance
- antiretroviral therapy
- tertiary care
- human immunodeficiency virus
- network analysis