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Interactive Genetic Counseling Role-Play: A Novel Educational Strategy for Family Physicians
Authors:Sean M. Blaine  June C. Carroll  Andrea L. Rideout  Gord Glendon  Wendy Meschino  Cheryl Shuman  Deanna Telner  Natasha Van Iderstine  Joanne Permaul
Affiliation:(1) Department of Family and Community Medicine, University of Toronto, Toronto, Canada;(2) Ray D Wolfe Department of Family Medicine, Mount Sinai Hospital, Toronto, Canada;(3) STAR Family Health Team, 700 O’Loane Ave, Stratford, ON, Canada, N5A 3C6;(4) Clinical Genetics Service, Centre for Addiction and Mental Health, Toronto, ON, Canada;(5) Genetics Education Project, Mount Sinai Hospital, Toronto, ON, Canada;(6) Ontario Cancer Genetics Network, Cancer Care Ontario, Toronto, Canada;(7) North York General Hospital, Toronto, ON, Canada;(8) Department of Paediatrics, University of Toronto, Toronto, Canada;(9) Department of Medical Genetics and Microbiology, University of Toronto, Toronto, Canada;(10) Genetic Counselling, Hospital for Sick Children, Toronto, Canada;(11) Toronto East General Hospital, Toronto, ON, Canada;(12) Department of Medical Genetics, University of British Columbia, Vancouver, Canada
Abstract:Background Family physicians (FPs) are increasingly involved in delivering genetic services. Familiarization with aspects of genetic counseling may enable FPs to help patients make informed choices. Purpose Exploration of interactive role-play as a means to raise FPs’ awareness of the process and content of genetic counseling. Methods FPs attending two large Canadian family medicine conferences in 2005 were eligible—93 participated. FPs discussed a case during a one-on-one session with a genetic counselor. Evaluation involved pre and post intervention questionnaires Results FPs’ baseline genetic knowledge was self-rated as uniformly poor. Baseline confidence was highest in eliciting family history and providing psychosocial support and lowest in discussing risks/benefits of genetic testing and counseling process. Post-intervention, 80% of FPs had better appreciation of family history and 97% indicated this was an effective learning experience. Conclusions Role-play with FPs is effective in raising awareness of the process and content of genetic counseling and may be applied to other health disciplines. This research was funded by: The Canadian Institutes of Health Research (CIHR) Institute of Genetics, The Genetics Education Project (funded by the Ontario Women’s Health Council), and GeneSens (funded by a CIHR Interdisciplinary Capacity Enhancement Team Grant).
Keywords:Genetic counseling  Family physicians  Role-play  Genetics education
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