WONCA APR Conference 2019/第10回日本プライマリ・ケア連合学会学術大会

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Workshop

WONCA APR Conference 2019 » Workshop

[WS1-03] Genetic Counseling for Cancer in primary care

2019年5月15日(水) 13:30 〜 14:15 第8会場 (1F Room C-2)

Organizer/Facilitator: Keiichiro Narumoto(Hamamatsu University School of Medicine/Shizuoka Family Medicine Residency, Japan)
Speaker: Keiichiro Narumoto(Hamamatsu University School of Medicine/Shizuoka Family Medicine Residency, Japan), Meagan Wong(University of Washington, Valley Family Medicine, USA), Moriya Iwaizumi(Department of Laboratory Medicine, Hamamatsu University School of Medicine, Japan), Misaki Fukue(Clinical and Molecular Genetics Center, Hamamatsu University Hospital, Japan)

Lay people have become more knowledgeable about the genetics in cancer through mass media and the internet, which compels family physicians (FPs) to increase their genetic literacy with basic counseling skills. FPs have an essential role in ensuring that patients and their families properly receive preventive care (counseling, cancer screening tests and referral to genetics experts) according to family history-based cancer risk. However, recent mixed methods study in Japan reveals that only a few FPs have provided genetic counseling or made a referral to genetics experts for familial tumors, and that FPs are in a dilemma between uncertainty about the clinical genetics and concerns about the anxiety that a discussion might create. This workshop will provide practical resources and decision-making tools to enhance patient-doctor communication about the genetics of cancer and help FPs become more confident in (1) explaining the basis of clinical genetics of cancer in the way patients can understand, (2) obtaining family history of cancer with a focus on the genetics of cancer, (3) identifing the risk of cancer based on family history, (4) discussing recommended cancer screening tests according to cancer risk, and (5) making an appropriate referral to genetic medicine experts.

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