Medical College of Wisconsin
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Single center experience developing sustainable genetics clinical care: a model to address workforce challenges in medical genetics. Curr Opin Pediatr 2024 Dec 01;36(6):605-611

Date

09/22/2024

Pubmed ID

39297693

Pubmed Central ID

PMC11540278

DOI

10.1097/MOP.0000000000001404

Scopus ID

2-s2.0-85205139397 (requires institutional sign-in at Scopus site)   1 Citation

Abstract

PURPOSE OF REVIEW: The national workforce shortage in genetics is being evaluated in order to identify a sustainable solution to the increasing demand for genomic services. An innovative solution to the short term needs is to integrate advanced practice providers (APPs) and embed genetic counselors into both outpatient and inpatient specialty care. Incorporating APPs into a genetic service is not unique in itself, but the method of implementation at Medical College of Wisconsin (MCW) was, at the time, unchartered.

RECENT FINDINGS: There are >100 vacancies for board certified medical geneticists across the nation, training programs are not enrolling sufficient trainees to meet demand and more than a third of the current workforce plan to retire within the next 10 years.

SUMMARY: The integration of advanced practice providers (nurse practitioners, midwives, physician assistants etc.) into both primary and specialty care has been an evolving practice since the mid-1900s and incorporating APPs into a genetic service was not unique in itself but the method of implementation was new at that time. This is a model to successfully develop a clinical practice model around a team-based structure incorporating nurse clinicians, advanced practice providers, genetic counselors, nutritionists, and physicians into an academic clinical genetics practice.

Author List

Kinney A, Dalton SA, McCarrier J, Basel D

Author

Donald Basel MD Chief, Professor in the Pediatrics department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Genetic Counseling
Genetic Services
Genetics, Medical
Humans
Models, Organizational
Nurse Practitioners
Physician Assistants
Wisconsin