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Improving Provider Use of NCCN HBOC Genetic Counseling Referral Guidelines Through Provider Education and Awareness

Tri, Natalie (2022) Improving Provider Use of NCCN HBOC Genetic Counseling Referral Guidelines Through Provider Education and Awareness. Master's Thesis, University of Pittsburgh. (Unpublished)

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Genetic counseling and testing is important for families with a strong history of breast and ovarian cancer. Primary care providers play an important role in identifying women with a family history of breast cancer and making appropriate referrals to genetic counselors. Previous research has shown only 50% of women who should be referred for genetic counseling ever receive a referral from a primary care provider (PCP), which may be due to a lack of provider education and awareness.1; 2 Our study evaluated the effect of a 1.5 hour continuing medical education (CME) course presented to PCPs and NPs through Allegheny Health Network in Pittsburgh, PA. After completion of the educational session, we tracked referrals from each provider and determined appropriateness by the National Comprehensive Cancer Network (NCCN) HBOC referral guidelines. Seven providers completed the educational session. A post-educational survey showed all providers responded positively to the material, with 100% stating they learned something new and 85.71% (6/7) stating they would make changes in their practice. Providers correctly answered that most cases of breast cancer are not hereditary (82% correct responses), males have an increased risk for a pathogenic variant with a previous breast cancer diagnosis (82% correct responses), and there is increased screening available to women with a family history (100% correct responses). However, most providers struggled with the heredity of ovarian cancer (41% correct) and the equal importance of maternal and paternal family history (41% correct). Referral numbers did not increase significantly post-education compared to pre-education (12 referrals for each), although there was an improvement in appropriateness of referrals (10/12 pre-education compared to 12/12 post-education). In summary, this study showed provider education by online video serves to improve provider knowledge in some areas and may improve the appropriateness of patient referrals. This has implications for public health by improving provider knowledge and appropriateness of referrals placed by providers to genetic counselors. More research is needed to determine the long-term effects of a single educational presentation and areas of improvement to increase genetic counseling referrals.


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Item Type: University of Pittsburgh ETD
Status: Unpublished
CreatorsEmailPitt UsernameORCID
Tri, Natalienmt32@pitt.edunmt32
ETD Committee:
TitleMemberEmail AddressPitt UsernameORCID
Committee ChairMorphy,
Committee CoChairDurst, Andreaadurst@pitt.eduadurst
Committee MemberDocumet, Patriciapdocumet@pitt.edupdocumet
Committee MemberFelter, Elizabethemfelter@pitt.eduemfelter
Date: 12 May 2022
Date Type: Publication
Defense Date: 8 April 2022
Approval Date: 12 May 2022
Submission Date: 27 April 2022
Access Restriction: No restriction; Release the ETD for access worldwide immediately.
Number of Pages: 61
Institution: University of Pittsburgh
Schools and Programs: School of Public Health > Genetic Counseling
Degree: MS - Master of Science
Thesis Type: Master's Thesis
Refereed: Yes
Uncontrolled Keywords: Genetics, Genetic Counseling, Cancer, NCCN
Date Deposited: 12 May 2022 14:51
Last Modified: 12 May 2022 14:51

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  • Improving Provider Use of NCCN HBOC Genetic Counseling Referral Guidelines Through Provider Education and Awareness. (deposited 12 May 2022 14:51) [Currently Displayed]


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