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Optimizing efficiency and skill utilization: Analysis of genetic counselors’ attitudes regarding delegation in a clinical setting
dc.contributor.authorRead, Parker
dc.contributor.authorYashar, Beverly M.
dc.contributor.authorRobinson, Linda
dc.contributor.authorMarvin, Monica
dc.date.accessioned2020-03-17T18:28:59Z
dc.date.availableWITHHELD_12_MONTHS
dc.date.available2020-03-17T18:28:59Z
dc.date.issued2020-02
dc.identifier.citationRead, Parker; Yashar, Beverly M.; Robinson, Linda; Marvin, Monica (2020). "Optimizing efficiency and skill utilization: Analysis of genetic counselors’ attitudes regarding delegation in a clinical setting." Journal of Genetic Counseling 29(1): 67-77.
dc.identifier.issn1059-7700
dc.identifier.issn1573-3599
dc.identifier.urihttps://hdl.handle.net/2027.42/154327
dc.description.abstractThis study assessed genetic counselors’ (GCs) perceptions of delegation as a tool to increase workforce efficiency and help meet the current gap between the number of genetic service providers and the number of patients. GCs were recruited to participate via an online survey that assessed activities (categorized as typical genetic counseling, administrative, or professional development) performed by a clinical genetic counselor. Respondents indicated which activities represent their largest time consumers, their willingness to delegate these activities, and barriers to and perceived outcomes of delegation. Overall, respondents indicated that they spend 25% of their time performing administrative activities that they would largely be willing to delegate; however, respondents were generally unwilling to delegate many typical genetic counseling and professional development activities, citing concerns regarding accuracy and liability, and highlighting the belief that these activities constitute the core role of a genetic counselor. Respondents indicated that delegation of time‐consuming administrative activities would increase access to genetic services and improve job satisfaction. Additionally, differences were identified among clinical specialties regarding which activities were selected as top time consumers, indicating that potential targets of re‐allocation of time or delegation may be variable. This research indicates a need to reduce the number of administrative tasks in which GCs are directly involved to re‐allocate time toward core responsibilities, direct patient care, and professional development, the result of which is more efficient use of the GC skill‐set.
dc.publisherWiley Periodicals, Inc.
dc.publisherIBM Corp
dc.subject.otherservice delivery
dc.subject.othertime‐consuming
dc.subject.otherworkforce
dc.subject.otheraccess
dc.subject.otherdelegation
dc.subject.otherefficiency
dc.subject.othergenetic counseling
dc.subject.othergenetic counselors
dc.subject.othergenetic services
dc.subject.otheroptimization
dc.subject.otherpractice models
dc.titleOptimizing efficiency and skill utilization: Analysis of genetic counselors’ attitudes regarding delegation in a clinical setting
dc.typeArticle
dc.rights.robotsIndexNoFollow
dc.subject.hlbsecondlevelHuman Genetics
dc.subject.hlbtoplevelHealth Sciences
dc.description.peerreviewedPeer Reviewed
dc.description.bitstreamurlhttps://deepblue.lib.umich.edu/bitstream/2027.42/154327/1/jgc41181.pdf
dc.description.bitstreamurlhttps://deepblue.lib.umich.edu/bitstream/2027.42/154327/2/jgc41181_am.pdf
dc.identifier.doi10.1002/jgc4.1181
dc.identifier.sourceJournal of Genetic Counseling
dc.identifier.citedreferencePaneque, M., Mendes, A., Guimaraes, L., Sequeiros, J., & Skirton, H. ( 2015 ). Genetics health professionals’ views on quality of genetic counseling service provision for presymptomatic testing in late‐onset neurological diseases in Portugal: Core components, specific challenges and the need for assessment tools. Journal of Genetic Counseling, 24 ( 4 ), 616 – 625. https://doi.org/10.1007/s10897-014-9784-6
dc.identifier.citedreferenceCox, S. L., Zlot, A. I., Silvey, K., Elliott, D., Horn, T., Johnson, A., & Leman, R. F. ( 2012 ). Patterns of cancer genetic testing: A randomized survey of Oregon clinicians. Journal of Cancer Epidemiology, 2012, 1 – 11. https://doi.org/10.1155/2012/294730
dc.identifier.citedreferenceDoerr, M., Edelman, E., Gabitzsch, E., Eng, C., & Teng, K. ( 2014 ). Formative evaluation of clinician experience with integrating family history‐based clinical decision support into clinical practice. Journal of Personalized Medicine, 4 ( 2 ), 115 – 136. https://doi.org/10.3390/jpm4020115
dc.identifier.citedreferenceErickson, S. M., Rockwern, B., Koltov, M., & McLean, R. M. ( 2017 ). Putting patients first by reducing administrative tasks in healthcare: A position paper of the American College of Physicians. Annals of Internal Medicine, 166 ( 9 ), 659 – 661. https://doi.org/10.7326/m16-2697
dc.identifier.citedreferenceHampel, H., Grubs, R. E., Walton, C. S., Nguyen, E., Breidenbach, D. H., Nettles, S., … Weik, L. A. ( 2009 ). Genetic counseling practice analysis. Journal of Genetic Counseling, 18 ( 3 ), 205 – 216. https://doi.org/10.1007/s10897-009-9216-1
dc.identifier.citedreferenceHartmann, J. E., Veach, P. M., MacFarlane, I. M., & LeRoy, B. S. ( 2015 ). Genetic counselor perceptions of genetic counseling session goals: A validation study of the reciprocal‐engagement model. Journal of Genetic Counseling, 24 ( 2 ), 225 – 237. https://doi.org/10.1007/s10897-013-9647-6
dc.identifier.citedreferenceHeald, B., Rybicki, L., Clements, D., Marquard, J., Mester, J., Noss, R., … Eng, C. ( 2016 ). Assessment of clinical workload for general and at an academic medical center: A tool for evaluating genetic counselling practices. NPJ Genomic Medicine, 1, 16010. https://doi.org/10.1038/npjgenmed.2016.10
dc.identifier.citedreferenceHoskovec, J. M., Bennett, R. L., Carey, M. E., DaVanzo, J. E., Dougherty, M., Hahn, S. E., … Wicklund, C. A. ( 2018 ). Projecting the supply and demand for certified genetic counselors: A workforce study. Journal of Genetic Counseling, 27 ( 1 ), 16 – 20. https://doi.org/10.1007/s10897-017-0158-8
dc.identifier.citedreferenceIBM Corp ( 2015 ). IBM SPSS statistics for windows (Version 23.0). Armonk, NY: IBM Corp.
dc.identifier.citedreferenceJohnstone, B., Kaiser, A., Injeyan, M. C., Sappleton, K., Chitayat, D., Stephens, D., & Shuman, C. ( 2016 ). The relationship between burnout and occupational stress in genetic counselors. Journal of Genetic Counseling, 25 ( 4 ), 731 – 741. https://doi.org/10.1007/s10897-016-9968-3
dc.identifier.citedreferenceKinney, A. Y., Butler, K. M., Schwartz, M. D., Mandelblatt, J. S., Boucher, K. M., Pappas, L. M., … Campo, R. A. ( 2014 ). Expanding access to BRCA1/2 genetic counseling with telephone delivery: A cluster randomized trial. Journal of the National Cancer Institute, 106 ( 12 ), dju328. https://doi.org/10.1093/jnci/dju328
dc.identifier.citedreferenceKurian, A. W., Li, Y., Hamilton, A. S., Ward, K. C., Hawley, S. T., Morrow, M., … Katz, S. J. ( 2017 ). Gaps in incorporating germline genetic testing into treatment decision‐making for early‐stage breast cancer. Journal of Clinical Oncology, 35 ( 20 ), 2232 – 2239. https://doi.org/10.1200/jco.2016.71.6480
dc.identifier.citedreferenceKurian, A. W., Ward, K. C., Hamilton, A. S., Deapen, D. M., Abrahamse, P., Bondarenko, I., … Katz, S. J. ( 2018 ). Uptake, results, and outcomes of germline multiple‐gene sequencing after diagnosis of breast cancer. JAMA Oncology, 4 ( 8 ), 1066 – 1072. https://doi.org/10.1001/jamaoncol.2018.0644
dc.identifier.citedreferenceMiller, C. E., Krautscheid, P., Baldwin, E. E., Tvrdik, T., Openshaw, A. S., Hart, K., & Lagrave, D. ( 2014 ). Genetic counselor review of genetic test orders in a reference laboratory reduces unnecessary testing. American Journal of Medical Genetics Part A, 164 ( 5 ), 1094 – 1101. https://doi.org/10.1002/ajmg.a.36453
dc.identifier.citedreferenceMvundura, M., Grosse, S. D., Hampel, H., & Palomaki, G. E. ( 2010 ). The cost‐effectiveness of genetic testing strategies for Lynch syndrome among newly diagnosed patients with colorectal cancer. Genetics in Medicine, 12 ( 2 ), 93 – 104. https://doi.org/10.1097/GIM.0b013e3181cd666c
dc.identifier.citedreferenceNational Society of Genetic Counselors ( 2014 ). 2014 Professional status survey. Retrieved from www.NSGC.org.
dc.identifier.citedreferenceNational Society of Genetic Counselors ( 2018 ). 2018 Professional status survey. Retrieved from www.NSGC.org.
dc.identifier.citedreferenceO’Shea, R., Murphy, A. M., Treacy, E., Lynch, S. A., Thirlaway, K., & Lambert, D. ( 2011 ). Communication of genetic information by other health professionals: The role of the genetic counsellor in specialist clinics. Journal of Genetic Counseling, 20 ( 2 ), 192 – 203. https://doi.org/10.1007/s10897-010-9337-6
dc.identifier.citedreferencePan, V., Yashar, B. M., Pothast, R., & Wicklund, C. ( 2016 ). Expanding the genetic counseling workforce: Program directors’ views on increasing the size of genetic counseling graduate programs. Genetics in Medicine, 18 ( 8 ), 842 – 849. https://doi.org/10.1038/gim.2015.179
dc.identifier.citedreferencePirzadeh‐Miller, S., Robinson, L. S., Read, P., & Ross, T. S. ( 2017 ). Genetic counseling assistants: An integral piece of the evolving genetic counseling service delivery model. Journal of Genetic Counseling, 26 ( 4 ), 716 – 727. https://doi.org/10.1007/s10897-016-0039-6
dc.identifier.citedreferencePlatten, U., Rantala, J., Lindblom, A., Brandberg, Y., Lindgren, G., & Arver, B. ( 2012 ). The use of telephone in genetic counseling versus in‐person counseling: A randomized study on counselees’ outcome. Familial Cancer, 11 ( 3 ), 371 – 379. https://doi.org/10.1007/s10689-012-9522-x
dc.identifier.citedreferencePritzlaff, M., Yorczyk, A., Robinson, L. S., Pirzadeh‐Miller, S., Lin, T., Euhus, D., & Ross, T. S. ( 2014 ). An internal performance assessment of CancerGene Connect: An electronic tool to streamline, measure and improve the genetic counseling process. Journal of Genetic Counseling, 23 ( 6 ), 1034 – 1044. https://doi.org/10.1007/s10897-014-9732-5
dc.identifier.citedreferenceSaldana, J. ( 2013 ). Chapter 3: First cycle coding methods. In J. Seaman (Ed.), The coding manual for qualitative researchers, 2nd ed. (pp. 67 – 210 ). Thousand Oaks, CA: SAGE Publishing.
dc.identifier.citedreferenceSanderson, S. C., Suckiel, S. A., Zweig, M., Bottinger, E. P., Jabs, E. W., & Richardson, L. D. ( 2016 ). Development and preliminary evaluation of an online educational video about whole‐genome sequencing for research participants, patients, and the general public. Genetics in Medicine, 18 ( 5 ), 501 – 512. https://doi.org/10.1038/gim.2015.118
dc.identifier.citedreferenceShanafelt, T. D., Bradley, K. A., Wipf, J. E., & Back, A. L. ( 2002 ). Burnout and self‐reported patient care in an internal medicine residency program. Annals of Internal Medicine, 136 ( 5 ), 358 – 367. https://doi.org/10.7326/0003-4819-136-5-200203050-00008
dc.identifier.citedreferenceUhlmann, W. R., Schwalm, K., & Raymond, V. M. ( 2017 ). Development of a streamlined work flow for handling patients’ genetic testing insurance authorizations. Journal of Genetic Counseling, 26 ( 4 ), 657 – 668. https://doi.org/10.1007/s10897-017-0098-3
dc.identifier.citedreferenceVandenBoom, E., Trepanier, A. M., & Carmany, E. P. ( 2018 ). Assessment of current genetic counselor practices in post‐visit written communications to patients. Journal of Genetic Counseling, 27 ( 3 ), 681 – 688. https://doi.org/10.1007/s10897-017-0163-y
dc.identifier.citedreferenceWest, C. P., Tan, A. D., Habermann, T. M., Sloan, J. A., & Shanafelt, T. D. ( 2009 ). Association of resident fatigue and distress with perceived medical errors. JAMA, 302 ( 12 ), 1294 – 1300. https://doi.org/10.1001/jama.2009.1389
dc.identifier.citedreferenceWham, D., Vu, T., Chan‐Smutko, G., Kobelka, C., Urbauer, D., & Heald, B. ( 2010 ). Assessment of clinical practices among cancer genetic counselors. Familial Cancer, 9 ( 3 ), 459 – 468. https://doi.org/10.1007/s10689-010-9326-9
dc.identifier.citedreferenceYee, L. M., Wolf, M., Mullen, R., Bergeron, A. R., Cooper Bailey, S., Levine, R., & Grobman, W. A. ( 2014 ). A randomized trial of a prenatal genetic testing interactive computerized information aid. Prenatal Diagnosis, 34 ( 6 ), 552 – 557. https://doi.org/10.1002/pd.4347
dc.identifier.citedreferenceAccreditation Council for Genetic Counseling ( 2015 ). Practice‐based competencies for genetic counselors. Retrieved from www.gceducation.org.
dc.identifier.citedreferenceAttard, C. A., Carmany, E. P., & Trepanier, A. M. ( 2019 ). Genetic counselor workflow study: The times are they a‐changin’? Journal of Genetic Counseling, 28 ( 1 ), 130 – 140. https://doi.org/10.1002/jgc4.1041
dc.identifier.citedreferenceBlock, L., Wu, A. W., Feldman, L., Yeh, H. C., & Desai, S. V. ( 2013 ). Residency schedule, burnout and patient care among first‐year residents. Postgraduate Medical Journal, 89 ( 1055 ), 495 – 500. https://doi.org/10.1136/postgradmedj-2012-131743
dc.identifier.citedreferenceCohen, S. A., Marvin, M. L., Riley, B. D., Vig, H. S., Rousseau, J. A., & Gustafson, S. L. ( 2013 ). Identification of genetic counseling service delivery models in practice: A report from the NSGC Service Delivery Model Task Force. Journal of Genetic Counseling, 22 ( 4 ), 411 – 421. https://doi.org/10.1007/s10897-013-9588-0
dc.identifier.citedreferenceCohen, S. A., & McIlvried, D. E. ( 2011 ). Impact of computer‐assisted data collection, evaluation and management on the cancer genetic counselor’s time providing patient care. Familial Cancer, 10 ( 2 ), 381 – 389. https://doi.org/10.1007/s10689-011-9417-2
dc.identifier.citedreferenceCohen, S. A., & McIlvried, D. ( 2013 ). Improving access with a collaborative approach to cancer genetic counseling services: A pilot study. Community Oncology, 10 ( 8 ), 227 – 234. https://doi.org/10.12788/j.cmonc.0031
dc.identifier.citedreferenceCohen, S. A., & Tucker, M. E. ( 2018 ). Movement of genetic counselors from clinical to non‐clinical positions: Identifying driving forces. Journal of Genetic Counseling, 27 ( 4 ), 792 – 799. https://doi.org/10.1007/s10897-018-0242-8
dc.identifier.citedreferenceConcert Genetics ( 2018 ). The current landscape of genetic testing: market growth, reimbursement trends, challenges and opportunities. Retrieved from www.concertgenetics.com.
dc.owningcollnameInterdisciplinary and Peer-Reviewed


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