Optimizing efficiency and skill utilization: Analysis of genetic counselors’ attitudes regarding delegation in a clinical setting
dc.contributor.author | Read, Parker | |
dc.contributor.author | Yashar, Beverly M. | |
dc.contributor.author | Robinson, Linda | |
dc.contributor.author | Marvin, Monica | |
dc.date.accessioned | 2020-03-17T18:28:59Z | |
dc.date.available | WITHHELD_12_MONTHS | |
dc.date.available | 2020-03-17T18:28:59Z | |
dc.date.issued | 2020-02 | |
dc.identifier.citation | Read, 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.issn | 1059-7700 | |
dc.identifier.issn | 1573-3599 | |
dc.identifier.uri | https://hdl.handle.net/2027.42/154327 | |
dc.description.abstract | This 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.publisher | Wiley Periodicals, Inc. | |
dc.publisher | IBM Corp | |
dc.subject.other | service delivery | |
dc.subject.other | time‐consuming | |
dc.subject.other | workforce | |
dc.subject.other | access | |
dc.subject.other | delegation | |
dc.subject.other | efficiency | |
dc.subject.other | genetic counseling | |
dc.subject.other | genetic counselors | |
dc.subject.other | genetic services | |
dc.subject.other | optimization | |
dc.subject.other | practice models | |
dc.title | Optimizing efficiency and skill utilization: Analysis of genetic counselors’ attitudes regarding delegation in a clinical setting | |
dc.type | Article | |
dc.rights.robots | IndexNoFollow | |
dc.subject.hlbsecondlevel | Human Genetics | |
dc.subject.hlbtoplevel | Health Sciences | |
dc.description.peerreviewed | Peer Reviewed | |
dc.description.bitstreamurl | https://deepblue.lib.umich.edu/bitstream/2027.42/154327/1/jgc41181.pdf | |
dc.description.bitstreamurl | https://deepblue.lib.umich.edu/bitstream/2027.42/154327/2/jgc41181_am.pdf | |
dc.identifier.doi | 10.1002/jgc4.1181 | |
dc.identifier.source | Journal of Genetic Counseling | |
dc.identifier.citedreference | Paneque, 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.citedreference | Cox, 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.citedreference | Doerr, 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.citedreference | Erickson, 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.citedreference | Hampel, 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.citedreference | Hartmann, 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.citedreference | Heald, 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.citedreference | Hoskovec, 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.citedreference | IBM Corp ( 2015 ). IBM SPSS statistics for windows (Version 23.0). Armonk, NY: IBM Corp. | |
dc.identifier.citedreference | Johnstone, 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.citedreference | Kinney, 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.citedreference | Kurian, 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.citedreference | Kurian, 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.citedreference | Miller, 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.citedreference | Mvundura, 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.citedreference | National Society of Genetic Counselors ( 2014 ). 2014 Professional status survey. Retrieved from www.NSGC.org. | |
dc.identifier.citedreference | National Society of Genetic Counselors ( 2018 ). 2018 Professional status survey. Retrieved from www.NSGC.org. | |
dc.identifier.citedreference | O’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.citedreference | Pan, 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.citedreference | Pirzadeh‐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.citedreference | Platten, 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.citedreference | Pritzlaff, 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.citedreference | Saldana, 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.citedreference | Sanderson, 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.citedreference | Shanafelt, 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.citedreference | Uhlmann, 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.citedreference | VandenBoom, 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.citedreference | West, 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.citedreference | Wham, 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.citedreference | Yee, 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.citedreference | Accreditation Council for Genetic Counseling ( 2015 ). Practice‐based competencies for genetic counselors. Retrieved from www.gceducation.org. | |
dc.identifier.citedreference | Attard, 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.citedreference | Block, 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.citedreference | Cohen, 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.citedreference | Cohen, 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.citedreference | Cohen, 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.citedreference | Cohen, 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.citedreference | Concert Genetics ( 2018 ). The current landscape of genetic testing: market growth, reimbursement trends, challenges and opportunities. Retrieved from www.concertgenetics.com. | |
dc.owningcollname | Interdisciplinary and Peer-Reviewed |
Files in this item
Remediation of Harmful Language
The University of Michigan Library aims to describe library materials in a way that respects the people and communities who create, use, and are represented in our collections. Report harmful or offensive language in catalog records, finding aids, or elsewhere in our collections anonymously through our metadata feedback form. More information at Remediation of Harmful Language.
Accessibility
If you are unable to use this file in its current format, please select the Contact Us link and we can modify it to make it more accessible to you.