General practitioners' views on genomics, practice and education: A qualitative interview study

Aust J Gen Pract. 2021 Oct;50(10):747-752. doi: 10.31128/AJGP-05-20-5448.

Abstract

Background and objectives: Genomics is moving rapidly into mainstream medicine through clinical genomic testing and consumer-initiated online DNA testing. The aim of this study was to identify Australian general practitioners' (GPs') views on genomics, impact on practice and educational needs to inform continuing education.

Method: Semi-structured interviews were conducted, with constant comparative inductive analysis and governance from a national taskforce.

Results: Twenty-eight GPs (43% female) were interviewed; 71% worked in a metropolitan workplace. Most initially reported little experience with genetic/genomic tests but, when prompted, recognised encountering genomics, mainly non-invasive prenatal and single-gene tests. Many GPs referred patients for cancer screening to genetic services or specialists. GPs reported needing continuing education and resources, with preferences underpinned by relevance to practice.

Discussion: GPs are integrating genomic testing into care, mainly through prenatal screening, and anticipate further impact. They want diverse and context-dependent education but are unaware of some available resources, such as The Royal Australian College of General Practitioners' Genomics in general practice guideline.

MeSH terms

  • Attitude of Health Personnel
  • Australia
  • Female
  • General Practitioners*
  • Genomics
  • Humans
  • Male
  • Pregnancy
  • Qualitative Research