Genetic and Environmental Risk Assessment and Colorectal Cancer Screening
Authors: Sara M. Pirzadeh-Miller, Victoria M. Raymond, Sara Knapke
Journal: Annals of Internal Medicine (2015)

Letters7 April 2015Genetic and Environmental Risk Assessment and Colorectal Cancer ScreeningSara M. Pirzadeh-Miller, MS, Victoria M. Raymond, MS, and Sara Knapke, MSSara M. Pirzadeh-Miller, MSFrom University of Texas Southwestern Medical Center, Dallas, Texas; University of Michigan, Ann Arbor, Michigan; and Cincinnati Children's Hospital, Cincinnati, Ohio.Search for more papers by this author, Victoria M. Raymond, MSFrom University of Texas Southwestern Medical Center, Dallas, Texas; University of Michigan, Ann Arbor, Michigan; and Cincinnati Children's Hospital, Cincinnati, Ohio.Search for more papers by this author, and Sara Knapke, MSFrom University of Texas Southwestern Medical Center, Dallas, Texas; University of Michigan, Ann Arbor, Michigan; and Cincinnati Children's Hospital, Cincinnati, Ohio.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/L15-5072 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail TO THE EDITOR:Weinberg and colleagues' article (1) highlights the complexities of using genetic polymorphisms and their associated cancer risk to encourage lifestyle modifications. The study attempts to consider risks, benefits, and potential barriers to personalized medicine and associated patient and provider uptake. The authors discuss their rationale for using trained nurses in lieu of genetic counselors, stating that the number of genetic counselors seems inadequate to meet health service needs even in high-risk settings, citing a reference from 1990 (2) that does not reflect current data.Currently, there are more than 4000 certified genetic counselors in the United States, ...References1. Weinberg DS, Myers RE, Keenan E, Ruth K, Sifri R, Ziring B, et al. Genetic and environmental risk assessment and colorectal cancer screening in an average-risk population: a randomized trial. Ann Intern Med. 2014;161:537-45. [PMID: 25329201] doi:10.7326/M14-0765 LinkGoogle Scholar2. Wilfond BS, Fost N. The cystic fibrosis gene: medical and social implications for heterozygote detection. JAMA. 1990;263:2777-83. [PMID: 11653890] CrossrefMedlineGoogle Scholar3. National Society of Genetic Counselors. NSGC Professional Status Survey 2014. Chicago: National Society of Genetic Counselors; 2014. Google Scholar4. AllHealthcare. 10 best healthcare jobs with a master's degree: genetic counselor. 2014. Accessed at http://allhealthcare.monster.com/careers/articles/3125-10-best-healthcare-jobs-with-a-masters-degree?page=11 on 19 November 2014. Google Scholar5. Weintraub A. Study a hot concentration today for a future health care job. U.S. News & World Report. 19 March 2014. Accessed at www.usnews.com/education/best-graduate-schools/articles/2014/03/19/study-a-hot-concentration-today-for-a-future-health-care-job on 19 November 2014. Google Scholar6. Dorfman M. Six-figure jobs: genetic counselors earn up to $250K. AOL Jobs. 10 November 2014. Accessed at http://jobs.aol.com/articles/2014/11/10/six-figure-jobs-genetic-counselors-earn-up-to-250k on 9 November 2014. Google Scholar Author, Article, and Disclosure InformationAffiliations: From University of Texas Southwestern Medical Center, Dallas, Texas; University of Michigan, Ann Arbor, Michigan; and Cincinnati Children's Hospital, Cincinnati, Ohio.Disclosures: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=L15-0019. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoGenetic and Environmental Risk Assessment and Colorectal Cancer Screening in an Average-Risk Population David S. Weinberg , Ronald E. Myers , Eileen Keenan , Karen Ruth , Randa Sifri , Barry Ziring , Eric Ross , and Sharon L. Manne Genetic and Environmental Risk Assessment and Colorectal Cancer Screening in an Average-Risk Population David S. Weinberg , Ronald E. Myers , Eileen Keenan , Karen Ruth , Randa Sifri , Barry Ziring , Eric Ross , and Sharon L. Manne Genetic and Environmental Risk Assessment and Colorectal Cancer Screening Thomas F. Imperiale Genetic and Environmental Risk Assessment and Colorectal Cancer Screening Thomas F. Imperiale Metrics Cited byContemporary Challenges in Genetic Testing for Breast Cancer: A Collaboration Opportunity for Genetic Counselors and Breast Surgeons 7 April 2015Volume 162, Issue 7Page: 526KeywordsCancer geneticsDisclosureGenetic counselingGenetic testingGenomicsHealth careMedical servicesPatientsPrecision medicine ePublished: 7 April 2015 Issue Published: 7 April 2015 Copyright & PermissionsCopyright © 2015 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...