scholarly journals The Need for Education and Clinical Best Practice Guidelines in the Era of Direct-to-Consumer Genomic Testing

10.2196/21787 ◽  
2020 ◽  
Vol 6 (2) ◽  
pp. e21787
Author(s):  
Madeleine Myers ◽  
Cinnamon Bloss
Keyword(s):  
Primary Care ◽  
Primary Care Physicians ◽  
Best Practice ◽  
Care Setting ◽  
Genomic Testing ◽  
Personal Genomic ◽  
Direct To Consumer ◽  
Best Practice Guidelines ◽  
New Guidelines ◽  
Clinical Best Practice

Many people share the results of their direct-to-consumer personal genomic testing (DTC-PGT) within the primary care setting, seeking interpretation of and counsel about the results. However, most primary care physicians (PCPs) are not trained to interpret and communicate about DTC-PGT results. New guidelines must be developed to help PCPs maximize the potential of emerging DTC-PGT technologies.

scholarly journals The Need for Education and Clinical Best Practice Guidelines in the Era of Direct-to-Consumer Genomic Testing (Preprint)

2020 ◽  
Author(s):  
Madeleine Myers ◽  
Cinnamon Bloss
Keyword(s):  
Primary Care ◽  
Primary Care Physicians ◽  
Best Practice ◽  
Care Setting ◽  
Genomic Testing ◽  
Personal Genomic ◽  
Direct To Consumer ◽  
Best Practice Guidelines ◽  
New Guidelines ◽  
Clinical Best Practice

UNSTRUCTURED Many people share the results of their direct-to-consumer personal genomic testing (DTC-PGT) within the primary care setting, seeking interpretation of and counsel about the results. However, most primary care physicians (PCPs) are not trained to interpret and communicate about DTC-PGT results. New guidelines must be developed to help PCPs maximize the potential of emerging DTC-PGT technologies.

Consumer Perceptions of Interactions With Primary Care Providers After Direct-to-Consumer Personal Genomic Testing

2016 ◽  
Vol 164 (8) ◽  
pp. 513 ◽  
Author(s):  
Cathelijne H. van der Wouden ◽  
Deanna Alexis Carere ◽  
Anke H. Maitland-van der Zee ◽  
Mack T. Ruffin ◽  
J. Scott Roberts ◽  
...  
Keyword(s):  
Primary Care ◽  
Primary Care Providers ◽  
Consumer Perceptions ◽  
Genomic Testing ◽  
Care Providers ◽  
Personal Genomic ◽  
Personal Genomic Testing ◽  
Direct To Consumer

scholarly journals Development of Best Practice Guidelines for Primary Care to Support Patients Who Use Substances

2020 ◽  
Vol 11 ◽  
pp. 215013272096365
Author(s):  
Elizabeth Hartney ◽  
D. Kelly Barnard ◽  
Jillian Richman
Keyword(s):  
Primary Care ◽  
Practice Guidelines ◽  
Primary Care Physicians ◽  
Best Practice ◽  
Treatment Plan ◽  
Surgical Care ◽  
Cultural Safety ◽  
Clinical Environment ◽  
Best Practice Guidelines ◽  
Long Term Treatment

Introduction People who use substances often mistrust the primary care system, impeding access. Objectives To build on research clarifying how to improve patients’ feelings of safety, through co-creating best practice guidelines with physicians and patient representatives. Methods After obtaining Research Ethics Board approval, this qualitative study engaged 22 participants including patients, physicians, and health system partners. We held a series of workshops, co-facilitated by patients and researchers, corresponding to 3 phases of the research: (1) establishment of cultural safety processes for participants during the workshops; (2) a facilitated, collaborative world café to develop guideline content; (3) validation of best practice guidelines. An implementation plan was developed and implemented. Finally, an external peer review was conducted by McGill University. Results Best practices guidelines were developed giving the patient perspective on how to enhance primary care, as follows: (1) become trauma informed; (2) consider your clinical environment; (3) build a network; (4) supply an array of resources; (5) co-create a long-term treatment plan; (6) help me to stay healthy; (7) ensure timely access to specialized medical and surgical care; (8) be an advocate; (9) ask for feedback; (10) follow up. Resources were developed and disseminated. Conclusion The best practice guidelines reflect the patients’ perspectives on common challenges patients have encountered, which impede their access to primary care. They support primary care physicians in providing more effective services to this challenging population of patients.

scholarly journals Introducing New Guidelines on Geoheritage Conservation in Protected and Conserved Areas

Geoheritage ◽  
2021 ◽  
Vol 13 (2) ◽  
Author(s):  
Roger Crofts ◽  
Dan Tormey ◽  
John E. Gordon
Keyword(s):  
Practice Guidelines ◽  
Best Practice ◽  
Communication To The Public ◽  
The Public ◽  
Best Practice Guidelines ◽  
The World ◽  
New Guidelines ◽  
The Many ◽  
Ethical Basis ◽  
Improve Practice

AbstractThis paper introduces newly published guidelines on geoheritage conservation in protected and conserved areas within the “IUCN WCPA Best Practice Guidelines” series. It explains the need for the guidelines and outlines the ethical basis of geoheritage values and geoconservation principles as the fundamental framework within which to advance geoheritage conservation. Best practice in establishing and managing protected and conserved areas for geoconservation is described with examples from around the world. Particular emphasis is given to the methodology and practice for dealing with the many threats to geoheritage, highlighting in particular how to improve practice for areas with caves and karst, glacial and periglacial, and volcanic features and processes, and for palaeontology and mineral sites. Guidance to improve education and communication to the public through modern and conventional means is also highlighted as a key stage in delivering effective geoconservation. A request is made to geoconservation experts to continue to share best practice examples of developing methodologies and best practice in management to guide non-experts in their work. Finally, a number of suggestions are made on how geoconservation can be further promoted.

Are Pediatricians Ready for the New Guidelines on Lead Poisoning?

PEDIATRICS ◽  
1994 ◽  
Vol 93 (2) ◽  
pp. 178-182 ◽  
Author(s):  
Miriam E. Bar-on ◽  
Russell M. Boyle
Keyword(s):  
Primary Care ◽  
Disease Control ◽  
Lead Poisoning ◽  
Primary Care Physicians ◽  
The State ◽  
Physician Education ◽  
Screening Practices ◽  
Centers For Disease Control ◽  
New Guidelines ◽  
Primary Care Pediatricians

In 1991 the Centers for Disease Control established new guidelines for the definition of and screening for lead poisoning. Objective. To assess: (1) pediatricians' knowledge of lead poisoning including the most recent literature on the subject, and (2) their screening practices. Design, setting, subjects. A 22-item questionnaire was developed and validated. The survey was mailed to 1183 physicians in Virginia who were self-designated as pediatricians in the state medical registry. Results. Sixty-nine percent (391/556) of those responding practiced primary care and 27% (153/556) were subspecialists. They were evenly distributed throughout the state. Of the respondents, 62% were male, 86% were white, and 72% trained at a university program. The median year for training completion was 1978. Demographic differences were not demonstrated (χ2) between primary care pediatricians and subspecialists. Responses demonstrated an overall deficiency in physicians' knowledge of lead poisoning with specific deficiencies in knowledge of the literature, with mean ± SD correct responses of 15.7 ± 3.4. Primary care pediatricians scored significantly better than subspecialists: 16.2 ± 3.0 vs 14.7 ± 4.1 (P < .001, t-test). Twelve percent of the total group and 13.5% of primary care physicians were screening all their patients. Conclusions. Although primary care pediatricians (self-designated) are more knowledgeable about lead poisoning than their subspecialist colleagues, there are still deficiencies, and screening practices must be modified in both groups. To successfully implement the new Centers for Disease Control and Prevention guidelines, physician education must be a priority.

An Examination of the Prescription Renewal Process and Implications for Primary Care Physicians and Community Pharmacists

2018 ◽  
Vol 33 (2) ◽  
pp. 187-191
Author(s):  
Anthony J. Pattin ◽  
Nathan Devore ◽  
Jonathan Fowler ◽  
David Weldy
Keyword(s):  
Primary Care ◽  
Renewal Process ◽  
Primary Care Physicians ◽  
Care Setting ◽  
Primary Care Setting ◽  
Community Pharmacists ◽  
Effective Management ◽  
Physician Practices ◽  
Staff Members ◽  
Inappropriate Medications

In physician practices and pharmacies, staff members work to process prescription renewals so that patients receive a steady supply of medications. These functions are essential to ensure patients have continuous access to medications and remain adherent to prescribed therapies. Despite the incorporation of e-prescribing software programs to ease management of these processes, barriers to effective management of the prescription renewal process exist. Mismanagement of pharmacy adherence programs can ultimately lead to patients receiving inappropriate medications and excessive use of staff resources. The objective of this article is to examine the prescription renewal process in both the primary care setting and the pharmacy and report challenges associated with the process. A literature review was conducted to find studies that describe pharmacists’ and physicians’ handlings of prescription renewals, use of e-prescribing software, and benefits and barriers to using these technologies. Although studies report e-prescribing software improves efficiency in the prescription renewal process, there is a need to reduce technological problems that create challenges in use. It is recommended that staff within physician practices and pharmacies standardize prescription renewal processes and educate patients about the prescription renewal process.

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