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Recommendations for the integration of genomics into clinical practice
Journal article   Open access   Peer reviewed

Recommendations for the integration of genomics into clinical practice

Sarah Bowdin, Adel Gilbert, Emma Bedoukian, Christopher Carew, Margaret P. Adam, John Belmont, Barbara Bernhardt, Leslie Biesecker, Hans T. Bjornsson, Miriam Blitzer, …
Genetics in medicine, v 18(11), pp 1075-1084
Nov 2016
PMID: 27171546
url
https://www.nature.com/articles/gim201617.pdfView
Published, Version of Record (VoR) Open
url
https://doi.org/10.1038/gim.2016.17View
Published, Version of Record (VoR) Open

Abstract

clinical genetics genetics counseling genomics phenotyping precision medicine
The introduction of diagnostic clinical genome and exome sequencing (CGES) is changing the scope of practice for clinical geneticists. Many large institutions are making a significant investment in infrastructure and technology, allowing clinicians to access CGES, especially as health-care coverage begins to extend to clinically indicated genomic sequencing-based tests. Translating and realizing the comprehensive clinical benefits of genomic medicine remain a key challenge for the current and future care of patients. With the increasing application of CGES, it is necessary for geneticists and other health-care providers to understand its benefits and limitations in order to interpret the clinical relevance of genomic variants identified in the context of health and disease. New, collaborative working relationships with specialists across diverse disciplines (e.g., clinicians, laboratorians, bioinformaticians) will undoubtedly be key attributes of the future practice of clinical genetics and may serve as an example for other specialties in medicine. These new skills and relationships will also inform the development of the future model of clinical genetics training curricula. To address the evolving role of the clinical geneticist in the rapidly changing climate of genomic medicine, two Clinical Genetics Think Tank meetings were held that brought together physicians, laboratorians, scientists, genetic counselors, trainees, and patients with experience in clinical genetics, genetic diagnostics, and genetics education. This article provides recommendations that will guide the integration of genomics into clinical practice. Genet Med18 11, 1075–1084.

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Genetics & Heredity
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