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ORIGINAL RESEARCH |
From the Department of Obstetrics and Gynecology, Brigham and Women’s Hospital, Harvard Medical School, Boston, Massachusetts; The American College of Obstetricians and Gynecologists, Washington, DC; and the Department of Psychology, University of Maryland College Park, College Park, Maryland.
Address reprint requests to: Jay Schulkin, PhD Department of Research American College of Obstetricians and Gynecologists 409 12th Street, SW Washington, DC 20024-2188
Objective: To investigate obstetricians’ genetic knowledge base and practice trends.
Methods: A questionnaire survey was sent to 1003 ACOG Fellows, 554 (55%) of whom responded. Results from the 446 respondents practicing obstetrics are reported.
Results: The majority of obstetricians surveyed (85.6%) reported completing standardized genetic-history forms for prenatal patients, and about half (48%) performed their own invasive diagnostic procedures. Most (87%) had access to genetic counselors. For aneuploidy risks associated with advanced maternal age, up to 69% of respondents provided at least some patient counseling in their offices. Physician knowledge of risk assessment and diagnostic testing in the areas of aneuploidy and neural tube defects was very good; however, for single-gene disorders such as cystic fibrosis, Tay-Sachs disease, and sickle cell disease, correct risk assessment or appropriate test selection presented difficulties for at least half of the respondents. Respondents cited the rapidity of changes in genetic testing as the greatest obstacle to providing genetic information to patients.
Conclusion: Obstetricians’ knowledge of inheritance and test selection pertaining to single-gene disorders was more limited than that for aneuploidy and neural tube defects. Comparable deficits were noted in patient-education efforts for single-gene disorders.
This article has been cited by other articles:
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  J. Cleary-Goldman, B. Bettes, J. N. Robinson, E. Norwitz, and J. Schulkin Thrombophilia and the Obstetric Patient Obstet. Gynecol., September 1, 2007; 110(3): 669 - 674. [Abstract] [Full Text] [PDF]
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K. Keeton, D. E. Fenner, T. R. B. Johnson, and R. A. Hayward Predictors of Physician Career Satisfaction, Work-Life Balance, and Burnout Obstet. Gynecol., April 1, 2007; 109(4): 949 - 955. [Abstract] [Full Text] [PDF]
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 M A Morgan, J Dana, G Loewenstein, S Zinberg, and J Schulkin Interactions of doctors with the pharmaceutical industry. J. Med. Ethics, October 1, 2006; 32(10): 559 - 563. [Abstract] [Full Text] [PDF]
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J. Cleary-Goldman, M. A. Morgan, F. D. Malone, J. N. Robinson, M. E. D'Alton, and J. Schulkin Screening for Down Syndrome: Practice Patterns and Knowledge of Obstetricians and Gynecologists Obstet. Gynecol., January 1, 2006; 107(1): 11 - 17. [Abstract] [Full Text] [PDF]
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J. Cleary-Goldman, M. A. Morgan, J. N. Robinson, M. E. D'Alton, and J. Schulkin Multiple Pregnancy: Knowledge and Practice Patterns of Obstetricians and Gynecologists Obstet. Gynecol., August 1, 2004; 104(2): 232 - 237. [Abstract] [Full Text] [PDF]
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N. L. Stanwood, J. M. Garrett, and T. R. Konrad Obstetrician-Gynecologists and the Intrauterine Device: A Survey of Attitudes and Practice Obstet. Gynecol., February 1, 2002; 99(2): 275 - 280. [Abstract] [Full Text] [PDF]
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L. WILKINS-HAUG, L. D. HILL, M. L. POWER, G. B. HOLZMAN, and J. SCHULKIN Gynecologists' Training, Knowledge, and Experiences in Genetics: A Survey Obstet. Gynecol., March 1, 2000; 95(3): 421 - 424. [Abstract] [Full Text] [PDF]
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