The challenge of integrating genetic medicine into primary care

doi:10.1136/bmj.322.7293.1027

BMJ 2001;322:1027-1030 ( 28 April )

Primary care

The challenge of integrating genetic medicine into primary care

Jon Emery, clinical lecturer ^a, Susan Hayflick, associate professor ^b.

^a General Practice and Primary Care Research Unit, Department of Public Health and Primary Care, University of Cambridge, Institute of Public Health, Cambridge CB2 2SR, ^b Molecular and Medical Genetics, Pediatrics and Neurology, Oregon Health Sciences University, 3181 SW Sam Jackson Park Road, Portland, OR 97201, USA

Correspondence to: J Emery jde10@medschl.cam.ac.uk

The first 150 words of the full text of this article appear below.

The likely increases in availability of DNA based tests and demand by patients for genetic information and advice mean thatprimary care practitioners will need to become genetically literate. ¹ ² Genetic medicine is already beginning to enter the realms of primarycare through the availability of testing for predisposition tocertain cancers and carrier screening and diagnostic tests forcommon recessive disorders such as cystic fibrosis and hereditaryhaemochromatosis. For the near future these issues will probablyremain the focus of genetic medicine in primary care, but thiscould shift if pharmacogenetic research fulfils even some of itsearlypromises.

We discuss the implications of genetic advances for primary care, how genetic medicine could be integrated into primary care,and the skills that primary care practitioners will need to provideadvice.

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