ABSTRACT
BACKGROUND: Knowledge about hereditary colorectal cancer (CRC) can aid cancer screening and prevention in high-risk patients. Genetic testing, once conducted primarily at academic centers, is now routinely performed in a variety of clinics. Nonacademic physicians may not be aware of hereditary CRC standards of care. METHODS: From August to November 2012, a survey was administered to predominantly primary care physicians evaluating academic center affiliation, past training in genetics and knowledge regarding hereditary CRC. RESULTS: One hundred forty physicians completed the survey. Knowledge of hereditary CRC was neither associated with academic affiliation nor with training during medical school or residency, but with continuing medical education (CME) training. Those with CME training were more likely to know that screening could be enhanced for patients with a hereditary cancer risk (OR = 4.49, 95% CI = 1.40-14.38) and that an individual with hereditary CRC would have different screening recommendations (OR = 7.49, 95% CI = 1.37-40.81). Residency training and CME training were associated with more frequent hereditary risk assessment. CONCLUSION: Genetics training may be associated with physicians' knowledge and assessment of hereditary CRC. Training at the CME level in particular may be integral to the delivery of genetic services in clinical practice.
Subject(s)
Academic Medical Centers , Colorectal Neoplasms , Education, Medical/statistics & numerical data , Genetics, Medical/education , Health Knowledge, Attitudes, Practice , Physicians, Primary Care/education , Practice Patterns, Physicians'/statistics & numerical data , Clinical Competence/statistics & numerical data , Colorectal Neoplasms/diagnosis , Colorectal Neoplasms/genetics , Colorectal Neoplasms/prevention & control , Data Collection , Early Detection of Cancer/statistics & numerical data , Education, Medical, Continuing/statistics & numerical data , Female , Genetic Testing/statistics & numerical data , Humans , Male , Middle Aged , Risk Assessment/statistics & numerical data , United StatesABSTRACT
OBJECTIVES: To normalize rapid human immunodeficiency virus (HIV) testing in the United States, expanded rapid HIV testing initiatives are needed outside the routine medical setting. The dental setting is a logical choice as almost two-thirds of Americans regularly see a dental provider each year. This study was aimed to determine the dental hygienists' knowledge of HIV, attitudes towards people living with HIV and willingness to conduct rapid HIV testing. METHODS: A national cross-sectional survey of practicing dental hygienists and senior dental hygiene students were recruited using state dental hygiene associations, email LISTSERVS, dental hygiene programmes and continuing education conferences (n = 634). RESULTS: The mean knowledge score was 10.5/13. High versus low test-scorers (75% of test questions or more answered correctly versus less than 75% answered correctly) did differ in their comfort level in counselling about sexual HIV prevention methods (P = 0.03) and comfort level in working with medically compromised patients (P = 0.04). CONCLUSION: Dental hygienists, with additional training in HIV prevention counseling and diagnostic testing, may be an appropriate profession to conduct rapid HIV testing.
