Academic (AO) and community (CO) oncologists’ knowledge, understanding, and preparedness for clinical next-generation sequencing genomic testing (NGSGT).

Development of a Center for Personalized Cancer Care at a Regional Cancer Center

“…The development of programs that integrate NGS in academic settings has preceded advances among community oncologists, in part based on differences in knowledge, understanding, and preparedness for clinical NGS testing and genetic counselor availability and expertise. 29,30 We present our experience with developing a CPCC founded on using an in-house Ion Torrent PGM to generate NGS results subsequently discussed at a multidisciplinary TSAB. Several findings from this initial experience at a regional cancer center warrant discussion.…”

Understanding patient and provider perceptions and expectations of genomic medicine

“…A study examining the potential use of genomic testing to assess prostate cancer risk found participating urologists to have low levels of confidence in their genomics skill‐set, and to be highly reluctant to use genomic testing in practice . Confidence in genomic skills and know‐how has been noted in several studies to impact provider behaviors towards genomic tests, and has been associated with greater likelihood of ordering tumor‐based genomic testing, knowledge, and being an academic clinician. Recently, Grey at al found highly variable levels of genomic confidence among oncologists at a tertiary care cancer center related to the incorporation of a novel multi‐gene genomic test into clinical practice.…”

“…It further seems likely that before providers are ready to fully embrace genomic medicine, substantial progress to demonstrate the utility of genomics is needed, as well as focused education, interpretation and communication skills training for providers to be able to respond to the informational needs of patients. Training may be particularly important among primary care and community providers, who to date may have less practical experience with genomic testing . Unquestionably, the delivery of germ‐line and somatic genomic medicine is rapidly changing at this time, and even current established knowledge levels, attitudes, and behaviors are likely to change.…”

Genomic sequencing in oncology: Considerations for integration in routine cancer care

“…Involvement with genomics‐based research and/or teaching may influence familiarity and confidence with genomics. Knowledge scores, perceived understanding and preparedness for genomic testing were higher amongst clinicians with a parallel academic role (Innocent et al, 2014 ). Similarly, oncologists practising outside major metropolitan areas reported less knowledge about new genetic technologies (Chow‐White et al, 2017 ).…”