Gynecologists' training: Knowledge, and experiences in genetics: A survey

Objective: To explore gynecologists' knowledge, training, and practice experience with genetic screening and DNA-based testing. Methods: A questionnaire survey was sent to 1248 ACOG Fellows, of whom 564 (45%) responded. One hundred thirty-four respondents (24%) reported that they do not order DNA-based tests or take family histories to screen for heritable diseases or disorders. Results from the 428 respondents who provide genetic screening services are reported. Results: Most physicians (90%) knew that genetic tests are most: informative when used in conjunction with family histories. Gynecologists gave more correct responses regarding genetic testing for breast and ovarian cancers than for colon cancer and other adult-onset diseases. Sixty-five percent of the respondents had not received formal training in DNA-based testing in gynecologic practice. Older physicians were less likely to have had training. Younger physicians generally gave more correct responses on the knowledge portion of the survey (r = -.165, P < .01). physicians who had formal training in genetics gave more correct answers. Physicians who order DNA-based tests scored higher than those who do not and had no formal training, but not higher than those who had formal training and do not order DNA-based tests. Conclusion: Gynecologists were more knowledgeable about genetic issues pertaining to breast and ovarian cancer than to other cancers or certain adult-onset disorders. Training appeared to increase knowledge, Increased training and affiliation with genetic specialists and others could improve gynecologists' ability to use genetic screening in clinical practice. (Obstet Gynecol 2000;95:421-4. (C) 2000 by The American College of Obstetricians and Gynecologists.).