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Genetic Testing: Care, Consent and Liability

ISBN: 978-0-471-74888-5
544 pages
January 2006
Genetic Testing: Care, Consent and Liability (0471748889) cover image


A complete review of the issues with specific recommendations and guidelines.

With over 1,000 tests commercially available, genetic testing is revolutionizing medicine. Health care professionals diagnosing and treating patients today must consider genetic factors, the risks and limitations of genetic testing, and the relevant law. Genetic Testing: Care, Consent, and Liability offers the only complete, practical treatment of the genetic, clinical, ethical, and legal issue surrounding genetic testing. The authors present protocols, policies, and models of care that are currently in use, and explain the legal framework for genetic testing and counseling that has developed in North America, particularly with regard to the law of medical malpractice.

This essential book features an international roster of esteemed contributors including, Nancy P. Callanan, Bonnie S. LeRoy, Carole H. Browner, H. Mabel Preloran, Riyana Babul-Hirji, Cheryl Shuman, M.J. Esplen, Maren T. Scheuner, Dena S. Davis, JonBeckwith, Lisa Geller, Mark A. Hall, Andrew R. MacRae, David Chitayat, Roxanne Mykitiuk, Stephanie Turnham, Mireille Lacroix, Jinger G, Hoop, Edwin H, Cook, Jr., S. H. Dinwiddie, Elliot S. Gershon, C. Anthony Rupar, Lynn Holt, Bruce R. Korf, Anne Summers, S. Annie Adams, Daniel L. Van Dyke, Rhett P. Ketterling, Erik C. Thorland, Timothy Caulfield, Lorraine Sheremeta, Richard Gold, Jon F. Merz, David Castle, Peter J. Bridge, JS Parboosingh, Patricia T. Kelly, Julianne M. O'Daniel, Allyn McConkie-Rosell, Beatrice Godard, Bartha Maria Knoppers, David Weisbrot.

The coverage also includes:
* Genetic screening, including prenatal, neonatal, carrier, and susceptibility testing
* Diagnosis, risk assessment, confidentiality, and clinical/legal issues related to follow-up
* Interpreting test results and communicating them to patients
* psychological considerations
* Informed consent
* Family history evaluations
* Referral to medical geneticists and genetic counselors

Genetic Testing Care, Consent, and Liability is a must-have resource for clinical geneticists, genetic counselors, specialists, family physicians, nurses, public health professionals, and medical students.
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Table of Contents



1. Genetic Counseling and the Physician-Patient Relationship.

2. Communication.

3. Psychological Aspects.

4. Duty of Care.

5. Family History.

6. Referral and Diagnosis.

7. Informed Consent.

8. Prenatal Screening and Diagnosis.

9. Genetics of Common Neurological Disorders.

10. Newborn and Carrier Screening.

11. Susceptibility Testing.

12. Test Samples and Laboratory Protocols.

13. Risk Assessment.

14. Test Results: Communication and Counseling.

15. Confidentiality, Disclosure, and Recontact.

Appendix 1: New Genetics and the Protection of Information.

Appendix 2: Web Resources.



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Author Information

NEIL F. SHARPE, LLB, LLM, Genetic Testing Research Group, was a practicing lawyer and subsequently received training in medical genetics and genetic counseling with a particular focus on the legal, ethical, social, and psychological aspects. he serves as a consultant in health policy, patient education, and the development of appropriate legal, medical, and counseling standards of care for the delivery genetic testing services.

RONALD F. CARTER, PHD, FCCMG, GACMG is Director, Genetic Services, Hamilton Health Sciences and Professor, Department of Pathology and Molecular Medicine, McMaster University. He is a former president of the Canadian College of Medical Genetics, and a founding fellow of the American College of Medical Genetics. Dr. Carter was appointed to direct a regional cytogenetics laboratory in 1991, and now directs a medical genetic service with a catchment of over two million people.

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"…help[s] nurses, medical students and public health professionals begin thinking about the integration of genetic counseling into the patient care arena." (E-STREAMS, September 2007)

"Sharpe and Carter have produced a different kind of book that addresses many of the topics we discuss at conferences and on listservs but rarely get addressed in a cohesive and organized manner in print. It's about time." (Journal of Genetic Counseling, August 2006)

"...a unique and valuable resource that should be included in the library of physicians...a worthwhile text for clinicians pursuing genetics." (Annals of Internal Medicine, July 2006)

"Very few books can be compared to this one…a very useful tool…" (Doody's Health Services)

"...an excellent practical resource on genetic testing in health care...contains an exponential amount of information, presented in an easy-to-understand format…" (CHOICE, June 2006)

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