Your Genes: One Size Doesn't Fit All

Authors: Mary E. Freivogel MS, CGC and Stephanie A. Cohen MS, LCGC
View More View Less
Restricted access

Mary E. Freivogel, MS, CGC, is immediate Past President of the National Society of Genetic Counselors and Senior Director of Clinical Operations at Invision Sally Jobe Breast Centers in the Denver area. In 2009, she was hired as the first genetic counselor at this organization, which now has a robust Genetic Services department with 3 genetic counselors, 1 nurse practitioner, and 1 medical assistant.

Ms. Freivogel has led the implementation of processes that efficiently identify patients at high-risk for breast cancer and communicate this risk to these patients and their referring physicians. She has presented information at various professional meetings and published on this topic in national peer-reviewed journals. She is actively involved with the National Accreditation Program for Breast Centers and the National Consortium of Breast Centers, as well as the American Cancer Society, with regard to breast cancer risk assessment efforts. She is passionate about the genetic counseling profession and believes that genetic counselors have an infinite number of talents and unique contributions to provide to breast cancer risk assessment efforts and countless other areas.

The ideas and viewpoints expressed in this commentary are those of the author and do not necessarily represent any policy, position, or program of NCCN.

Stephanie A. Cohen, MS, LCGC, is a board-certified and licensed genetic counselor at St. Vincent Hospital in Indianapolis, Indiana. She earned her MS degree in genetic counseling at the University of Michigan. Ms. Cohen's current focus of expertise is cancer genetics. In this role, she developed a stand-alone Cancer Genetics Risk Assessment program that now includes 3 full-time genetic counselors and a genetic counseling assistant. She has been working to improve access to cancer genetic services by implementing a collaborative process, using a network of genetic counselor extenders throughout the St. Vincent Health system across the state of Indiana.

She has an appointment as Adjunct Assistant Professor at Indiana University and is active in training genetic counseling students by serving as a clinical supervisor, research advisor, and coinstructor for a graduate level cancer genetics course. She is active in several groups within the National Society of Genetic Counselors, currently acting as chair of the Service Delivery Model subcommittee. She has multiple publications in the field of cancer genetics and genetic counseling service delivery.

  • 1.

    Tempero M. Your genes: getting the best fit. J Natl Compr Canc Netw 2017;15:1083.

  • 2.

    Association of American Medical Colleges. The Complexities of Physician Supply and Demand: Projections From 2015 to 2030 (2017 Update). Available At: https://aamc-black.global.ssl.fastly.net/production/media/filer_public/a5/c3/a5c3d565-14ec-48fb-974b-99fafaeecb00/aamc_projections_update_2017.pdf. Accessed October 26, 2017.

    • Search Google Scholar
    • Export Citation
  • 3.

    U.S. Department of Labor. The 10 Fastest Growing Jobs. Available at: https://blog.dol.gov/2015/03/15/the-10-fastest-growing-jobs. Accessed October 26, 2017.

    • Search Google Scholar
    • Export Citation
  • 4.

    The National Society of Genetic Counselors. Genetic Counselor Workforce Initiatives. Available at: http://www.nsgc.org/page/genetic-counselor-workforce-initiatives-532. Accessed October 26, 2017.

    • Search Google Scholar
    • Export Citation
  • 5.

    Cohen SA, Marvin ML, Riley BD. Identification of genetic counseling service delivery models in practice: a report from the NSGC Service Delivery Model task force. J Genet Couns 2013;22:411421.

    • Search Google Scholar
    • Export Citation
  • 6.

    Buchanan AH, Rahm AK, Williams JL. Alternative delivery models in cancer genetic counseling: a mini-review. Front Oncol 2016;6:120.

  • 7.

    The Association of Genetic Counseling Program Directors. Program Directory. Available at: https://agcpd.org/ProgramDirectory.aspx. Accessed October 26, 2017.

    • Search Google Scholar
    • Export Citation
  • 8.

    Chambers CV, Axell-House DB, Mills G. Primary care physicians' experience and confidence with genetic testing and perceived barriers to genomic medicine. J Fam Med 2015;2:1024.

    • Search Google Scholar
    • Export Citation
  • 9.

    Haidle JL, Sternan DL, Dickerson JA. Genetic counselors save costs across the genetic testing spectrum. Am J Manag Care 2017;23(10 Spec No):SP428430.

    • Search Google Scholar
    • Export Citation
  • 10.

    Kurian AW, Li Y, Hamilton AS. Gaps in incorporating germline genetic testing into treatment decision-making for early-stage breast cancer. J Clin Oncol 2017;35:22322239.

    • Search Google Scholar
    • Export Citation
All Time Past Year Past 30 Days
Abstract Views 0 0 0
Full Text Views 184 34 2
PDF Downloads 48 20 2
EPUB Downloads 0 0 0