Progenity, Inc., Ann Arbor, MI, USA.
Natera, Austin, TX, USA.
J Genet Couns. 2022 Feb;31(1):41-48. doi: 10.1002/jgc4.1467. Epub 2021 Jul 12.
State-based genetic counseling licensure creates standardization, ensures high-quality care, and supports the credentialing of genetic counselors (GCs) in the United States. However, it also has the unintended consequence of requiring substantial time and resources from genetic counselors who need to obtain licensure in multiple states. There is a wide range of variability among state licensure applications, required supporting documentation, verification processes, and cost-all of which are barriers for genetic counselors. New licensure laws are being passed on a regular basis, further complicating this process. Resources may be available to some genetic counselors such as employer reimbursement and administrative support; however, access to this support is not universal. This paper reviews the current condition of genetic counseling multi-state licensure, including barriers, unique challenges, and possible solutions for increased efficiencies, based on the authors' experiences and examples found in other healthcare fields.
基于州的遗传咨询许可制度创造了标准化，确保了高质量的护理，并支持美国遗传咨询师（GCs）的认证。然而，它也带来了意想不到的后果，要求遗传咨询师在多个州获得许可，这需要大量的时间和资源。州许可申请、所需的支持文件、验证过程和费用在各州之间存在很大差异——所有这些都是遗传咨询师面临的障碍。新的许可法律正在定期通过，进一步使这个过程复杂化。一些遗传咨询师可能有资源，如雇主报销和行政支持；然而，并非所有人都能获得这种支持。本文基于作者的经验和其他医疗保健领域的例子，回顾了遗传咨询多州许可的现状，包括障碍、独特的挑战以及提高效率的可能解决方案。
