Department of Psychiatry, University of British Columbia, Vancouver, British Columbia, Canada.
Department of Medical Genetics, University of British Columbia, Vancouver, British Columbia, Canada.
Public Health Genomics. 2023;26(1):58-67. doi: 10.1159/000530683. Epub 2023 Jun 12.
This practice-related insight article describes the experience of a genetic counselor being integrated into a multidisciplinary primary care clinic that provides care for a predominantly marginalized patient population in Victoria, British Columbia, Canada. Reflections on the lessons learned, including challenges and successes during this 1-year pilot integration are shared by the genetic counselor in the context of exploring the potential value a genetic counselor can provide while embedded in a primary care clinic. The relationship between clinical genetic counseling practice and a culturally safe and trauma-informed approach in primary care is explored, and additional steps are described that can be taken to facilitate more equitable and inclusive access to genetic counseling services for underserved and vulnerable patient populations.
这篇基于实践的观点文章描述了一名遗传咨询师在加拿大不列颠哥伦比亚省维多利亚市的一个多学科初级保健诊所工作的经历，该诊所主要为边缘化患者群体提供服务。遗传咨询师在探讨遗传咨询师在初级保健诊所中可能提供的潜在价值的背景下，分享了在这 1 年试点整合期间的经验教训，包括所面临的挑战和取得的成功。本文还探讨了临床遗传咨询实践与初级保健中文化安全和创伤知情方法之间的关系，并描述了可以采取的其他步骤，以促进为服务不足和弱势患者群体提供更公平和包容的遗传咨询服务。
