Purpose: The rapid growth in the use of genetic testing for heritable
cancers and other diseases has led to the establishment of many commit
tees to assess the status and future implications of such resting. The
American Society of Clinical Oncology (ASCO) published a statement on
genetic resting for cancer susceptibility in May 1996. In that statem
ent, ASCO recognized the need for a major initiative to develop course
s and other educational materials for ASCO members and other health ca
re professionals that were pertinent to cancer genetics and the role o
f cancer predisposition testing in clinical oncology. These curriculum
guidelines represent an effort to promote formal instruction on the a
ssessment and management of familial cancer risks in training programs
and continuing education courses. Design and results: An Ad hoc Task
Force was created from the ASCO membership and other professional orga
nizations. Goals of ASCO's cancer genetics education initiative, curri
culum guidelines, and plans for implementation of the curriculum have
been developed. To gain understanding and competency in cancer genetic
s and cancer predisposition testing, the curriculum emphasizes formal
instruction in: (1) basic concepts and principles of genetics; (2) an
understanding of the role of genetics in the etiology, diagnosis, and
management of different malignancies; (3) an understanding of the ethi
cal, legal, and social issues that surround predisposition testing; an
d (4) long-term management plans for individuals at high risk for canc
er. This document is broad in scope and applicable to all types of mal
ignancies. Ir should be considered as the framework around which cance
r genetics education is developed. It is expected that implementation
of training activities over the next few years will allow ASCO to fulf
ill its obligations to the membership. Conclusion: This curriculum sho
uld prove a valuable guide to those who wish further education on canc
er genetics and the appropriate use of cancer predisposition testing.
(C) 1997 by American Society of Clinical Oncology.