Gynecologists' training: Knowledge, and experiences in genetics: A survey

Objective: To explore gynecologists' knowledge, training, and practice expe rience with genetic screening and DNA-based testing. Methods: A questionnaire survey was sent to 1248 ACOG Fellows, of whom 564 (45%) responded. One hundred thirty-four respondents (24%) reported that th ey do not order DNA-based tests or take family histories to screen for heri table diseases or disorders. Results from the 428 respondents who provide g enetic screening services are reported. Results: Most physicians (90%) knew that genetic tests are most: informativ e when used in conjunction with family histories. Gynecologists gave more c orrect responses regarding genetic testing for breast and ovarian cancers t han for colon cancer and other adult-onset diseases. Sixty-five percent of the respondents had not received formal training in DNA-based testing in gy necologic practice. Older physicians were less likely to have had training. Younger physicians generally gave more correct responses on the knowledge portion of the survey (r = -.165, P < .01). physicians who had formal train ing in genetics gave more correct answers. Physicians who order DNA-based t ests scored higher than those who do not and had no formal training, but no t higher than those who had formal training and do not order DNA-based test s. Conclusion: Gynecologists were more knowledgeable about genetic issues pert aining to breast and ovarian cancer than to other cancers or certain adult- onset disorders. Training appeared to increase knowledge, Increased trainin g and affiliation with genetic specialists and others could improve gynecol ogists' ability to use genetic screening in clinical practice. (Obstet Gyne col 2000;95:421-4. (C) 2000 by The American College of Obstetricians and Gy necologists.).