Knowledge, attitudes, and behaviors of Alabama's primary care physicians regarding cancer genetics

Purpose. To determine Alabama's primary care physicians' knowledge, attitud es, and behaviors regarding cancer genetics. Method. A questionnaire was mailed to a tandem sample of 1,148 physicians: family and general practitioners, internists, and obstetrician-gynecologist s. Results. Of the surveyed physicians, 22.1% responded. Of the respondents, 6 3% to 85% obtained family histories of cancer from 76% to 100% of their pat ients. Obstetrician-gynecologists referred more patients for cancer genetic testing (p = .008) and were more confident in their abilities to tailor pr eventive recommendations based on the results (p = .05) than were the other physicians. Primary care physicians were more likely than were obstetricia n-gynecologists to identify lack of time during the patient visit as hinder ing efforts to do genetic counseling (P = .01). Physicians in practice for ten years or less were more confident in explaining genetic test results th an were those in practice for more than 20 years (P = .01). Conclusion. These data validate gaps in primary care practices in obtaining family history of cancer, as well as lack of confidence in explaining gene tic test results and in tailoring recommendations based on the tests.