Genetics in the Clinicprovides a broad understanding of advances in genetics and their implications for primary care practice. The book begins with basic concepts in genetics, diagnosis and management of genetic disease, cancer genetics, and prenatal testing. Part Two deals with topics relevant to all areas of primary care, such as cultural and ethnic differences, the role of the nurse, and genetic counselling. Part Threeaddresses ethical or social issues applicable to specific practices. The books final section considers regulatory matters, including the impact of managed care and insurance and employment issues. Practitioners who are knowledgeable about health care, but who have no special training in genetics, will find this book especially useful as they learn to deal with the clinical, ethical, and social implications of advances in genetics for their practice.
I. Clinical Applications of Genetics 1. Implications of the Human Genome Project for Primary Care 2. Diagnosis of Genetic Disease 3. Management of Genetic Disease 4. Cancer Genetics 5. Prenatal Testing and Interventions
II. Generic Topics for Primary Caregivers 6. Implications of Genetics for Concepts of Disease 7. Cultural and Ethnic Differences 8. Gender and Access Differences 9. Disabilities: Whose Lives Are Worth Living 10. Genetic Counseling in Primary Care
III. Specific Issues for Primary Caregivers 11. Ethical Issues in Obstetric Genetics 12. Ethical Issues in Pediatric Genetics 13. Consent for Genetic Testing of Pediatric Patients 14. Should Internists Perform Genetic Screening? 15. Presymptomatic and Predictive Genetic Testing: A Family Affair 16. Complex Genetics and Psychiatric/Behavioral Disorders IV. Policy Issues for Primary Caregivers 17. Primary Care Genetics in an Unregulated Market 18. Insurance and Employment Issues 19. Commercialization of Genetic Tests
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