Components of a Genetic Cancer Risk Clinic

Because of wide publicity, many oncologists are aware of the availability of genetic susceptibility testing to detect mutations in cancer susceptibility genes such as BRCA1. One might innocently assume that the genetic test is as easy to order as filling out your standard requisition form for a blood count. This is not consistent with current practices. The daunting ethical, medical, legal, social, and technological challenges must be addressed. In order for a genetic test to benefit your patients, it should best be undertaken in the context of a well-organized, comprehensive Familial Cancer Risk Counseling program. Establishing such a program is the focus of this chapter.