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Genetic testing is often done as part of a genetic consultation and as of mid-2008 there were more than 1,200 clinically applicable genetic tests available. [23] Once a person decides to proceed with genetic testing, a medical geneticist, genetic counselor, primary care doctor, or specialist can order the test after obtaining informed consent .
In 1997, the National Cancer Institute published a set of recommendations called the Bethesda guidelines for the identification of individuals who should receive genetic testing for Lynch syndrome related tumors. [6] The NCI revisited and revised these criteria in 2004. [7] The Revised Bethesda Guidelines are as follows:
Medical genetic ethics is a field in which the ethics of medical genetics is evaluated. Like the other field of medicine, medical genetics also face ethical issues. The availability of direct to consumer (DTC) genetic testing to analyses the genetic variants which predispose the individuals to medical conditions like breast cancer and ovarian cancer [1] demands the review of the guidelines ...
One outcome has been the growing availability of elective genetic and genomic testing that are initiated by a patient but still ordered by a physician. [10] Additionally, elective genetic and genomic testing that does not require a physician's order called, direct-to-consumer genetic testing has recently entered the testing landscape. [11]
The genetic and genomic competencies are important to the practice of all nurses regardless of academic preparation, practice setting, role, or specialty. [6] The competencies are significant because they establish a foundation and set of guidelines for the nursing workforce on administering the minimal amount of genetic and genomic based healthcare.
Current genetic testing guidelines supported by the health care professionals discourage purely predictive genetic testing of minors until they are competent to understand the relevancy of genetic screening so as to allow them to participate in the decision about whether or not it is appropriate for them. [2]
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3b—A genetic test is run on each embryo for a given trait and the results are matched with the embryos. 4—The embryos without the desired trait are identified and discarded. 5—The remaining embryos are allowed to grow to the point that they can be implanted. 6a—The embryos with the desired trait are implanted.