The genomic revolution and the obstetrician/gynaecologist: from societal trends to patient sessions.

摘要: A major aspect of reaping the benefits genome revolution in women's health relates to questions how we are going handle this scientific manna information and potential treatment options while minimizing social exclusion along lines race, class gender. Four society-level scenarios or patterns diffusion genomic access discussed, each with its own set assumptions outcomes terms equity. Like it not, front-line obstetrician/gynaecologist will play a critical role whether such new helps either reduce exacerbate discrepancies health-care status race socio-economic status. Patients must not be denied knowledge within genetic counselling session, opportunity make an informed autonomous decision because use unfamiliar language conventions conversation that support power differentials discourage rapport empathy. Aspects communication outcome as level directness counselling, physician interruptions patient implications rhetorical question, explored. In addition, special challenges counsellor neutrality autonomy offered by longitudinal primary relationship discussed. Strategies encouraging more effective collaboration between generalist session offered.