0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
The Pediatric Forum |

Is Public Health Ready for Genetics? An Unanswered Question—Reply

Michael H. Farrell, MD; Philip M. Farrell, MD, PhD
Arch Pediatr Adolesc Med. 2001;155(10):1175-1176. doi:10.1001/archpedi.155.10.1175.
Text Size: A A A
Published online

Extract

In reply

We appreciate Dr Cunningham's comments on item 14g in our survey of newborn screening programs1 and are surprised that public discussion has focused on this one question and obscured our central results. To paraphrase from the abstract, we found that counseling services vary greatly, no best practices are currently evident, and quality assurance for counseling is rare.

The purpose of this study was not to describe what counseling occurs or assume that counseling is even implemented by the programs. At the time of the survey, there had been no investigation of procedures used across the country in counseling families. We asked the follow-up coordinators what their perceptions were of the goals of counseling, reasoning "the opinions of our respondents could affect future policies." When pilot-tested, the "unsuitability" question generated similar responses to Dr Cunningham's, eg, that it was both strongly unimportant and an entirely inappropriate goal. We left the item in the instrument because we felt it was useful to have a standard item that would likely elicit a uniformly negative response for comparison. Although we could have omitted the responses to the unsuitability question, we reported these results to provide complete disclosure and allow public commentary on a finding about which we were surprised. Of course we cannot draw conclusions based on a single item, but we still believe that the presence of this response among even a few officials responsible for overseeing follow-up (if not counseling) is grounds for further study.

Topics

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

Correspondence

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();