Closing Plenary Session Revisiting "Duty to Recontact" in the Genomics Era: Interdisciplinary Perspectives & Open Forum (Funded by the ACMG Foundation’s Father Robert C. Baumiller Fund for Genetics and Society)

3/29: 10:30 AM  - 12:00 PM 
Scientific Plenary Session  
Music City Center 
Room: Grand Ballroom BC 
CME Credits: 1.5 
CEUs (P.A.C.E.): 1.5 
CEUs (NSGC): 1.5 

Description

There are multiple challenges facing members of the College and others related to the communication of new or revised information to patients and families previously evaluated by genetic professionals. This session addresses "Duty to Recontact" given the growing complexities of genetic/genomic medicine such as new or re-interpretation of variants of unknown or uncertain significance and incidental findings from prior test results, as well as innovations in testing and treatment. The session will commence with an historical overview followed by an original case vignette-play that brings to life personal, family and professional perspectives. Speakers will explore ethical, legal, clinical and laboratory considerations of "Duty to Recontact" and a moderated interactive forum will engage the audience and speakers in a lively discussion and debate about the issues raised in the presentations.

Objectives

After attending this session, participants should be able to:

Reevaluate and change clinical or lab practice as needed regarding duty to recontact based on the presentations by ethical, legal and medical genetics professionals

Communicate (including prior to testing) clear statements to patients/families, ordering physicians and primary care providers regarding duty to recontact and the explicit responsibilities of each

Reevaluate and change patient practice regarding the informed consent process, disclosure of findings, and duty to recontact over time in the context of differing patient, family and genetic professional preferences

Sketch a framework for a potential update of the 1999 ACMG Duty to Recontact Policy Statement as they discuss the issues in the open forum
 

Target Audience

genetics clinicians, counselors, lab personnel, primary care providers, public policy professionals, ethicists, lawyers, social scientists, public health professionals and others 

Moderator

Reed E. Pyeritz, MD, PhD, FACMG, University of Pennsylvania
Karen L. David, MD, MS, FACMG, Metropolitan Hospital Center and New York Methodist Hospital

Presentations

"Duty to Recontact": An Historical Perspective

Speaker

Reed E. Pyeritz, MD, PhD, FACMG, University of Pennsylvania

A Vignette-Play Illuminates the Complexities of "Duty to Recontact"

Speaker

Lynn W. Bush, PhD, MS, Columbia University Medical Center

Revisiting the Ethical Foundation and Implications of "Duty to Recontact"

Speaker

Richard Sharp, PhD, Mayo Clinic

The Legal Implications of a "Duty to Recontact"

Speaker

Lynn D. Fleisher, PhD, JD, FACMG, Sidley Austin LLP

Revisiting the Implications of "Duty to Recontact" for the Clinical Geneticist and other Clinicians

Speaker

Karen L. David, MD, MS, FACMG, Metropolitan Hospital Center and New York Methodist Hospital

Revisiting the Implications of "Duty to Recontact" for the Genetics/Genomics Laboratory

Speaker

Christine M. Eng, MD, Baylor College of Medicine

Audience Participation