The Changing Role of the Genetic Counsellor in the Genomics Era

Abstract

Rapid advances in the scope, affordability and clinical utility of genetic testing have driven significant change and expansion of the genetic counselling profession. Increasing volume, complexity and diversity of patients and their genomic data present a challenge. To manage this, examination of how genetic counsellors can adapt and thrive in the genomics era is warranted. Digital applications, web-based educational platforms and artificial intelligence are being harnessed to support and enhance genetic counselling delivery for patients and consumers. Genetic counsellors are also ideally placed to educate and support other healthcare professionals delivering genomic medicine. Concurrently, core genetic counselling skills in managing psychosocial, familial and ethical issues have continued relevance, and further investment in evidence-based research is needed to guide practice. A focus on improving diversity and equity of access to genetic counselling is also necessary. Working in a changing and uncertain environment is not unfamiliar ground for genetic counsellors. Their specialist knowledge and core skills will continue to be highly valued in the genomics era. Genomic medicine has the potential to positively transform public health, and the genetic counselling profession has the opportunity to play a pivotal role.