Monday, August 11, 2008

Feeling Better!

Thank you to all the well wishers out there. Your encouragement has gotten me through a pretty tough time. But I am up and running again. I hope you spread the word to other listeners.....The Sherpa is Back......

So with that, I have about 10 minutes to post prior to our clinic conference here at Yale. We had lots of great cases today. But most notably, I have begun to realize how important it is that every patient with the diagnosis of autism be seen by a geneticist. What does that mean? It means our specialty is going to be even more strained. How can we combat this?

1. Train more geneticists
2. Train other healthcare providers to do genetics
3. Have the counselors do 2-4 more years of training to become licensed healthcare providers
4. Have the consumer go directly to the internet, order their autism panel, get a written report online, and have a nice day!!!

That's my point with all of this. If 4 were an option, why would we ever have medical professionals?????

So the rate limiting step here is education and training......How do we do that?
I will share something amazing with my readers shortly....once I finish my U34 grants.....

The Sherpa Says:
Did anyone watch the opening ceremonies of the Olympics? The drummers had drum sticks that glowed.....if you looked at them closely, they looked like chromosomes....Or maybe I was just hallucinating from the fever?????

5 comments:

Anonymous said...

1. Train more geneticists
Not likely.

2. Train other healthcare providers to do genetics
I'm sure there are nurses who would love to work in the area of genetics.

3. Have the counselors do 2-4 more years of training to become licensed healthcare providers
Two more years would be about right.

4. Have the consumer go directly to the internet, order their autism panel, get a written report online, and have a nice day!!!
LOL

Option two and three are the best options. Draft a letter, get support and send it off to the head people of these organizations and see if you can open up a new training path.

Nik said...

I am sure based on genes people have been finding in relation to autism option 4 will become a part of treatment soon and so called personalized medicine

Steve Murphy MD said...

Nik,
Really? 1st, this is illegal in 24 states. I am curious as to why you think this will be a valid future scenario.
-Steve

Steph said...

3 sounds like a great option but there are not enough counselors out there as it is. There are not enough training programs for genetic counselors and the programs that are in existence don't take very many students. I agree that nurses would jump at the chance to do genetics but again they would need training and I am not sure where they will get it at. In general states need to invest more money into their genetics health care infrastructure (which is not likely) by supporting training programs for both counselors and nurses in the school systems!

Anonymous said...

3 sounds like a great option but there are not enough counselors out there as it is. There are not enough training programs for genetic counselors and the programs that are in existence don't take very many students. I agree that nurses would jump at the chance to do genetics but again they would need training and I am not sure where they will get it at. In general states need to invest more money into their genetics health care infrastructure (which is not likely) by supporting training programs for both counselors and nurses in the school systems!

Number two is the best option because nurses can bill for their work. Counselors can't bill (unless they have a license)for their work.

I would support a combination of two and three.