Free CME Credits (continued)

}  The Jackson Laboratory Clinical and Continuing Education Program Family History for Cancer Risk Assessment, Testing and Management }  A Web-based program that aims to improve the primary care

provider's ability to identify and manage individuals at increased risk of cancer based on family health history risk assessment.

} http://www.jaxge.org/

Resources for Non-Geneticists (continued)

}  National Coalition for Health Professional Education in Genetics (NCHPEG) & The Jackson Laboratory

} http://www.nchpeg.org/ }  Free CME Modules }  Point of Care Fact Sheets & Decision Support Systems }  Communicating Risk Fact Sheet, Risk Assessment Infographic,

Family History Tool, and more

USPSTF Final Recommendation Statement on BRCA-Related Cancer: Risk Assessment, Genetic Counseling, and Genetic Testing

}  The USPSTF recommends that primary care providers screen women who have family members with breast, ovarian, tubal, or peritoneal cancer with 1 of several screening tools designed to identify a family history that may be associated with an increased risk for potentially harmful mutations in breast cancer susceptibility genes (BRCA1 or BRCA2). Women with positive screening results should receive genetic counseling and, if indicated after counseling, BRCA testing.

HBOC Referral Screening Tools

•  The USPSTF recommend five tools: •  Ontario Family History Assessment Tool •  Manchester Scoring System •  Pedigree Assessment Tool

•  ‘simplest and quickest to administer’ •  Referral Screening Tool (B-RST)

www.breastcancergenescreen.org •  FHS-7

HBOC Referral Screening Tool

www.breastcancergenescreen.org

FHS-7 (One positive response initiates referral to genetics specialist)

Did any of your first-degree relatives have breast or ovarian cancer?

Did any of your relatives have bilateral breast cancer?

Did any man in your family have breast cancer?

Did any woman in your family have breast and ovarian cancer?

Did any woman in your family have breast cancer before age 50 y?

Do you have 2 or more relatives with breast and/or ovarian cancer?

Do you have 2 or more relatives with breast and/or bowel cancer?

Moyer VA; U.S. Preventive Services Task Force. Risk assessment, genetic counseling, and genetic testing for BRCA-related cancer in women: U.S. Preventive Services Task Force recommendation statement. Ann Intern Med. 2014 Feb 18;160(4):271-81.

Inherited Cancer Registry for BRCA1 and BRCA2 Mutations (ICARE)

} http://inheritedcancer.net/ }  A registry-based research study focused on improving the

lives of patients and families at risk for inherited cancer susceptibility }  Nearly 700 people with BRCA1 and BRCA2 mutations

enrolled; individuals at high risk for developing hereditary cancer

}  Every six months, participants receive updates with opportunities to contribute to national and international collaborations on hereditary cancer

CDC Office of Public Health Genomics

} http://www.cdc.gov/genomics/ }  Implementation

}  What public health can do now in human genomics to save lives and improve health

}  State Implementation Activities Clickable Map

B-GREAT Initiative

}  B-Great: Breast Cancer Genetics Research & Education for African American Women

}  An academic and community based initiative (FL)

}  Brochure: The Family Link between Breast & Ovarian Cancer in Black Women

Ø http://www.bgreatinitiative.com/education.htm

Additional Resources

}  CDC’s Know: BRCA risk assessment tool for clinicians •  https://www.knowbrca.org/provider/

}  Bright Pink •  http://www.brightpink.org/

}  Find a genetic counselor in your area •  www.nsgc.org

}  FORCE (Facing Our Risk of Cancer Empowered) •  http://www.facingourrisk.org/index.php

}  National Comprehensive Cancer Network clinical guidelines on HBOC •  www.nccn.org