The question of whether a duty exists to recontact patients about new genetic information has been debated for several decades without consensus, but the emergence of new technologies compels us to reconsider this complex matter. Ordering a "genetic test," such as a chromosome analysis or a search for a mutation, is different from ordering a complete blood count. Before ob-taining a specimen, counseling of the patient is required in order to discuss confidentiality, potential anxiety, stigma or discrimination, the interpretation and implications of possible results, and relevant follow-up options. Ideally, both pre- and post-test counseling would be conducted by genetic counselors, but there aren't enough such professionals to meet the current demands.
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