Ethical Implications of Genomic Counseling
Rapid advance in genomic medicine has expanded its scope beyond traditional maternal and child health programs and rare genetic disorders. Precision medicine based on genetic susceptibility and big data analysis of common disorders will transform clinical practice in the near future. Although the basic ethical principle such as informed consent, respect for autonomy and confidentiality, non-discrimination, continue to apply in the process of counseling, the evolution of genetic counseling to genomic counseling presents new challenges in interpreting genetic information, and conveying disease risk and prevention. In this article, we will emphasized the issues of non-invasive prenatal screening using cell free fetal DNA, genetic testing on children and adolescents, disclosure of secondary findings and expanded carrier screening.