This study assessed genetic counselors' (GCs) perceptions of delegation as a tool to increase workforce efficiency and help meet the current gap between the number of genetic service providers and the number of patients. GCs were recruited to participate via an online survey that assessed activities (categorized as typical genetic counseling, administrative, or professional development) performed by a clinical genetic counselor. Respondents indicated which activities represent their largest time consumers, their willingness to delegate these activities, and barriers to and perceived outcomes of delegation. Overall, respondents indicated that they spend 25% of their time performing administrative activities that they would largely be willing to delegate; however, respondents were generally unwilling to delegate many typical genetic counseling and professional development activities, citing concerns regarding accuracy and liability, and highlighting the belief that these activities constitute the core role of a genetic counselor. Respondents indicated that delegation of time-consuming administrative activities would increase access to genetic services and improve job satisfaction. Additionally, differences were identified among clinical specialties regarding which activities were selected as top time consumers, indicating that potential targets of re-allocation of time or delegation may be variable. This research indicates a need to reduce the number of administrative tasks in which GCs are directly involved to re-allocate time toward core responsibilities, direct patient care, and professional development, the result of which is more efficient use of the GC skill-set.

中文翻译：

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优化效率和技能利用：分析遗传咨询师在临床环境中关于授权的态度。

这项研究评估了遗传咨询师（GCs）对授权的理解，认为这是提高劳动力效率并帮助弥补遗传服务提供者数量与患者数量之间当前差距的一种工具。通过在线调查招募了GC，以评估临床遗传咨询师进行的活动（分类为典型的遗传咨询，行政管理或专业发展）。受访者指出哪些活动代表了他们的最大时间消费者，他们愿意委派这些活动，以及阻碍和感知委派的结果。总体而言，受访者表示，他们将25％的时间花在了大部分愿意委派的行政活动上；然而，受访者通常不愿委托许多典型的遗传咨询和专业发展活动，理由是对准确性和责任感的担忧，并强调认为这些活动构成遗传咨询师的核心角色。受访者表示，授权耗时的行政活动将增加获得遗传服务的机会并提高工作满意度。此外，在临床专科之间发现了哪些活动被选为最高时间消费者方面存在差异，这表明重新分配时间或委托的潜在目标可能是可变的。这项研究表明，需要减少直接参与GC的管理任务的数量，以将时间重新分配给核心职责，直接的患者护理和专业发展，