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Clinical Practice on the Horizon: Personalized Medicine

Chadwell, Katherine DNP, MS, ARNP, GNP-BC, GCNS-BC, CPHQ

doi: 10.1097/NUR.0b013e318277703c
Feature Article

With the advent of the human genome project, we have never known so much about the uniqueness of individuals. Personalized medicine is poised to use this genetic and genomic information along with the impact of environment and clinical presentation to provide healthcare from an individual perspective. This offers the opportunity to improve our ability to diagnose and predict disease, provide earlier intervention, identify new treatment regimens, and address the safety and efficacy of drug use. The impact of personalized medicine to our current model of healthcare delivery is tremendous, and although strides have been made, there are still challenges and barriers to overcome before personalized medicine can be fully implemented. Advanced practice nurses may not be fully aware of the personalized medicine initiative or may not be well versed on genetic and genomic content, which is a key concept of personalized medicine. The role of advanced practice nurses is an integral part of the healthcare system, and as such, they are poised to be key providers and contributors to personalized medicine. The personalized medicine initiative is discussed along with examples of genetic and genomic information that lend to our understanding, diagnosis, and treatment of disease, as well as the role and responsibilities of advanced practice nurses. Resources for personalized medicine and genetic and genomic content are provided.

Author Affiliation: Clinical Assistant Professor, College of Nursing and Health Sciences, Florida International University, Miami.

The author reports no conflicts of interest.

Correspondence: Katherine Chadwell, DNP, MS, ARNP, GNP-BC, GCNS-BC, CPHQ, College of Nursing and Health Sciences, Florida International University, 11200 SW 8th St, AHC3, Miami, FL 33199 (

© 2013 Lippincott Williams & Wilkins, Inc.