乳腺癌患者前测试基因咨询逐渐由非遗传医疗专业人士提供。我们评估了外科医生、肿瘤学家和护士对主流基因测试的态度、知识和自我效能以及将前测试基因咨询纳入常规护理的可行性。我们向来自13家医院的医疗专业人员提供在线培训，并在11/13（85％）家医院中实施主流基因测试路径。在完成培训之前（T0）和6个月后（T1）发送问卷调查。那些没有完成培训的人收到问卷以评估他们的动力。在11家医院中，80名（65％）医疗专业人员完成了培训，其中70名（88％）完成了两个问卷调查。医疗专业人员的态度，（感知）知识和自我效能在基线和完成培训后6个月都很高。6个月后，他们对基因测试的优缺点和对家庭成员的影响的认知知识显着提高（分别为p = 0.012和p = 0.021）。对于大多数人（89％），前测试基因咨询的时间投资少于15分钟/病人，与预期相同或更好。医疗专业人员认为总时间投资可行，可以将主流基因测试纳入日常实践。完成培训的主要障碍是时间不够。在线培训被认为有用，得到8/10的评分。乳腺癌护理的外科医生和护士在完成在线培训模块后感到充满信心和动力来提供前测试基因咨询。©2023年作者。

Pre-test genetic counseling for patients with breast cancer is increasingly being provided by nongenetic healthcare professionals. We evaluated the attitudes, knowledge, and self-efficacy of surgeons, oncologists, and nurses regarding mainstream genetic testing and the feasibility to incorporate pre-test genetic counseling into routine care.We offered an online training to healthcare professionals from 13 hospitals and implemented a mainstream genetic testing pathway in 11/13 (85%) hospitals. Questionnaires were sent before (T0) and 6 months after (T1) completing the training. Those who did not complete the training received a questionnaire to assess their motivations.In 11 hospitals, 80 (65%) healthcare professionals completed the training, of whom 70 (88%) completed both questionnaires. The attitudes, (perceived) knowledge and self-efficacy of healthcare professionals were high both at baseline and 6 months after completing the training. After 6 months, their perceived knowledge about the advantages and disadvantages of a genetic test and implications for family members had significantly improved (p = 0.012 and p = 0.021, respectively). For the majority (89%), the time investment for pre-test genetic counseling was less than 15 min per patient and as expected or better. Healthcare professionals considered the total time investment feasible to incorporate mainstream genetic testing into their daily practice. The main barrier to complete the training was lack of time. The online training was considered useful, with a rating of 8/10.Surgical oncologists and nurses in breast cancer care feel well-equipped and motivated to provide pre-test genetic counseling after completion of an online training module.© 2023. The Author(s).