Definitions for 2023 Workforce Survey

Adult Genetics

Genetics practice that includes cancer, cardiovascular, neurogenetics, etc.


A state of physical or emotional exhaustion that also involves a sense of reduced accomplishment and loss of personal identity.

Source: Mayo Clinic


As of the day you are taking the survey.

Direct Face to Face Patient Care

In person clinic visits or telemedicine/video visits

Direct Non Face to Face Patient Care

Phone calls, emails, or other electronic communication direct to patients

Formal On-Boarding for PAs and Nurses

Formal on-the-job training program that included lectures, shadowing, and one-on-one time with a genetics APP or geneticist

Full Practice

In full practice authority states, nurse practitioners can perform the full scope of practice without a supervising or collaborating physician.

Source: Nurse Journal

Group Visit

The visit is billed under “group visit”. This does not mean a visit that involves family members.

Laboratory Genetics

Biochemical, Cytogenetics, or Molecular genetics.

Medical Genetics Activities

Activities related to patient care including, but not limited to general genetics, cancer genetics, biochemical genetics, clinical laboratory testing, etc.

Metabolic Genetics

Clinic seeing metabolic patients (both adult and pediatric)

Non-Nutrition Care Coordination

Social services coordination, lab orders, medication management, imaging coordination, etc.

Nutrition Care Coordination

Formula calculations, formula orders, insurance issues related to formula acquisition, nutrition-related lab interpretation, documentation, etc.

Other Time Spent in Metabolic Clinics

Research, QI, teaching/mentoring, meetings, committee work, etc

Pediatric Genetics 

Clinic seeing patients identified with genetic conditions at ages 0-18. 

Prenatal/Reproductive Genetics 

Clinic seeing patients to discuss the inheritance of genetic conditions, the cause of various birth defects, and the tests that are available to determine whether an individual/couple has a chance to have a child with that condition or birth defect.


The majority of time spent in a location or on activity either in an average work week or average time spent in the calendar year 2022. Primary does not necessarily mean 50% or more of the time when your time is divided between three or more activities.

Reduced Practice

In reduced practice states, nurse practitioners can perform some of their scope of practice without physician supervision.

Source: Nurse Journal

Restricted Practice

In restricted practice states, nurse practitioners must work under the supervision of a physician for all of their scope of practice.

Source: Nurse Journal


Conclude one’s working or professional career.

Source: Merriam-Webster


The Health Resources Services Administration defines telehealth as the use of electronic information and telecommunications technologies to support long-distance clinical health care, patient and professional health-related education, public health and health administration. Technologies include videoconferencing, the internet, store-and-forward imaging, streaming media, and terrestrial and wireless communications.” For this survey, telehealth relates to the delivery of genetic services.

Source: HRSA

Work Location

The location where your primary work setting is; please choose the location that you will be basing your responses on to other questions in the survey.