{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T11:00:59Z","timestamp":1790766059542,"version":"4.1.0"},"reference-count":3,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T00:00:00Z","timestamp":1790726400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T00:00:00Z","timestamp":1790726400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Molec Gen &amp;amp; Gen Med"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>This invited commentary explores the paradox of progress in genetic counselling in South Africa, where established training programmes and professional recognition have not yet translated into sustainable clinical genetic services. Drawing on workforce data and insights into training, employment and service delivery, the authors highlight how limited funded public\u2010sector posts, geographic concentration of services and loss of professionals from patient\u2010facing roles constrain equitable access to genetic counselling. The commentary aims to support coordinated workforce planning and investment to ensure that the expansion of genomic medicine is accompanied by accessible, sustainable and equitable genetic counselling services.<\/jats:p>","DOI":"10.1002\/mgg3.70310","type":"journal-article","created":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T10:21:15Z","timestamp":1790763675000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The Paradox of Progress: Genetic Counselling in a South African Context and the Challenges of Workforce Retention"],"prefix":"10.1002","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2014-1252","authenticated-orcid":false,"given":"Samantha","family":"Schnell","sequence":"first","affiliation":[{"name":"Division of Human Genetics, School of Pathology, Faculty of Health Sciences University of the Witwatersrand and the National Health Laboratory Services  Johannesburg South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4393-3436","authenticated-orcid":false,"given":"Katryn","family":"Fourie","sequence":"additional","affiliation":[{"name":"Division of Human Genetics, School of Pathology, Faculty of Health Sciences University of the Witwatersrand and the National Health Laboratory Services  Johannesburg South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1995-036X","authenticated-orcid":false,"given":"Elzette","family":"Gilfillan","sequence":"additional","affiliation":[{"name":"Division of Human Genetics, School of Pathology, Faculty of Health Sciences University of the Witwatersrand and the National Health Laboratory Services  Johannesburg South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0600-155X","authenticated-orcid":false,"given":"Bianca","family":"Rossouw","sequence":"additional","affiliation":[{"name":"Division of Human Genetics, School of Pathology, Faculty of Health Sciences University of the Witwatersrand and the National Health Laboratory Services  Johannesburg South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Barry","family":"Shingwenyana","sequence":"additional","affiliation":[{"name":"Division of Human Genetics, School of Pathology, Faculty of Health Sciences University of the Witwatersrand and the National Health Laboratory Services  Johannesburg South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8175-0644","authenticated-orcid":false,"given":"Jamey","family":"Thom","sequence":"additional","affiliation":[{"name":"Division of Human Genetics, School of Pathology, Faculty of Health Sciences University of the Witwatersrand and the National Health Laboratory Services  Johannesburg South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-0942-8472","authenticated-orcid":false,"given":"Monica","family":"Araujo","sequence":"additional","affiliation":[{"name":"Division of Human Genetics, School of Pathology, Faculty of Health Sciences University of the Witwatersrand and the National Health Laboratory Services  Johannesburg South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,30]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.3390\/genes15091173"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12687\u2010012\u20100101\u20105"},{"key":"e_1_2_5_4_1","doi-asserted-by":"crossref","DOI":"10.1016\/j.gimo.2024.101862","article-title":"Genetic Counseling in South Africa: A Growing Profession","volume":"2","author":"Wessels T.\u2010M.","year":"2024","journal-title":"Genetics in Medicine Open"}],"container-title":["Molecular Genetics &amp; Genomic Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/mgg3.70310","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/mgg3.70310","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/mgg3.70310","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T10:21:17Z","timestamp":1790763677000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/mgg3.70310"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,30]]},"references-count":3,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2026,10]]}},"alternative-id":["10.1002\/mgg3.70310"],"URL":"https:\/\/doi.org\/10.1002\/mgg3.70310","archive":["Portico"],"relation":{},"ISSN":["2324-9269","2324-9269"],"issn-type":[{"value":"2324-9269","type":"print"},{"value":"2324-9269","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,30]]},"assertion":[{"value":"2026-07-22","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-12","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-30","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70310"}}