Table 2.

The Capability, Opportunity, Motivation Behavior (COM-B) model adapted from Michie et al. (2011) to apply to genomic medicine. Three intersecting constructs will likely determine the successful use of genomic medicine in medical specialist practice. The capability and motivation constructs can be amenable to education and training.

Construct	Illustrated in the Context of Genomic Medicine
Capability	The knowledge and skills to know: when testing could be useful; how to appropriately refer/order testing; and how to interpret and communicate test results, plus understand the implications for patients and families.
Opportunity	The ability to: physically access and use genomic testing (resources like adequate time and funding must be available); and work in an environment where genomic testing is used and where peers can be lent upon for support.
Motivation	The belief that: genomic testing will be clinically useful and lead to positive, not negative, consequences; genomic testing is compatible with existing professional roles; and one can competently use genomic information to guide patient care.