Training activity information

Details

Provide information regarding genetic testing options and elicit the individual’s preference for testing in independent consultations

Type

Entrustable training activity (ETA)

Evidence requirements

Evidence the activity has been undertaken by the trainee repeatedly, consistently, and effectively over time, in a range of situations. This may include occasions where the trainee has not successfully achieved the outcome of the activity themselves. For example, because it was not appropriate to undertake the task in the circumstances or the trainees recognised their own limitations and sought help or advice to ensure the activity reached an appropriate conclusion. ​

Reflection at multiple timepoints on the trainee learning journey for this activity.

Considerations

  • Options available e.g. risk management, genetic testing and reproductive options
  • Alternative options and the legitimacy
  • The benefits and cons risks of the alternatives, taking account of patients’ concerns and personal circumstances
  • Uncertainties associated with available options
  • Assessing the individual’s understanding decisions
  • Eliciting individual preferences for risk management options
  • Eliciting patient preferences for reproductive options
  • Eliciting patient preferences for predictive/pre-symptomatic genetic testing
  • Informed consent
  • Genetic tests available for different genetic conditions and clinical situations
  • Procedure to order genetic tests
  • The effect of genetic test results on patient care and the care pathway for different genetic conditions
  • Implications for family members
  • Risk, benefits and limitation of interventions
  • Population and new-born screening programmes

Relevant learning outcomes

# Outcome
# 1 Outcome

Lead on establishing the patient agenda and psychosocial needs in complex genetic and genomic counselling consultations, under the supervision of a GCRB registered Genetic Counsellor.

# 2 Outcome

Employ counselling skills to facilitate complex decision making during genetic and genomic counselling consultations.