Training activity information
Details
Prepare individuals for the potential outcomes of cancer and non-cancer predictive/pre-symptomatic genetic tests in trainee led 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
- Alternative options and the legitimacy of each option
- The benefits and risks of the alternatives, taking account of patients’ concerns and personal circumstances
- The uncertainties associated with the available options
- Assessing the individual’s understanding of the decision
- Exploring with patients their anticipated response to the potential outcomes of a predictive or pre-symptomatic genetic test
- 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
- International predictive testing guidelines
- Exploring and assessment of mental health
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. |
| # 3 |
Outcome
Apply communication skills to provide complex genomic test results in an empathic manner. |