Competency information


Prepare individuals for the potential outcomes of cancer and non-cancer predictive/pre-symptomatic genetic tests in trainee led consultations


  • 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.