Training activity information
Details
Contribute to the presentation of cases in multidisciplinary team settings, taking into account relevant medical, family, and psychosocial histories, and how they may contribute to the diagnostic pathway where genomic testing approaches may be considered
Type
Developmental training activity (DTA)
Evidence requirements
Evidence the activity has been undertaken by the trainee​.
Reflection on the activity at one or more time points after the event including learning from the activity and/or areas of the trainees practice for development.
An action plan to implement learning and/or to address skills or knowledge gaps identified.
Considerations
- Multidisciplinary teams in a range of settings, e.g. fetal medicine, oncology, neurology, endocrinology, paediatrics, cardiology, ophthalmology, renal and immunology
- Representing family beliefs, values, dynamics and intentions
- Appropriate genomic testing strategies
- Ethical challenges relating to establishing a family diagnosis from genomic results
- Variants of uncertain significance
- Family studies to support variant interpretation
- Inheritance patterns, including: non-penetrance and variable phenotypes
- Evolution of mainstream testing
- Incidental findings
Reflective practice guidance
The guidance below is provided to support reflection at different time points, providing you with questions to aid you to reflect for this training activity. They are provided for guidance and should not be considered as a mandatory checklist. Trainees should not be expected to provide answers to each of the guidance questions listed.
Before action
- What information from medical, family, and psychosocial histories is most relevant to present in an MDT setting when considering genomic testing?
- How can you effectively synthesise and present complex patient information to a multidisciplinary team?
- What are the key considerations that influence whether genomic testing approaches are appropriate in a given case?
- Discuss with your supervisor which cases you might contribute to presenting. What information should you gather and how should you structure your presentation?
- Consider potential challenges, such as communicating effectively with professionals from different specialties. How will you ensure your contribution is clear and relevant?
- How comfortable are you with presenting in multidisciplinary team meetings?
- What aspects of your presentation skills do you want to develop through this training activity?
In action
- What key information from the medical, family, and psychosocial histories are you highlighting and how are you linking it to potential genomic testing approaches?
- What decisions are you making about what information is most relevant for the MDT?
- What feels intuitive about presenting this information, and what aspects require more conscious thought to articulate clearly?
- How is the MDT responding to your presentation? Are they understanding the relevance of the history you are providing in the context of genomic investigations?
- What challenges are you facing in conveying this information effectively?
- What are you learning about how different specialties consider genetic information during the discussion? How does this contribute to your understanding of multidisciplinary working?
- Are there alternative ways you could have presented the information to better facilitate the discussion of genomic testing? Could you have focused on different aspects of the history?
- Do you need to seek clarification on the perspectives of other team members?
- Are you confident that your contributions are within your scope of practice and aligned with the goals of the MDT meeting?
On action
- What were the key elements of the medical, family, and psychosocial histories you presented and how did you link them to potential genomic testing? Summarise the information you highlighted and the rationale for its relevance.
- What did you learn about presenting genetic information in an MDT setting?
- How effective do you think your contribution was in informing the discussion about genomic testing?
- Were there any unexpected questions or perspectives raised by other team members?
- How did your in-the-moment decisions about what to present influence the discussion?
- How does this experience enhance your understanding of the Genetic Counsellor’s role as part of a multidisciplinary team?
- How effectively did you present the information to the MDT? Did they require any further information you could have presented upfront or presented more clearly?
- How will this experience influence your future case presentations in MDT meetings?
- What areas do you need to develop further in terms of synthesising and presenting relevant information?
- How can you apply this learning to ensure effective communication with colleagues from different specialties?
- What support or resources might help you to refine your presentation skills in this context?
- What are your next steps to improve in this area?
Beyond action
- Reflecting on your contribution to the case presentation in the MDT, how has your understanding of what constitutes relevant information and how to present it effectively evolved through other experiences in this module?
- Have you compared your approach in this training activity with how you have presented cases in other training activities? What specific presentational skills or understanding of MDT dynamics have you since developed?
- How has this experience of presenting a case with a genomic focus impacted your confidence and ability to communicate complex information to a multidisciplinary audience?
- Can you identify ways in which the skills developed in this training activity have been transferable to other communication-based activities or assessments? How has this contributed to your understanding of your role within the MDT?
- How did the MDT discussions influence your current and future practice with regards to patient counselling and case presentation?
Relevant learning outcomes
| # | Outcome |
|---|---|
| # 2 |
Outcome
Employ knowledge of patient pathways in a range of healthcare settings to contribute to the Genetic Counsellor’s expertise as part of a multidisciplinary team. |