Competency information

Details

Perform molecular investigations for identifying fusion gene translocations which may impact patient management.

Considerations

  • Health and safety requirements for processing cancer samples.
  • Scientific principles of immunohistochemistry and FISH.
  • Molecular and cellular changes in cancer detected by immunohistochemistry and FISH.
  • Preparation of slides for immunohistochemistry and FISH.
  • Use of microscopes.
  • Limitations of each procedure including limit of detection, sensitivity and specificity.
  • Factors affecting the quality of samples for immunohistochemistry and FISH.
  • The use of sequence based strategies for the detection of gene fusions
  • Interpretation of results.
  • Integration of results with other laboratory test results.
  • Therapeutics available and impact of results Internal quality controls for assays.
  • Importance of external quality assurance schemes.
  • Role of validation and verification of procedures and equipment.
  • Laboratory accreditation schemes – ISO 15189 or equivalent.
  • National guidelines for care pathways and procedures.

Relevant learning outcomes

# Outcome
# 4 Outcome Compare the routes of referral of patients for genomic testing from a range of clinical settings.
# 6 Outcome Appreciate the role of ctDNA in diagnosis and monitoring of disease