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 |