Competency information

Details

Perform the appropriate genetic investigations for patients referred with CLL

Considerations

  • Requirements of the sample for successful nucleic acid extraction
  • Health and safety requirements for processing of fresh peripheral blood, bone marrow or paraffin embedded samples
  • Principles of molecular genetic approaches for identification of acquired mutations
  • Choice of appropriate tests according to suspected diagnosis to include single nucleotide variation (SNV) and copy number variation (CNV)
  • Limitations of each procedure including limit of detection, sensitivity and specificity
  • Factors affecting quality of molecular results Interpretation of results
  • Common artefacts
  • Correct nomenclature for reporting of acquired mutations (ISCN or HGVS)
  • Internal quality control for assays Importance of external quality assurance
  • Role of validation and verification of procedures and equipment
  • Understanding of ISO 15189 or equivalent
  • National guidelines for pathways and procedures

Relevant learning outcomes

# Outcome
# 3 Outcome Apply the appropriate testing strategy for a range of complex myeloid malignancies including AML, MDS, considering the approach for subclassification and prognosis of disease
# 7 Outcome Interpret and report on the relevant laboratory procedures for the diagnosis of a range of myeloid and lymphoid malignancies