University of Technology Sydney

96110 Genetic Counselling

Warning: The information on this page is indicative. The subject outline for a particular session, location and mode of offering is the authoritative source of all information about the subject for that offering. Required texts, recommended texts and references in particular are likely to change. Students will be provided with a subject outline once they enrol in the subject.

Subject handbook information prior to 2024 is available in the Archives.

UTS: Health (GEM)
Credit points: 6 cp
Result type: Grade and marks

Requisite(s): 96103 Medical Genetics and Genomics in Practice AND 96102 Research Methods in Genetic Counselling AND 96104 Communication and Counselling AND 96105 Clinical and Community Placement 1
There are course requisites for this subject. See access conditions.

Description

Genetic counsellors play a vital role in helping people to understand their family history, make informed decisions about genetic and genomic testing, understand the results and adjust to or manage the outcomes and implications. Using case studies, students practice many of the core skills genetic counsellors use every day including structuring a genetic counselling session, taking a family history, and working with families to explore the implications of inherited conditions. Genetic counselling theories that provide the foundations for practice are applied to the case studies students are working with. This subject is integrated with 96099 Genetic Counselling Clinical Placement 2, building knowledge and skills to be used during clinical placements.

Subject learning objectives (SLOs)

001. Critique the major psychological and psychotherapeutic counselling theories relevant to genetic counselling
002. Apply relevant psychological and psychotherapeutic theories to genetic counselling practice
003. Critique genetic counselling theories
006. Use basic counselling skills including active listening, attending, reflecting, clarifying and summarising
007. Demonstrate empathic listening skills
010. Establish an environment conducive for effective communication
011. Elicit expectations, hopes and concerns about genetic counselling
026. Produce accurate, succinct, well-organised written communication appropriate for the target audience
027. Write a patient summary letter
028. Collect, draw and enter family history information to complete a family tree
029. Obtain and assess a medical, pregnancy, and developmental history
036. Facilitate client's understanding of the components of informed consent
037. Obtain informed consent for genetic and genomic testing from clients and families

Course intended learning outcomes (CILOs)

The learning outcomes for this subject are as follows:

  • Apply evidence-based genetic and genomic health care to practice across a variety of settings and roles. (1.1)
  • Apply professional self-awareness through self-reflection to enhance their practice in genetic and genomic counselling to improve client outcomes. (1.2)
  • Demonstrate appropriate and effective relationships with people from diverse communities. (3.1)
  • Use research skills to enhance genetic counselling practice through an ability to critically appraise literature and to respond to a variety of challenges that arise in genetic counselling practice. (4.1)
  • Demonstrate the core tenets of the genetic counselling profession, including professional and ethical behaviour and responding positively to changes in genetic and genomic healthcare. (5.2)

Contribution to the development of graduate attributes

The subject contributes to the following graduate attributes:

Practice ready:

Graduates of the Master of Genetic Counselling are knowledgeable and literate healthcare practitioners, with well-developed workplace communication skills. They are skilled in providing evidence-based care to clients and their families in a variety of settings as autonomous and collaborative practitioners.

Culturally competent:

Graduates of the Master of Genetic Counselling are self-reflective, culturally competent professionals who embrace cultural diversity. They work alongside Indigenous Australians, New Zealand Maori, Pacifica and other culturally and societally diverse groups to build equitable access to genetic and genomic healthcare.

Person-centred:

Graduates of the Master of Genetic Counselling are empathic, person-centred practitioners who form and value partnerships with individuals, families and communities. They facilitate understanding and adaptation to information provided by genetic and genomic technology for individuals and families.

Teaching and learning strategies

Core learning: Core learning material, activities and readings are undertaken in Canvas prior to weekly live and online workshops. Students will be provided with learning activities each week, including readings, discussions, reflection questions, case studies and videos that prepare them for the live and online sessions. Please ensure Canvas work is carried out prior to the live and online session so that you have spent time accessing and making sense of ideas. Attending the live and online workshops will allow you to test these ideas and get feedback from the academic staff and peers which will further consolidate your learning.

Live and online workshops: Weekly live and online workshops provide students with opportunities to participate in discussion, role play and problem-based learning activities. The activities in the weekly workshops build on the Canvas work and allow time to clarify and ask questions on content learning. Students will work collaboratively in pairs, small groups and as a class during the workshops. Group discussions will often involve case-based learning activities. Students will participate in role play and learning activities to assist with the development of counselling skills in preparation for clinical placement. Feedback will be provided by the teacher and by peers.

Block workshops: Students will attend a week-long block, during which they will participate in workshops that will include discussion, role play, simulation, problem-based learning activities, and practice of core counselling skills for genetic counsellors. When core counselling skills are practiced, the faculty member will provide live guidance on how feedback should be provided, so that students receive immediate constructive feedback from peers and from the faculty member.

Research Integrated Learning: Taking an evidence-based approach to work with clients is an essential skill. Current research is integrated into the content provided in Canvas and workshops. Students are encouraged to read, discuss and utilise current research in counselling and communication in the context of providing evidence-based genetic counselling care.

Reflective Learning: Students are encouraged to critically reflect on their learning and their skill development throughout the subject, to identify areas where they may improve their performance, and to assist in the development of lifelong learning. Reflective learning will be encouraged through specific activities including assessment tasks in which students will reflect on the development of core genetic counselling and communication skills over the duration of the session. Opportunities for reflection include the weekly reflective practice supervision groups that are part of 96099 Genetic Counselling Clinical Placement 2.

Ongoing feedback: Verbal feedback will be provided throughout the subject during block and live and online workshops. There will be weekly opportunities to discuss ideas and experiences and receive feedback during the live and online workshops. Opportunities for verbal formative feedback on assessment tasks are available prior to the due date and summative feedback is provided following final submission.

Content (topics)

Module 1: Practicing client centred genetic counselling (weeks 1 and 2)

Drawing on the first session observations and activities, students are invited to consider:

  • what individuals and families might want/need/hope for in their interaction with a genetic counsellor
  • the values and qualities inherent in genetic counselling
  • the assumptions and beliefs they bring to genetic counselling

Module 2: Listening in Genetic Counselling Part 1 (week 3)

  • Deep listening for client centred care: What do you hear if you listen deeply?
  • Using listening to identify a road map for the client: where is this person starting? Where are they saying they want to go? How can we support them to get there?

Module 3: Family History – a practical tool (week 4)

  • Listening, focusing, documenting
  • Pedigree drawing software

Module 4: Navigating with the client (week 5 and 6)

  • Using the shared decision making model

Module 5 Healthcare documentation – a practical tool (week 7 and 8)

  • medical records
  • letter writing to clients – continuing client centred care
  • written communication for client leaflets and websites
  • use of language, everyday English, reading level

Module 6: Listening in Genetic Counselling Part 2 (week 9; block)

  • Simulation workshop
  • Continuing to use core genetic counselling skills
  • Obtaining informed consent and providing information and support

Module 7 Understanding, assessing and communicating risk (week 10-12)

  • What is risk?
  • Principles of risk
  • Types of risk
  • Risk - practical tools for genetic counsellors

Module 8: Developing a philosophy of genetic counselling (week 13 and 14)

Bringing together the work of the session and reflecting on the clinical placement completed as part of 96099 Genetic Counselling Clinical Placement 2 students begin to articulate an emerging philosophy of genetic counselling.

Assessment

Assessment task 1: Case study

Intent:

Using a de-identified case history, students demonstrate readiness for clinical placement through accurate documentation of family history, drawing a pedigree and writing a client-centred letter summarising a genetic counselling interaction.

Objective(s):

This task is aligned with the following subject learning objectives:

026, 027, 028 and 029

This task is aligned with the following course learning outcomes:

1.1 and 5.2

Type: Case study
Groupwork: Individual
Weight: 20%
Length:

A single page hand-drawn pedigree

A client letter – no more than 2 pages in length including correct formatting on letterhead

Criteria:

You will be assessed on:

  • Documentation of the family history to produce an accurate pedigree that follows pedigree drawing conventions
  • Production of an accurate, succinct, client-centred letter
  • Correct grammar, spelling, and use of client-centred language

Detailed assessment criteria will be provided in Canvas.

Feedback will be available approximately 3 weeks after the due date.

Results will be available approximately 3 weeks after the due date.

Assessment task 2: Participation in fortnightly activities

Intent:

The fortnightly tasks in this subject involve students in reflecting on critical questions related to working with clients now and in the future. The tasks are designed to contribute to the development and articulation of a framework and philosophy for genetic counselling practice and practising core skills.

Objective(s):

This task is aligned with the following subject learning objectives:

002, 003, 010, 011, 026, 036 and 037

This task is aligned with the following course learning outcomes:

1.1, 1.2, 3.1, 4.1 and 5.2

Type: Exercises
Groupwork: Group, individually assessed
Weight: 30%
Length:

Video recordings of 2-3 minutes; written tasks of up to 500 words; online quizzes

Criteria:

You will be assessed on:

  • Participation and completion of each task, including participation in online discussion forums with your peers and academic staff
  • Your ability to use core genetic counselling skills including establishing an environment conducive to effective communication, taking a family history, taking a medical and psychosocial history and eliciting information
  • The inclusion and critique of theory in your emerging practice as a genetic counsellor
  • The application of reflective practice in your learning

Detailed assessment criteria will be provided in Canvas

Assessment task 3: Genetic counselling skills demonstration task

Intent:

Genetic counsellors frequently find themselves exploring sensitive and personal issues with clients. The opportunity to try different ways of exploring personal and sensitive information, and to get used to the feeling of discomfort this can evoke, will be provided in the simulation workshop during the block week. On the day following the workshop, students will participate in video recorded role plays providing an opportunity to embed the learning from the simulation.

Objective(s):

This task is aligned with the following subject learning objectives:

006, 007, 010 and 011

This task is aligned with the following course learning outcomes:

1.2 and 3.1

Type: Reflection
Groupwork: Group, individually assessed
Weight: 20%
Length:

5 minute recording and 500 word reflection

Criteria:

You will be assessed on:

  • Your genuine and thoughtful participation in this task, including the provision of feedback to your peers
  • Your ability to reflect on the activity, incorporating your own thoughts and feelings, and the feedback of your peers and the academic staff, and identifying the ways in which you will continue to develop skills in and comfort with exploring sensitive and personal information

Detailed assessment criteria will be provided in Canvas.

Assessment task 4: Developing an emerging philosophy for genetic counselling, this is a 'must-pass' assessment

Intent:

This assessment task brings together the work completed during the first year in the development of a philosophy of genetic counselling and a supporting framework. Students will review the work done throughout the year to develop their philosophy and supporting framework.

Objective(s):

This task is aligned with the following subject learning objectives:

001, 002 and 003

This task is aligned with the following course learning outcomes:

1.1, 4.1 and 5.2

Type: Essay
Groupwork: Individual
Weight: 30%
Length:

1500 words, may include a supporting visual representation of the framework

Criteria:

There is a minimum 50% grade required for this assessment.

You will be assessed on:

  • A clear articulation of an emerging personal philosophy of genetic counselling
  • A description of a framework that supports your philosophy
  • Appropriate and correct referencing, grammar and writing

Detailed assessment criteria will be provided in class and on Canvas.

Minimum requirements

In order to pass this Subject, a minimum grade of 50% must be achieved and students must submit all assessment tasks. The final assessment task is a ‘must-pass’ assessment (AT4) in which a minimum grade of 50% must be achieved.

Students are required to attend a minimum of 85% classes.

Required texts

Coursework Assessments Policy

Coursework Assessments Procedures

Graduate School of Health Policy, Guidelines and Procedures (login required)

Additional required readings will be provided via Canvas

Recommended texts

Additional required readings will be provided via Canvas

Other resources

Additional required readings will be provided via Canvas