University of Technology Sydney

96113 Advanced 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): 96107 Advanced Communication and Counselling AND 96106 Application of Genetics and Genomics AND 96114 Research Project 2 AND 96100 Genetic Counselling Clinical Placement 3
There are course requisites for this subject. See access conditions.

Description

Genetic counselling combines an understanding of genetic and genomic information with the ability to support individuals and families living with psychosocial impact of this knowledge. During this final session subject students integrate their learning to prepare them for graduation as entry-level genetic counsellors. Case-based learning is used to facilitate and enhance development of skills across a range of contexts in which genetic counsellors practice including working in the prenatal setting, familial cancer, working with adolescents and young adults, and working with diverse cultural and societal groups. Students build on the skills learned in 96104, 96110 and 96107 to demonstrate readiness for practice.

Subject learning objectives (SLOs)

005. Engage in client-centred genetic counselling practice
017. Assess the client’s mental health and capacity for decision-making
024. Communicate effectively with clients, their families, and other health professionals
025. Choose appropriate modes of communication for target audiences
030. Obtain and assess a psychosocial history
036. Facilitate clients understanding of the components of informed consent
037. Obtain informed consent for genetic and genomic testing from clients and families
041. Engage in reflective practice
043. Engage in inclusive, collaborative, consultative practice
044. Adapt genetic counselling practice according to the language, beliefs, customs and practices of different groups
062. Adapt to emerging changes in the environment in which genetic and genomic knowledge is situated
071. Identify own learning needs and direct own learning experiences
073. Develop and maintain respectful working relationships with colleagues at all levels
076. Work within multi-disciplinary teams
078. Represent the genetic counselling perspective in a multidisciplinary team
079. Advocate as a genetic counsellor for clients and families in multi-disciplinary environments
091. Identify and articulate relevant ethical issues in clinical situations

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 a critical awareness of cultural and societal diversity and disparity in health care into genetic counselling practice. (2.1)
  • Critically reflect on ethical Indigenous research including relationship building, communication, client-centred and reflective practice to work with and for Indigenous Australians across the genetic counselling profession. (2.2)
  • Demonstrate appropriate and effective relationships with people from diverse communities. (3.1)
  • Provide education about genetics and genomics to a wide variety of audiences. (5.1)
  • 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

This 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.

Professionally competent

Graduates of the Master of Genetic Counselling embody professional and ethical practice, and uphold knowledge and competency standards both locally and globally. They embrace opportunities for leadership and contribute to shaping the future development of the genetic counselling profession.

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 96101 Genetic Counselling Clinical Placement 4.

Ongoing feedback: Verbal feedback will be provided throughout the subject during the 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: Listening to provide client-centred care (Weeks 1 and 2)

  • Introduction: operating as judges of our own learning
  • A consideration of tensions inherent in genetic counselling practice
  • Eliciting hopes and concerns (setting the agenda)

Module 2: Conversations about Consent (Week 3)

Module 3: Genetic counselling in specific contexts (Weeks 4, 5 and 6)

  • Working with children
  • Working with adolescents and young adults
  • Genetic counselling and psychiatric conditions
  • Working with very ill and dying clients and their families

Module 4: More tools for an evolving profession (Weeks 7 and 8)

  • Genomic counselling
  • Models and theories: a refresher

Module 5: Skills, skills and more skills (Week 9: Block)

Module 4: Complex Counselling Issues (Week 11 and 12)

  • Family complexity
  • Non-disclosure
  • Working with culturally and linguistically diverse people
  • Recognising boundaries and making referrals
  • Transference and counter-transference

Module 5: Tensions in practice (Week 13)

  • Managing expectations (self, service, client, family, other)

Module 6: Listening to conclude the program (Week 14)

Assessment

Assessment task 1: Consent conversations

Intent:

Genetic counsellors regularly facilitate conversations about consent for genetic and genomic testing, and collect written consent. This assessment provides students with the opportunity to demonstrate their ability to conduct a conversation about consent for genetic and genomic testing. Students will be expected to demonstrate core counselling and communication skills as part of this task.

Objective(s):

This task is aligned with the following subject learning objectives:

005, 017, 036, 037 and 044

This task is aligned with the following course learning outcomes:

1.1, 1.2, 2.1, 2.2, 3.1 and 5.1

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

A role play of up to 8 minutes and a feedback conversation of up to 2 minutes

Criteria:

You will be assessed on:

  • Your ability to engage in client-centred genetic counselling practice
  • Your ability to facilitate client’s understanding of the components of informed consent
  • Your ability to assess the client’s capacity for decision-making
  • Your ability to adapt the conversation according to the beliefs, customs and practices of your client
  • Your participation in this task both as genetic counsellor and when taking the role of the client

Detailed assessment criteria will be provided in Canvas.

Assessment task 2: Multi-disciplinary team meeting

Intent:

Genetic counsellors work as part of multi-disciplinary teams and regularly participate in multi-disciplinary team meetings. This assessment provides students with the opportunity to demonstrate their understanding of the roles of different healthcare professionals and their ability to participate in a multi-disciplinary team meeting.

Objective(s):

This task is aligned with the following subject learning objectives:

017, 024, 025, 030, 043, 044, 073, 076, 078, 079 and 091

This task is aligned with the following course learning outcomes:

1.1, 1.2, 2.1, 2.2, 3.1, 5.1 and 5.2

Type: Demonstration
Groupwork: Group, group and individually assessed
Weight: 30%
Length:

Part A: A single, group recording on Zoom of up to 20 minutes

Part B: A 300 word reflection

Criteria:

The grade for the group tasks will be moderated by a SPARK evaluation.

You will be assessed on:

  • Your preparation for and participation in a multi-disciplinary team meeting
  • Your ability to present succinct, relevant clinical, psychological and social information
  • Consideration of ethical and advocacy issues for the client
  • Effective, collaborative communication with the members of the MDT
  • Your ability to reflect on the experience of participating in an MDT meeting

Detailed assessment criteria will be provided in Canvas.

Assessment task 3: Final reflection. This is a 'must-pass' assessment.

Intent:

In this final task of the Master of Genetic Counselling program, students are invited to review the recordings of their work over the past two years and their philosophy of genetic counselling practice and prepare a final written reflection. Students are encouraged to identify their strengths and areas for focus as they enter the workforce.

Objective(s):

This task is aligned with the following subject learning objectives:

041, 062 and 071

This task is aligned with the following course learning outcomes:

1.1, 1.2 and 5.2

Type: Reflection
Groupwork: Individual
Weight: 40%
Length:

1000 words

Criteria:

You will be assessed on:

  • Your ability to reflect on your development during the program
  • A demonstration of your awareness and reflection on the changing environment in which you will be working
  • An identification of your learning needs as you enter the workforce as an associate genetic counsellor

Detailed assessment criteria will be provided in Canvas.

Minimum requirements

In order to pass this Subject, a minimum grade of 50% must be achieved and students must submit all assessment tasks. This subject also includes a ‘must-pass’ assessment (AT3) 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