ASHG Global Virtual Meeting: Genetics in Your Clinic: What You Can and Should Do Now: Toolkit Resources for Primary Care Providers

Compilation of genetics and genomics resources for primary care providers prepared by Bob Wildin, MD and Jean Jenkins, PhD, RN, FAAN, NHGRI. Created in March 2016 for the ASHG Global Virtual Meeting.


Type Other
CME Available No
Topic
Cost Free
Note



Genomic Competencies

Experts from the disciplines listed below have tagged this resource as fulfulling genomic competencies.

Pharmacist

  • Basic Genetic Concepts
    • B1:   To demonstrate an understanding of the basic genetic/genomic concepts and nomenclature
    • B2:   To recognize and appreciate the role of behavioral, social, and environmental factors (lifestyle, socioeconomic factors, pollutants, etc.) to modify or influence genetics in the manifestation of disease
    • B3:   To identify drug and disease associated genetic variations that facilitate development of prevention, diagnostic and treatment strategies and appreciate there are differences in testing methodologies and are aware of the need to explore these differences these differences in drug literature evaluation
    • B4:   To use family history (minimum of three generations) in assessing predisposition to disease and selection of drug treatment
  • Genetics and Disease
    • G1:   To understand the role of genetic factors in maintaining health and preventing disease

Physician Assistant

  • Practiced-based Learning and Improvement
    • 1:   Use information technology to obtain current and credible information about genetics for self, patients, and colleagues

Nurse

  • Professional Responsibilities
    • PR-2:   Advocate for clients' access
      • PR2-K1:   Resources for healthcare professionals and lay public
        • PR2-1:   Demonstrate appropriate care and concern for all clients throughout their referral, provision of direct care and follow-up to genetic services.
        • PR2-2:   Demonstrate knowledge about accessing local/regional genetic and/or genomic resources.
        • PR2-3:   Include genetic health care professionals in team building and collaborative strategies to optimize client outcomes.
        • PR2-4:   Help client negotiate system barriers that limit access to genetic/genomic services.
        • PR2-5:   Identify strategies that could be used to facilitate reimbursement for access to genetic/genomic services and/or tests.
      • PR2-K2:   Resources for genetic and/or genomic referrals within one's community
        • PR2-1:   Demonstrate appropriate care and concern for all clients throughout their referral, provision of direct care and follow-up to genetic services.
        • PR2-2:   Demonstrate knowledge about accessing local/regional genetic and/or genomic resources.
        • PR2-3:   Include genetic health care professionals in team building and collaborative strategies to optimize client outcomes.
        • PR2-4:   Help client negotiate system barriers that limit access to genetic/genomic services.
        • PR2-5:   Identify strategies that could be used to facilitate reimbursement for access to genetic/genomic services and/or tests.
    • PR-4:   Incorporate genetic and genomic technologies and information into practice.
      • PR4-K1:   Technology and information systems
        • PR4-1:   Evaluate genetic and genomic technologies used in client care.
        • PR4-2:   Demonstrate use of genetic and genomic technology and client data for clinical decision-making in providing safe client care.
        • PR4-3:   Identify the credibility, reliability and limitations of genetic and genomic information.
        • PR4-4:   Identify ethical, legal, and social issues associated with genetic/genomic information.
    • PR-5:   Demonstrate the importance of tailoring genetic and genomic information and services
      • PR5-K1:   Cultural, social, ethnic and religious perspectives
        • PR5-1:   Incorporate client's cultural, social, ethnic and religious perspective and literacy level when delivering genetic and genomic care.
        • PR5-2:   Integrate knowledge from psychology, history, politics, sociology and culture when delivering genetic and genomic care.
      • PR5-K2:   Economic and health disparities
        • PR5-1:   Incorporate client's cultural, social, ethnic and religious perspective and literacy level when delivering genetic and genomic care.
        • PR5-2:   Integrate knowledge from psychology, history, politics, sociology and culture when delivering genetic and genomic care.
    • PR-6:   Advocate for the rights of all clients
      • PR6-K1:   Potential benefits, risks and limitations
        • PR6-1:   Ensure privacy when discussing genetic and genomic information.
        • PR6-2:   Maintain confidentiality when recording genetic and genomic information.
        • PR6-3:   Demonstrate awareness of the potential impact of genetic/genomic information on the individual and other family members.
        • PR6-4:   Respond appropriately to inquiries about genetic and genomic health care concerns.
      • PR6-K2:   Ethical, legal and social issues
        • PR6-1:   Ensure privacy when discussing genetic and genomic information.
        • PR6-2:   Maintain confidentiality when recording genetic and genomic information.
        • PR6-3:   Demonstrate awareness of the potential impact of genetic/genomic information on the individual and other family members.
        • PR6-4:   Respond appropriately to inquiries about genetic and genomic health care concerns.
      • PR6-K3:   Impact of genetic and genomic information
        • PR6-1:   Ensure privacy when discussing genetic and genomic information.
        • PR6-2:   Maintain confidentiality when recording genetic and genomic information.
        • PR6-3:   Demonstrate awareness of the potential impact of genetic/genomic information on the individual and other family members.
        • PR6-4:   Respond appropriately to inquiries about genetic and genomic health care concerns.
      • PR6-K4:   Components of informed decision-making
        • PR6-1:   Ensure privacy when discussing genetic and genomic information.
        • PR6-2:   Maintain confidentiality when recording genetic and genomic information.
        • PR6-3:   Demonstrate awareness of the potential impact of genetic/genomic information on the individual and other family members.
        • PR6-4:   Respond appropriately to inquiries about genetic and genomic health care concerns.
  • Nursing Assessment
    • NA-1:   Demonstrate understanding of relationship of genetics and genomics to health
      • NA1-K1:   Relationship of genetics and genomics to health
        • NA1-1:   Collect a client's personal and three generation family health history to assess for genomic factors that impact the client's health.
        • NA1-2:   Identify potentially significant information from a family history.
        • NA1-3:   Identify clients who might benefit from referral to genetic specialists and/or information resources.
        • NA1-4:   Facilitate appropriate referral to genetic specialists, accurately documenting and communicating relevant history and clinical data.
        • NA1-5:   Describe a typical client journey that might be experienced in the process of genetic counseling.
        • NA1-6:   Describe genetic/genomic factors that contribute to variability of response to pharmacologic agents.
        • NA1-7:   Incorporate genetic and genomic health assessment data into routinely collected biopsychosocial and environmental assessments of health and illness parameters in client, using culturally sensitive approaches.
        • NA1-8:   Identify resources available to assist clients seeking genetic and genomic information or services including the types of services available.
      • NA1-K2:   Relationship of genetics and genomics to normal physiology and pathophysiology
        • NA1-1:   Collect a client's personal and three generation family health history to assess for genomic factors that impact the client's health.
        • NA1-2:   Identify potentially significant information from a family history.
        • NA1-3:   Identify clients who might benefit from referral to genetic specialists and/or information resources.
        • NA1-4:   Facilitate appropriate referral to genetic specialists, accurately documenting and communicating relevant history and clinical data.
        • NA1-5:   Describe a typical client journey that might be experienced in the process of genetic counseling.
        • NA1-6:   Describe genetic/genomic factors that contribute to variability of response to pharmacologic agents.
        • NA1-7:   Incorporate genetic and genomic health assessment data into routinely collected biopsychosocial and environmental assessments of health and illness parameters in client, using culturally sensitive approaches.
        • NA1-8:   Identify resources available to assist clients seeking genetic and genomic information or services including the types of services available.
      • NA1-K3:   Basic principles of pharmacogenetics and pharmacogenomics
        • NA1-1:   Collect a client's personal and three generation family health history to assess for genomic factors that impact the client's health.
        • NA1-2:   Identify potentially significant information from a family history.
        • NA1-3:   Identify clients who might benefit from referral to genetic specialists and/or information resources.
        • NA1-5:   Describe a typical client journey that might be experienced in the process of genetic counseling.
        • NA1-6:   Describe genetic/genomic factors that contribute to variability of response to pharmacologic agents.
        • NA1-7:   Incorporate genetic and genomic health assessment data into routinely collected biopsychosocial and environmental assessments of health and illness parameters in client, using culturally sensitive approaches.
        • NA1-8:   Identify resources available to assist clients seeking genetic and genomic information or services including the types of services available.
      • NA1-K4:   Patterns of disease associated with single gene and multifactorial inheritance
        • NA1-1:   Collect a client's personal and three generation family health history to assess for genomic factors that impact the client's health.
        • NA1-2:   Identify potentially significant information from a family history.
        • NA1-3:   Identify clients who might benefit from referral to genetic specialists and/or information resources.
        • NA1-4:   Facilitate appropriate referral to genetic specialists, accurately documenting and communicating relevant history and clinical data.
        • NA1-5:   Describe a typical client journey that might be experienced in the process of genetic counseling.
        • NA1-6:   Describe genetic/genomic factors that contribute to variability of response to pharmacologic agents.
        • NA1-8:   Identify resources available to assist clients seeking genetic and genomic information or services including the types of services available.
    • NA-3:   Construct a pedigree from collected family history
      • NA3-K1:   Components of family history needed to identify disease susceptibility or genetic/genomic condition
        • NA3-1:   Construct a pedigree from collected family history information using standardized symbols and terminology.
        • NA3-2:   Identify available family history tools to generate and document a pedigree, e.g. Surgeon General's Family Health Portrait.
    • NA-4:   Collect histories that consider genetic, environmental, and genomic influences and risks
      • NA4-K1:   Fundamentals of genetic and genomic focused health assessment
        • NA4-1:   Demonstrate ability to collect personal, medical and family history that includes genetic/genomic as well as environmental risks.
      • NA4-K2:   Basics of risk factors
        • NA4-1:   Demonstrate ability to collect personal, medical and family history that includes genetic/genomic as well as environmental risks.
    • NA-5:   Conducts assessments incorporating genetic, environmental, and genomic influences and risk factors
      • NA5-K1:   Fundamentals of genetic and genomic focused health and physical assessment
        • NA1-7:   Incorporate genetic and genomic health assessment data into routinely collected biopsychosocial and environmental assessments of health and illness parameters in client, using culturally sensitive approaches.
      • NA5-K2:   Basics of risk factors
        • NA1-7:   Incorporate genetic and genomic health assessment data into routinely collected biopsychosocial and environmental assessments of health and illness parameters in client, using culturally sensitive approaches.
    • NA-6:   Analyze the history and physical assessment for genetic, environmental, and genomic influences
      • NA6-K1:   Pathophysiological, medical and nursing evaluation of common acute and chronic disease
        • NA6-1:   Identify genetic and genomic factors within collected history and physical assessment data that contribute to disease and/or health risks.
        • NA6-2:   Demonstrate ability to incorporate family history as part of the nursing assessment.
        • NA6-3:   Document family history information on three-generations on both maternal and paternal side, when available.
        • NA6-4:   Document key genetic and genomic assessment information.
      • NA6-K2:   Indicators of disease susceptibility or a genetic condition
        • NA6-1:   Identify genetic and genomic factors within collected history and physical assessment data that contribute to disease and/or health risks.
        • NA6-2:   Demonstrate ability to incorporate family history as part of the nursing assessment.
        • NA6-3:   Document family history information on three-generations on both maternal and paternal side, when available.
        • NA6-4:   Document key genetic and genomic assessment information.
      • NA6-K3:   Assessment and diagnosis of acute and chronic disease
        • NA6-1:   Identify genetic and genomic factors within collected history and physical assessment data that contribute to disease and/or health risks.
        • NA6-2:   Demonstrate ability to incorporate family history as part of the nursing assessment.
        • NA6-3:   Document family history information on three-generations on both maternal and paternal side, when available.
        • NA6-4:   Document key genetic and genomic assessment information.
    • NA-8:   Develop a plan of care that incorporates genetic and genomic assessment information.
      • NA8-K1:   Interprofessional plan of care
        • NA8-1:   Develop, in partnership with the client, a health care plan that takes into account genetic and genomic determinants of health, available resources, and range of activities that contribute to health and prevention of illness, injury, disability and premat
        • NA8-2:   Integrate best evidence, clinical judgment, client preferences, and family implications in planning genetic and genomic focused individualized care.
  • Identification
    • ID-1:   Identify clients who may benefit from genetic and genomic information and services
      • ID1-K1:   Components of family history needed to identify disease susceptibility or genetic/genomic condition
        • ID1-1:   Identify factors in a family and health history that contribute to: disease susceptibility; disease characteristics, treatment, prognosis; or genetic/genomic condition.
        • ID1-2:   Identify clients who may benefit from further evaluation of the identified disease susceptibility or genetic/genomic condition.
        • ID1-3:   Demonstrate assessment of client concerns or understanding about information received from specialty genetic services (i.e., on-line genetic testing results).
        • ID1-4:   Uses genetic and genomic indicators as rationale for clients who may benefit from further evaluation or other risk management interventions.
        • ID1-5:   Incorporate into the interprofessional plan of care the need for further genetic/genomic evaluation or other risk management interventions in collaboration with the client.
      • ID1-K2:   Inheritance patterns
        • ID1-1:   Identify factors in a family and health history that contribute to: disease susceptibility; disease characteristics, treatment, prognosis; or genetic/genomic condition.
        • ID1-2:   Identify clients who may benefit from further evaluation of the identified disease susceptibility or genetic/genomic condition.
        • ID1-3:   Demonstrate assessment of client concerns or understanding about information received from specialty genetic services (i.e., on-line genetic testing results).
        • ID1-4:   Uses genetic and genomic indicators as rationale for clients who may benefit from further evaluation or other risk management interventions.
        • ID1-5:   Incorporate into the interprofessional plan of care the need for further genetic/genomic evaluation or other risk management interventions in collaboration with the client.
      • ID1-K3:   Indicators of disease susceptibility or a genetic condition
        • ID1-1:   Identify factors in a family and health history that contribute to: disease susceptibility; disease characteristics, treatment, prognosis; or genetic/genomic condition.
        • ID1-2:   Identify clients who may benefit from further evaluation of the identified disease susceptibility or genetic/genomic condition.
        • ID1-3:   Demonstrate assessment of client concerns or understanding about information received from specialty genetic services (i.e., on-line genetic testing results).
        • ID1-4:   Uses genetic and genomic indicators as rationale for clients who may benefit from further evaluation or other risk management interventions.
        • ID1-5:   Incorporate into the interprofessional plan of care the need for further genetic/genomic evaluation or other risk management interventions in collaboration with the client.
      • ID1-K4:   Common health conditions with a genetic/genomic component
        • ID1-1:   Identify factors in a family and health history that contribute to: disease susceptibility; disease characteristics, treatment, prognosis; or genetic/genomic condition.
        • ID1-2:   Identify clients who may benefit from further evaluation of the identified disease susceptibility or genetic/genomic condition.
        • ID1-3:   Demonstrate assessment of client concerns or understanding about information received from specialty genetic services (i.e., on-line genetic testing results).
        • ID1-4:   Uses genetic and genomic indicators as rationale for clients who may benefit from further evaluation or other risk management interventions.
        • ID1-5:   Incorporate into the interprofessional plan of care the need for further genetic/genomic evaluation or other risk management interventions in collaboration with the client.
      • ID1-K5:   Indicators of need for targeted treatment selection
        • ID1-1:   Identify factors in a family and health history that contribute to: disease susceptibility; disease characteristics, treatment, prognosis; or genetic/genomic condition.
        • ID1-2:   Identify clients who may benefit from further evaluation of the identified disease susceptibility or genetic/genomic condition.
        • ID1-4:   Uses genetic and genomic indicators as rationale for clients who may benefit from further evaluation or other risk management interventions.
        • ID1-5:   Incorporate into the interprofessional plan of care the need for further genetic/genomic evaluation or other risk management interventions in collaboration with the client.
    • ID-2:   Identify credible, accurate, appropriate, and current genetic and genomic information
      • ID2-K1:   Resources for health care professionals and lay public
        • ID2-1:   Evaluate strengths, limitations, and best use of genetic and/or genomic resource for a client or group of clients.
        • ID2-2:   Discuss the ways in which nurses can meet the educational, psychosocial and resource needs of clients and families affected by a genetic or genomic condition.
        • ID2-3:   Discuss the ways in which nurses can meet the knowledge, psychosocial and resource needs of clients and families affected by genetic/genomic technology.
        • ID2-4:   Identify resources available to assist clients seeking genetic and genomic information or services including the types of services available.
        • ID2-5:   Develop a list of contacts and resources for genetic/genomic referrals.
        • ID2-6:   Evaluate sources of evidence and clinical practice guidelines for a client whose care involves genetic and/or genomic health care. Use continuous quality improvement initiatives to update practice guidelines as necessary.
      • ID2-K2:   Resources for referral within one's community
        • ID2-1:   Evaluate strengths, limitations, and best use of genetic and/or genomic resource for a client or group of clients.
        • ID2-2:   Discuss the ways in which nurses can meet the educational, psychosocial and resource needs of clients and families affected by a genetic or genomic condition.
        • ID2-3:   Discuss the ways in which nurses can meet the knowledge, psychosocial and resource needs of clients and families affected by genetic/genomic technology.
        • ID2-4:   Identify resources available to assist clients seeking genetic and genomic information or services including the types of services available.
        • ID2-5:   Develop a list of contacts and resources for genetic/genomic referrals.
        • ID2-6:   Evaluate sources of evidence and clinical practice guidelines for a client whose care involves genetic and/or genomic health care. Use continuous quality improvement initiatives to update practice guidelines as necessary.
      • ID2-K3:   Roles of genetic/genomic health care professionals
        • ID2-1:   Evaluate strengths, limitations, and best use of genetic and/or genomic resource for a client or group of clients.
        • ID2-2:   Discuss the ways in which nurses can meet the educational, psychosocial and resource needs of clients and families affected by a genetic or genomic condition.
        • ID2-3:   Discuss the ways in which nurses can meet the knowledge, psychosocial and resource needs of clients and families affected by genetic/genomic technology.
        • ID2-4:   Identify resources available to assist clients seeking genetic and genomic information or services including the types of services available.
        • ID2-5:   Develop a list of contacts and resources for genetic/genomic referrals.
        • ID2-6:   Evaluate sources of evidence and clinical practice guidelines for a client whose care involves genetic and/or genomic health care. Use continuous quality improvement initiatives to update practice guidelines as necessary.
      • ID2-K4:   Interprofessional resources
        • ID2-1:   Evaluate strengths, limitations, and best use of genetic and/or genomic resource for a client or group of clients.
        • ID2-2:   Discuss the ways in which nurses can meet the educational, psychosocial and resource needs of clients and families affected by a genetic or genomic condition.
        • ID2-3:   Discuss the ways in which nurses can meet the knowledge, psychosocial and resource needs of clients and families affected by genetic/genomic technology.
        • ID2-4:   Identify resources available to assist clients seeking genetic and genomic information or services including the types of services available.
        • ID2-5:   Develop a list of contacts and resources for genetic/genomic referrals.
        • ID2-6:   Evaluate sources of evidence and clinical practice guidelines for a client whose care involves genetic and/or genomic health care. Use continuous quality improvement initiatives to update practice guidelines as necessary.
  • Referral activities
    • RA-1:   Facilitate referrals for specialized genetic and genomic services
      • RA1-K1:   Professional roles of providers delivering genetic and genomic services
        • ID2-5:   Develop a list of contacts and resources for genetic/genomic referrals.
        • RA1-1:   Develop an interprofessional plan of care in collaboration with the client that incorporates genetics and genomics.
        • RA1-3:   Develop a plan for follow-up of a client post genetics/genomic referral.
      • RA1-K2:   Resources for health care professionals and lay public
        • ID2-5:   Develop a list of contacts and resources for genetic/genomic referrals.
        • RA1-1:   Develop an interprofessional plan of care in collaboration with the client that incorporates genetics and genomics.
        • RA1-3:   Develop a plan for follow-up of a client post genetics/genomic referral.
      • RA1-K3:   Resources for genetic and genomic referrals within the community
        • ID2-5:   Develop a list of contacts and resources for genetic/genomic referrals.
        • RA1-1:   Develop an interprofessional plan of care in collaboration with the client that incorporates genetics and genomics.
        • RA1-3:   Develop a plan for follow-up of a client post genetics/genomic referral.
  • Provision of education, care and support
    • PECS-1:   Provide clients with interpretation of genetic and genomic information
      • PECS1-K1:   Components of family history
        • PECS1-1:   Discuss factors in a family and health history that contribute to: disease susceptibility; disease characteristics, treatment, prognosis; or a genetic/genomic condition.
        • PECS1-2:   Use family history information to inform health education.
        • PECS1-3:   Discuss the role of genetic, genomic, environmental and psychosocial factors in the manifestation of disease.
        • PECS1-5:   Reinforce/clarify information provided by genetic professional to client (i.e., genetic test interpretation; informed consent).
      • PECS1-K2:   Inheritance Patterns
        • PECS1-1:   Discuss factors in a family and health history that contribute to: disease susceptibility; disease characteristics, treatment, prognosis; or a genetic/genomic condition.
        • PECS1-2:   Use family history information to inform health education.
        • PECS1-3:   Discuss the role of genetic, genomic, environmental and psychosocial factors in the manifestation of disease.
        • PECS1-5:   Reinforce/clarify information provided by genetic professional to client (i.e., genetic test interpretation; informed consent).
      • PECS1-K3:   Role of environmental and psychosocial factors
        • PECS1-1:   Discuss factors in a family and health history that contribute to: disease susceptibility; disease characteristics, treatment, prognosis; or a genetic/genomic condition.
        • PECS1-2:   Use family history information to inform health education.
        • PECS1-3:   Discuss the role of genetic, genomic, environmental and psychosocial factors in the manifestation of disease.
        • PECS1-5:   Reinforce/clarify information provided by genetic professional to client (i.e., genetic test interpretation; informed consent).
      • PECS1-K4:   Informed consent procedures and essential elements
        • PECS1-1:   Discuss factors in a family and health history that contribute to: disease susceptibility; disease characteristics, treatment, prognosis; or a genetic/genomic condition.
        • PECS1-2:   Use family history information to inform health education.
        • PECS1-3:   Discuss the role of genetic, genomic, environmental and psychosocial factors in the manifestation of disease.
        • PECS1-5:   Reinforce/clarify information provided by genetic professional to client (i.e., genetic test interpretation; informed consent).
    • PECS-2:   Provide clients with genetic and genomic information and resources for informed decision making
      • PECS2-K1:   Resources for healthcare professionals and lay public
        • ID2-5:   Develop a list of contacts and resources for genetic/genomic referrals.
        • PECS2-1:   Evaluate strengths, limitations, and best use of one genetic and/or genomic resource for a client or group of clients.
        • PECS2-2:   Help clients interpret and understand genetic and genomic information.
      • PECS2-K2:   Referral resources for genetic and genomic services within one's community
        • ID2-5:   Develop a list of contacts and resources for genetic/genomic referrals.
        • PECS2-1:   Evaluate strengths, limitations, and best use of one genetic and/or genomic resource for a client or group of clients.
        • PECS2-2:   Help clients interpret and understand genetic and genomic information.
      • PECS2-K3:   Roles of genetic/genomic health care professionals
        • ID2-5:   Develop a list of contacts and resources for genetic/genomic referrals.
        • PECS2-1:   Evaluate strengths, limitations, and best use of one genetic and/or genomic resource for a client or group of clients.
        • PECS2-2:   Help clients interpret and understand genetic and genomic information.
    • PECS-3a:   Use health promotion/disease prevention practices that consider genetic and genomic influences
      • PECS3-K1:   Role of environmental and psychosocial factors
        • NA1-7:   Incorporate genetic and genomic health assessment data into routinely collected biopsychosocial and environmental assessments of health and illness parameters in client, using culturally sensitive approaches.
        • PECS3-1:   Use evaluation results to influence delivery of care and deployment of resources to promote health and prevent disease.
      • PECS3-K2:   Fundamentals of epidemiology and biostatistics
        • NA1-7:   Incorporate genetic and genomic health assessment data into routinely collected biopsychosocial and environmental assessments of health and illness parameters in client, using culturally sensitive approaches.
        • PECS3-1:   Use evaluation results to influence delivery of care and deployment of resources to promote health and prevent disease.
      • PECS3-K3:   Ongoing research contributing to improved understanding of the genetic/genomic influences on health
        • NA1-7:   Incorporate genetic and genomic health assessment data into routinely collected biopsychosocial and environmental assessments of health and illness parameters in client, using culturally sensitive approaches.
        • PECS3-1:   Use evaluation results to influence delivery of care and deployment of resources to promote health and prevent disease.
    • PECS-3b:   Use health promotion/disease prevention practices incorporating knowledge of genetic and/or genomic risk factors
      • NA1-7:   Incorporate genetic and genomic health assessment data into routinely collected biopsychosocial and environmental assessments of health and illness parameters in client, using culturally sensitive approaches.
      • PECS3-1:   Use evaluation results to influence delivery of care and deployment of resources to promote health and prevent disease.
    • PECS-4:   Use genetic- and genomic-based interventions and information to improve clients' outcomes
      • PECS4-K1:   Pharmacogenetics, pharmacogenomics
        • PECS4-1:   Demonstrate ability to incorporate family history as part of the nursing assessment.
        • PECS4-2:   Monitor client response to genetic/genomic based interventions.
        • PECS4-3:   Intervene when client has an unintended response to genetic/genomic based interventions to ensure client safety.
      • PECS4-K2:   Gene or gene product targeted therapy
        • PECS4-1:   Demonstrate ability to incorporate family history as part of the nursing assessment.
        • PECS4-2:   Monitor client response to genetic/genomic based interventions.
        • PECS4-3:   Intervene when client has an unintended response to genetic/genomic based interventions to ensure client safety.
      • PECS4-K3:   Protein replacement therapy
        • PECS4-1:   Demonstrate ability to incorporate family history as part of the nursing assessment.
        • PECS4-2:   Monitor client response to genetic/genomic based interventions.
        • PECS4-3:   Intervene when client has an unintended response to genetic/genomic based interventions to ensure client safety.
      • PECS4-K4:   Chaperone therapy
        • PECS4-1:   Demonstrate ability to incorporate family history as part of the nursing assessment.
        • PECS4-2:   Monitor client response to genetic/genomic based interventions.
        • PECS4-3:   Intervene when client has an unintended response to genetic/genomic based interventions to ensure client safety.
    • PECS-5:   Collaborate with health care providers to provide genetic and genomic health care in health promotion/disease prevention
      • PECS5-K1:   Roles of genetic/genomic health care professionals
        • PECS5-1:   Use interprofessional communication and collaboration skills to deliver safe, evidence-based, client-centered care.
        • PECS5-2:   Demonstrate team building and collaborative strategies when working with interprofessional teams.
        • PECS5-3:   Adopt a range of interpersonal skills whilst communicating with clients and colleagues about genetic/genomic issues.
      • PECS5-K2:   Roles of other genetic/genomic specialists
        • PECS5-1:   Use interprofessional communication and collaboration skills to deliver safe, evidence-based, client-centered care.
        • PECS5-2:   Demonstrate team building and collaborative strategies when working with interprofessional teams.
        • PECS5-3:   Adopt a range of interpersonal skills whilst communicating with clients and colleagues about genetic/genomic issues.
    • PECS-6:   Collaborate with insurance providers/payers to facilitate reimbursement for genetic and genomic health care
      • PECS6-K1:   Determinants of clinical utility of genetic/genomic tests
        • PECS6-1:   Identify strategies to facilitate reimbursement for genetic/genomic services and/or tests.
        • PECS6-2:   Describe other methods of payment for genetic/genomic health care services (i.e., laboratory indigent assistance programs).
      • PECS6-K2:   Economic impact of new genetic / genomic based therapies
        • PECS6-1:   Identify strategies to facilitate reimbursement for genetic/genomic services and/or tests.
        • PECS6-2:   Describe other methods of payment for genetic/genomic health care services (i.e., laboratory indigent assistance programs).
      • PECS6-K3:   Influence of predisposition gene variants, genetic disease/disorder on access to health
        • PECS6-1:   Identify strategies to facilitate reimbursement for genetic/genomic services and/or tests.
        • PECS6-2:   Describe other methods of payment for genetic/genomic health care services (i.e., laboratory indigent assistance programs).
    • PECS-7:   Performs interventions/treatments appropriate to clients' genetic and genomic healthcare needs.
      • PECS7-K1:   Pharmacogenetics, pharmacogenomics
        • PECS4-2:   Monitor client response to genetic/genomic based interventions.
        • PECS4-3:   Intervene when client has an unintended response to genetic/genomic based interventions to ensure client safety.
        • PECS7-1:   Administer medications safely with consideration of pharmacogenetic test results if available.
        • PECS7-2:   Administer prescribed genetic / genomic based therapies safely as allowed per State Practice Act.
        • PECS7-3:   Teach client about purpose, expected benefits, limitations and potential risks of genetic/genomic based interventions.
      • PECS7-K2:   Gene or gene product targeted therapy
        • PECS4-2:   Monitor client response to genetic/genomic based interventions.
        • PECS4-3:   Intervene when client has an unintended response to genetic/genomic based interventions to ensure client safety.
        • PECS7-1:   Administer medications safely with consideration of pharmacogenetic test results if available.
        • PECS7-2:   Administer prescribed genetic / genomic based therapies safely as allowed per State Practice Act.
        • PECS7-3:   Teach client about purpose, expected benefits, limitations and potential risks of genetic/genomic based interventions.
      • PECS7-K3:   Protein replacement therapy
        • PECS4-2:   Monitor client response to genetic/genomic based interventions.
        • PECS4-3:   Intervene when client has an unintended response to genetic/genomic based interventions to ensure client safety.
        • PECS7-1:   Administer medications safely with consideration of pharmacogenetic test results if available.
        • PECS7-2:   Administer prescribed genetic / genomic based therapies safely as allowed per State Practice Act.
        • PECS7-3:   Teach client about purpose, expected benefits, limitations and potential risks of genetic/genomic based interventions.
      • PECS7-K4:   Chaperone therapy
        • PECS4-2:   Monitor client response to genetic/genomic based interventions.
        • PECS7-1:   Administer medications safely with consideration of pharmacogenetic test results if available.
        • PECS7-2:   Administer prescribed genetic / genomic based therapies safely as allowed per State Practice Act.
        • PECS7-3:   Teach client about purpose, expected benefits, limitations and potential risks of genetic/genomic based interventions.
    • PECS-8:   Evaluate impact and effectiveness of technology, information, interventions, and treatments
      • PECS8-K1:   Range of psychosocial responses
        • PECS8-1:   Assess client response to genetic/genomic information.
        • PECS8-2:   Assess client response to genetic/genomic based interventions.
        • PECS8-3:   Assess client response to genetic/genomic services.
        • PECS8-4:   Use evaluation of genetic/genomic technology, information and interventions to modify client's plan of care.
      • PECS8-K2:   Expected outcomes of various genetic/genomic based interventions
        • PECS8-1:   Assess client response to genetic/genomic information.
        • PECS8-2:   Assess client response to genetic/genomic based interventions.
        • PECS8-3:   Assess client response to genetic/genomic services.
        • PECS8-4:   Use evaluation of genetic/genomic technology, information and interventions to modify client's plan of care.

Genetic Counselor

  • Genetics Expertise and Analysis
    • 1:   Demonstrate and utilize a depth and breadth of understanding and knowledge of genetics and genomics core concepts and principles.
      • 1a:   Demonstrate knowledge of principles of human, medical, and public health genetics and genomics and their related sciences.
      • 1b:   Apply knowledge of genetic principles and understand how they contribute to etiology, clinical features and disease expression, natural history, differential diagnoses, genetic testing and test report interpretation, pathophysiology, recurrence risk, management and prevention, and population screening.
    • 3:   Construct relevant, targeted and comprehensive personal and family histories and pedigrees.
      • 3a:   Demonstrate proficiency in the use of pedigree symbols, standard notation, and nomenclature.
      • 3b:   Utilize interviewing skills to elicit a family history and pursue a relevant path of inquiry.
      • 3c:   Use active listening skills to formulate structured questions for the individual case depending on the reason for taking the family history and/or potential diagnoses.
      • 3d:   Elicit and assess pertinent information relating to medical, developmental, pregnancy and psychosocial histories.
      • 3e:   Extract pertinent information from available medical records.
    • 4:   Identify, assess, facilitate, and integrate genetic testing options in genetic counseling practice.
      • 4a:   Investigate the availability, analytic validity, clinical validity, and clinical utility of screening, diagnostic and predictive genetic/genomic tests.
      • 4b:   Evaluate and assess laboratories and select the most appropriate laboratory and test based on the clinical situation.
      • 4c:   Identify and discuss the potential benefits, risks, limitations and costs of genetic testing.
      • 4d:   Coordinate and facilitate the ordering of appropriate genetic testing for the client.
      • 4e:   Interpret the clinical implications of genetic test reports.
      • 4f:   Recognize and differentiate specific considerations relevant to genetic versus genomic and clinical versus research testing in terms of the informed consent process, results disclosure, institutional review board (IRB) guidelines, and clinical decision-making.
    • 6:   Demonstrate the skills necessary to successfully manage a genetic counseling case.
      • 6a:   Develop and execute a case management plan that includes case preparation and follow-up.
      • 6b:   Assess and modify the case management plan as needed to incorporate changes in management and surveillance recommendations.
      • 6c:   Document and present the genetic counseling encounter information clearly and concisely, orally and in writing, in a manner that is understandable to the audience and in accordance with professional and institutional guidelines and standards.
      • 6d:   Identify and introduce research options when indicated and requested in compliance with applicable privacy, human subjects, regional and institutional standards.
      • 6e:   Identify, access and present information to clients on local, regional, national and international resources, services and support.