American Society of Clinical Oncology: e-Learning Course: Genetic Testing in Oncology

This three-part activity focuses on genetic testing, particularly within the area of breast cancer. Section 1 focuses on taking and utilizing an adequate cancer family history. Section 2 examines breast cancer referrals. The third section overviews informed consent, elements of counseling, and disclosure.


Type Course
CME Available Yes
Topic
Cost $34
Note

Genomic Competencies

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

Physician

  • Family History
    • P-FH1A:   Patient Care
      • 1A1:   Conduct patient interview to assemble family history
      • 1A3:   Recognize patterns of Mendelian inheritance and calculate simple Mendelian risks; provide this information to patients and family members as appropriate
      • 1A4:   Use empirical risk figures to provide appropriate information for complex (multifactorial) medical conditions.
    • P-FH1B:   Knowledge for Practice
      • 1B1:   Describe the basic patterns of Mendelian inheritance
      • 1B2:   Explain the difference between Mendelian and multifactorial inheritance
    • P-FH1E:   Professionalism
      • 1E2:   Explain to patient relevant social and legal risks related to family history as well as relevant legal protections
    • P-FH1F:   Systems-Based Practice
      • 1F2:   Facilitate patient’s desire to communicate relevant family history information among health providers and family members
    • P-FH1G:   Interprofessional Collaboration
      • 1G1:   Make appropriate referrals for specialty evaluation based on results of family history
    • P-FH1H:   Personal and Professional Development
      • 1H2:   Maintain continuing medical education on matters of medical genetics
  • Genomic Testing
    • P-GT2A:   Patient Care
      • 2A1:   Discuss the indications for genomic testing - specifically the benefits, risks, and alternatives
      • 2A6:   Order, interpret, and communicate the results of appropriate genomic tests, within the physician’s scope of practice
      • 2A7:   Provide referral to an appropriate specialist for genomic testing of a condition outside the physician’s scope of practice
      • 2A8:   Respond to the results of an abnormal genetic screening test, such as newborn screening, including immediate management and appropriate referral
    • P-GT2B:   Knowledge for Practice
      • 2B3:   Recognize that genomic tests require interpretation with respect to the patient’s clinical status (e.g., pathogenic, likely pathogenic, benign)
    • P-GT2C:   Practice-Based Learning and Improvement
      • 2C1:   Incorporate genomic findings into the health record and patient-care plan
    • P-GT2E:   Professionalism
      • 2E2:   Be aware of and responsive to patients’ concerns about genetic discrimination
    • P-GT2G:   Interprofessional Collaboration
      • 2G1:   Initiate responsible referrals to specialists or other health professionals
    • P-GT2H:   Personal and Professional Development
      • 2H1:   Engage in continuing education regarding advances in genomic medicine and changing indications for and interpretation of genomic testing
  • Somatic Genomics
    • P-SG4A:   Patient Care
      • 4A1:   Identify or facilitate identification of patients who may benefit from genomic testing of tissue
      • 4A2:   Explain the benefits and limitations of somatic genomic testing to the patient, including implications regarding treatment of their condition and clarification of his/her prognosis
    • P-SG4B:   Knowledge for Practice
      • 4B3:   Explain how genomic testing can be used to guide choice of therapy and adjust drug dosage in patients with cancer
    • P-SG4G:   Interprofessional Collaboration
      • 4G1:   Make appropriate referrals to specialists and other health providers and support the patient in ongoing care