The 2016 Genomics and Health Disparities Lecture Series

The Genomics and Health Disparities Lecture Series was formed to enhance opportunities for dialogue about how innovations in genomics research and technology can impact health disparities. Topics range from basic science to translational research.


Type Website
CME Available No
Topic
Cost Free
Note


Date of Resource 2016

Genomic Competencies

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

Physician Assistant

  • Interpersonal & Communications Skills
    • 1:   When communicating genetic information to patients, consider personal factors that may influence their understanding and response.
  • PROFESSIONALISM
    • 2:   Discuss financial, ethical, legal, and social issues related to genetic testing and recording of genetic information

Pharmacist

  • Ethical, Legal and Social Implications (ELSI)
    • E3:   To adopt a culturally sensitive and ethical approach to patient counseling regarding genomic/pharmacogenomic test results

Nurse

  • Professional Responsibilities
    • PR-1:   Recognize one's own attitudes and values
      • PR1-K1:   Values, attitudes and beliefs
        • PR1-1:   Engage in reflective practice about one's own beliefs and values related to client care that integrates genetics and genomics.
        • PR1-2:   Articulate attitudes, values and beliefs that influence health care perspective about difficult genetic or genomic health care decisions.
      • PR1-K2:   Impact of personal values, attitudes and beliefs
        • PR1-1:   Engage in reflective practice about one's own beliefs and values related to client care that integrates genetics and genomics.
        • PR1-2:   Articulate attitudes, values and beliefs that influence health care perspective about difficult genetic or genomic health care decisions.
    • 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-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.
    • 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.
  • 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-3:   Identify ethical, ethnic/ancestral, cultural, religious, legal, fiscal and societal issues
      • ID3-K1:   Cultural, ethnic, family values, traditions, health beliefs and religious perspectives
        • ID3-1:   Demonstrate the ability to assess cultural, language, family values, traditions, health beliefs and religious perspectives that influence access to and use of genetic/genomic information, technology, and services.
        • ID3-2:   Identify cultural, language, family values, traditions, health beliefs and religious perspectives that impact access and use of genetic/genomic information, technology and services.
        • ID3-3:   Identify psychosocial issues and impact of genetic/genomic information, technology and services on individual and the family.
        • ID3-4:   Use ethical principles when deliberating genetic/genomic issues of decision-making, privacy, confidentiality, informed consent, disclosure, access, and personal impact.
        • ID3-5:   List action steps to address genetic/genomic ethical issues in practice, e.g. discuss with nursing team or supervisor, present to ethics committee.
        • ID3-6:   Describe the influence of insurance or other methods of reimbursement for services on access to genetic and genomic information and technologies.
      • ID3-K2:   The components of informed decision-making
        • ID3-1:   Demonstrate the ability to assess cultural, language, family values, traditions, health beliefs and religious perspectives that influence access to and use of genetic/genomic information, technology, and services.
        • ID3-2:   Identify cultural, language, family values, traditions, health beliefs and religious perspectives that impact access and use of genetic/genomic information, technology and services.
        • ID3-3:   Identify psychosocial issues and impact of genetic/genomic information, technology and services on individual and the family.
        • ID3-4:   Use ethical principles when deliberating genetic/genomic issues of decision-making, privacy, confidentiality, informed consent, disclosure, access, and personal impact.
        • ID3-5:   List action steps to address genetic/genomic ethical issues in practice, e.g. discuss with nursing team or supervisor, present to ethics committee.
        • ID3-6:   Describe the influence of insurance or other methods of reimbursement for services on access to genetic and genomic information and technologies.
      • ID3-K3:   Sources of genetic information
        • ID3-1:   Demonstrate the ability to assess cultural, language, family values, traditions, health beliefs and religious perspectives that influence access to and use of genetic/genomic information, technology, and services.
        • ID3-2:   Identify cultural, language, family values, traditions, health beliefs and religious perspectives that impact access and use of genetic/genomic information, technology and services.
        • ID3-3:   Identify psychosocial issues and impact of genetic/genomic information, technology and services on individual and the family.
        • ID3-4:   Use ethical principles when deliberating genetic/genomic issues of decision-making, privacy, confidentiality, informed consent, disclosure, access, and personal impact.
        • ID3-5:   List action steps to address genetic/genomic ethical issues in practice, e.g. discuss with nursing team or supervisor, present to ethics committee.
        • ID3-6:   Describe the influence of insurance or other methods of reimbursement for services on access to genetic and genomic information and technologies.
      • ID3-K4:   Capabilities and limitations of current genetic/genomic technologies
        • ID3-1:   Demonstrate the ability to assess cultural, language, family values, traditions, health beliefs and religious perspectives that influence access to and use of genetic/genomic information, technology, and services.
        • ID3-2:   Identify cultural, language, family values, traditions, health beliefs and religious perspectives that impact access and use of genetic/genomic information, technology and services.
        • ID3-3:   Identify psychosocial issues and impact of genetic/genomic information, technology and services on individual and the family.
        • ID3-4:   Use ethical principles when deliberating genetic/genomic issues of decision-making, privacy, confidentiality, informed consent, disclosure, access, and personal impact.
        • ID3-5:   List action steps to address genetic/genomic ethical issues in practice, e.g. discuss with nursing team or supervisor, present to ethics committee.
        • ID3-6:   Describe the influence of insurance or other methods of reimbursement for services on access to genetic and genomic information and technologies.
      • ID3-K5:   Ethical issues related to genetic/genomic information and technology
        • ID3-1:   Demonstrate the ability to assess cultural, language, family values, traditions, health beliefs and religious perspectives that influence access to and use of genetic/genomic information, technology, and services.
        • ID3-2:   Identify cultural, language, family values, traditions, health beliefs and religious perspectives that impact access and use of genetic/genomic information, technology and services.
        • ID3-3:   Identify psychosocial issues and impact of genetic/genomic information, technology and services on individual and the family.
        • ID3-4:   Use ethical principles when deliberating genetic/genomic issues of decision-making, privacy, confidentiality, informed consent, disclosure, access, and personal impact.
        • ID3-5:   List action steps to address genetic/genomic ethical issues in practice, e.g. discuss with nursing team or supervisor, present to ethics committee.
        • ID3-6:   Describe the influence of insurance or other methods of reimbursement for services on access to genetic and genomic information and technologies.
      • ID3-K6:   Psychosocial issues and impact of genetic/genomic information
        • ID3-1:   Demonstrate the ability to assess cultural, language, family values, traditions, health beliefs and religious perspectives that influence access to and use of genetic/genomic information, technology, and services.
        • ID3-2:   Identify cultural, language, family values, traditions, health beliefs and religious perspectives that impact access and use of genetic/genomic information, technology and services.
        • ID3-3:   Identify psychosocial issues and impact of genetic/genomic information, technology and services on individual and the family.
        • ID3-4:   Use ethical principles when deliberating genetic/genomic issues of decision-making, privacy, confidentiality, informed consent, disclosure, access, and personal impact.
        • ID3-5:   List action steps to address genetic/genomic ethical issues in practice, e.g. discuss with nursing team or supervisor, present to ethics committee.
        • ID3-6:   Describe the influence of insurance or other methods of reimbursement for services on access to genetic and genomic information and technologies.
      • ID3-K7:   Current state, federal, and military policies
        • ID3-1:   Demonstrate the ability to assess cultural, language, family values, traditions, health beliefs and religious perspectives that influence access to and use of genetic/genomic information, technology, and services.
        • ID3-2:   Identify cultural, language, family values, traditions, health beliefs and religious perspectives that impact access and use of genetic/genomic information, technology and services.
        • ID3-3:   Identify psychosocial issues and impact of genetic/genomic information, technology and services on individual and the family.
        • ID3-4:   Use ethical principles when deliberating genetic/genomic issues of decision-making, privacy, confidentiality, informed consent, disclosure, access, and personal impact.
        • ID3-5:   List action steps to address genetic/genomic ethical issues in practice, e.g. discuss with nursing team or supervisor, present to ethics committee.
        • ID3-6:   Describe the influence of insurance or other methods of reimbursement for services on access to genetic and genomic information and technologies.
    • ID-4:   Define issues that undermine the rights of all clients for autonomous, informed decision-making
      • ID4-K1:   Current state, federal, and military policies
        • ID4-1:   Identify respective genetic state legislation.
        • ID4-2:   Identify examples of misuse of genetic/genomic information and technology.
        • ID4-3:   Describe legal and social issues related to access and use of genetic information and technology.
        • ID4-4:   Access interprofessional ethical resources when trying to resolve ethical dilemmas.
      • ID4-K2:   The components of informed decision-making
        • ID4-1:   Identify respective genetic state legislation.
        • ID4-2:   Identify examples of misuse of genetic/genomic information and technology.
        • ID4-3:   Describe legal and social issues related to access and use of genetic information and technology.
        • ID4-4:   Access interprofessional ethical resources when trying to resolve ethical dilemmas.
      • ID4-K3:   Past and potential for misuse of genetic/genomic information and technology
        • ID4-1:   Identify respective genetic state legislation.
        • ID4-2:   Identify examples of misuse of genetic/genomic information and technology.
        • ID4-3:   Describe legal and social issues related to access and use of genetic information and technology.
        • ID4-4:   Access interprofessional ethical resources when trying to resolve ethical dilemmas.
      • ID4-K4:   Guidelines or policies regarding access
        • ID4-1:   Identify respective genetic state legislation.
        • ID4-2:   Identify examples of misuse of genetic/genomic information and technology.
        • ID4-3:   Describe legal and social issues related to access and use of genetic information and technology.
        • ID4-4:   Access interprofessional ethical resources when trying to resolve ethical dilemmas.
  • Referral activities
    • RA-1:   Facilitate referrals for specialized genetic and genomic services
      • RA1-K1:   Professional roles of providers delivering genetic and genomic services
        • RA1-1:   Develop an interprofessional plan of care in collaboration with the client that incorporates genetics and genomics.
        • RA1-2:   Uses genetic and genomic indicators as rationale for clients who may benefit from further evaluation or other risk management interventions.
        • 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
        • RA1-1:   Develop an interprofessional plan of care in collaboration with the client that incorporates genetics and genomics.
        • RA1-2:   Uses genetic and genomic indicators as rationale for clients who may benefit from further evaluation or other risk management interventions.
        • 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
        • RA1-1:   Develop an interprofessional plan of care in collaboration with the client that incorporates genetics and genomics.
        • RA1-2:   Uses genetic and genomic indicators as rationale for clients who may benefit from further evaluation or other risk management interventions.
        • RA1-3:   Develop a plan for follow-up of a client post genetics/genomic referral.
  • Provision of education, care and support
    • 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.

Physician

  • Genomic Testing
    • P-GT2A:   Patient Care
      • 2A1:   Discuss the indications for genomic testing - specifically the benefits, risks, and alternatives
      • 2A2:   Explain the implications of placing genomic test results in the patient’s medical record
      • 2A3:   Discuss the possibility of incidental findings and how they will be handled
      • 2A4:   Discuss risks of having genomic testing done: e.g., psychological implications for the individual as well as the family; the potential for discrimination; and the potential effect on insurance coverage.
      • 2A5:   Explain to the patient issues of costs and financial coverage of genomic testing
      • 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
  • Patient Treatment Based on Genomic Results
    • P-PM3A:   Patient Care
      • 3A1:   Identify medical conditions and drug responses that have a strong genetic component
      • 3A3:   Discern the potential clinical impact of genetic variation on risk stratification and individualized treatment

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.
    • 7:   Critically assess genetic/genomic, medical and social science literature and information.
      • 7a:   Plan and execute a thorough search and review of the literature.
      • 7b:   Evaluate and critique scientific papers and identify appropriate conclusions by applying knowledge of relevant research methodologies and statistical analyses.
      • 7c:   Synthesize information obtained from a literature review to utilize in genetic counseling encounters.
      • 7d:   Incorporate medical and scientific literature into evidenced-based practice recognizing that there are limitations and gaps in knowledge and data.
  • Interpersonal, Psychosocial and Counseling Skills
    • 13:   Apply genetic counseling skills in a culturally responsive and respectful manner to all clients.
      • 13a:   Describe how aspects of culture including language, ethnicity, life-style, socioeconomic status, disability, sexuality, age and gender affect the genetic counseling encounter.
      • 13b:   Assess and respond to client cultural beliefs relevant to the genetic counseling encounter.
      • 13c:   Utilize multicultural genetic counseling resources to plan and tailor genetic counseling agendas, and assess and counsel clients.
      • 13d:   Maintain professional boundaries by ensuring directive statements, self-disclosure, and self-involving responses are in the best interest of the client.
  • Professional Development & Practice
    • 19:   Advocate for individuals, families, communities and the genetic counseling profession.
      • 19a:   Recognize the potential tension between the values of clients, families, communities and the genetic counseling profession.
      • 19b:   Support client and community interests in access- ing, or declining, social and health services and clinical research.
      • 19c:   Identify genetic professional organizations and describe opportunities for participation and leadership.
      • 19d:   Employ strategies that to increase/promote access to genetic counseling services.