The Utilization of Counseling Skills by the Laboratory Genetic Counselor
- 1k Downloads
The number of available genetic testing options and the nuances associated with these options continue to expand. In addition, the scope of genetic testing has broadened to areas and specialties beyond Medical Genetics. In response to these changes, diagnostic laboratories have employed genetic counselors to help navigate the increasing complexity of genetic testing, given their expertise and training in human genetics. However a largely unrecognized aspect of this role involves the use of counseling skills. Counseling skills are used by laboratory genetic counselors in a variety of situations to convey information and facilitate understanding among clinicians and medical staff. This helps to reduce test ordering errors, promote optimal test utilization, and ensure best patient care practices. The specific counseling skills used by laboratory counselors will be explored using three fictional case vignettes, followed by a discussion of the applicability of these skills in other contexts. Exploration of the unique ways in which laboratory genetic counselors apply their counseling skills can be useful for professional development and instructive for graduate training programs.
KeywordsLaboratory genetic counseling Laboratory genetic counselor Counseling skills Training program curriculum
- Baars, M. J., Henneman, L., & Ten Kate, L. P. (2005). Deficiency of knowledge of genetics and genetic tests among general practitioners, gynecologists, and pediatricians: a global problem. Genetics in medicine : official Journal of the American College of Medical Genetics, 7(9), 605–610.CrossRefGoogle Scholar
- Cavanagh, M., & Levitov, J. (2002). The Counseling Experience, A Theoretical and Practical Approach (2nd ed.). Prospect Heights: Waveland Press, Inc.Google Scholar
- Djurdjinovic, L. (2009). Psychosocial Counseling. In W. R. Uhlmann, J. L. Schuette, & B. M. Yashar (Eds.), A Guide to Genetic Counseling (2nd ed., pp. 133–176). Hoboken: Wiley-Blackwell.Google Scholar
- Doksum, T., Bernhardt, B. A., & Holtzman, N. A. (2003). Does knowledge about the genetics of breast cancer differ between nongeneticist physicians who do or do not discuss or order BRCA testing? Genetics in medicine : official Journal of the American College of Medical Genetics, 5(2), 99–105.CrossRefGoogle Scholar
- Harvey, E. K., Fogel, C. E., Peyrot, M., Christensen, K. D., Terry, S. F., & McInerney, J. D. (2007). Providers’ knowledge of genetics: a survey of 5915 individuals and families with genetic conditions. Genetics in medicine : official Journal of the American College of Medical Genetics, 9(5), 259–267.CrossRefGoogle Scholar
- McCarthy Veach, P., LeRoy, B. S., & Bartels, D. M. (2003). Facilitating the Genetic Counseling Process, A Practice Manual. New York: Springer.Google Scholar
- National Society of Genetic Counselors (2000). Professional status survey 2000. Retrieved July 15, 2014 from http://nsgc.org/p/do/sd/sid=2&type=0.
- National Society of Genetic Counselors (2014). 2014 Professional status survey. Retrieved July 15, 2014 from http://nsgc.org/p/cm/ld/fid=68.
- Northouse, L. L., & Northouse, P. G. (1998). Health Communication: Strategies for Health Professionals (3rd ed.). Stamford: Appleton & Lange.Google Scholar
- NSGC 2008-2009 Task Force, -. (n.d.). Core Skills of Genetic Counselors Retrieved 05/30/2012, from http://www.nsgc.org/Home/GeneticCounselorHomePage/SkillsofGeneticCounselors/tabid/365/Default.aspx
- Ostrer, H. (1993). 46, XY Disorder of Sex Development and 46, XY Complete Gonadal Dysgenesis. In R. A. Pagon, T. D. Bird, C. R. Dolan, K. Stephens, & M. P. Adam (Eds.), GeneReviews. Seattle: University of Washington, Seattle.Google Scholar
- Spitzer Kim, K. (2009). Interviewing: Beginning to See Each Other. In W. R. Uhlmann, J. L. Schuette, & B. M. Yashar (Eds.), A Guide to Genetic Counseling (2nd ed., pp. 71–92). Hoboken: Wiley-Blackwell.Google Scholar
- Wain, K. E., Riggs, E., Hanson, K., Savage, M., Riethmaier, D., Muirhead, A., & Faucett, W. A. (2012). The laboratory-clinician team: a professional call to action to improve communication and collaboration for optimal patient care in chromosomal microarray testing. Journal of Genetic Counseling, 21(5), 631–637.PubMedCentralPubMedCrossRefGoogle Scholar
- Weil, J. (2000). Psychosocial Genetic Counseling. New York: Oxford University Press, Inc.Google Scholar
- Zetzsche, L. H., Kotzer, K. E., & Wain, K. E. (2013). Looking back and moving forward: an historical perspective from laboratory genetic counselors. J Genet Couns.Google Scholar