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Erschienen in: Journal of Genetic Counseling 3/2011

01.06.2011 | Professional Issues

A Model of Professional Development for Practicing Genetic Counselors: Adaptation of Communication Skills Training in Oncology

verfasst von: Kate L. Dunlop, Kristine Barlow-Stewart, Phyllis Butow, Paul Heinrich

Erschienen in: Journal of Genetic Counseling | Ausgabe 3/2011

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Abstract

Ongoing professional development for practicing genetic counselors is critical in maintaining best practice. Communication skills training (CST) workshops for doctors in oncology, utilizing trained actors in role plays, have been implemented for many years to improve patient-centred communication. This model was adapted to provide professional development in counseling skills for practicing genetic counselors, already highly trained in counseling skills. Detailed evidence based scenarios were developed. Evaluation of participants’ experience and perceived outcomes on practice included surveys immediately post workshops (2002, 2004, 2005, 2008 (×2); n = 88/97), 2–5 years later (2007; n = 21/38) and a focus group (2007; n = 7). All rated workshops as effective training. Aspects highly valued included facilitator feedback, actors rather than role-playing with peers and being able to stop and try doing things differently. Perceived outcomes included the opportunity to reflect on practice; bring focus to communication; motivation and confidence. The high level of satisfaction is a strong endorsement for ongoing communication skills training in this format as part of professional development.
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Literatur
Zurück zum Zitat Abrams, L. J., & Kessler, S. (2002). The inner world of the genetic counselor. Journal of Genetic Counseling, 11, 5–17.CrossRef Abrams, L. J., & Kessler, S. (2002). The inner world of the genetic counselor. Journal of Genetic Counseling, 11, 5–17.CrossRef
Zurück zum Zitat Alliman, S., Veach, P. M., Bartels, D. M., Lian, F., James, C., & Leroy, B. S. (2009). A comparative analysis of ethical and professional challenges experienced by U.S genetic counselors. Journal of Genetic Counseling, 18(4), 379–394.PubMedCrossRef Alliman, S., Veach, P. M., Bartels, D. M., Lian, F., James, C., & Leroy, B. S. (2009). A comparative analysis of ethical and professional challenges experienced by U.S genetic counselors. Journal of Genetic Counseling, 18(4), 379–394.PubMedCrossRef
Zurück zum Zitat AGNC Supervision Working Group. (2007). Report from the UK and eire association of genetic nurses and counsellors (AGNC) supervision working group on genetic counseling supervision. Journal of Genetic Counseling, 16, 127–142.CrossRef AGNC Supervision Working Group. (2007). Report from the UK and eire association of genetic nurses and counsellors (AGNC) supervision working group on genetic counseling supervision. Journal of Genetic Counseling, 16, 127–142.CrossRef
Zurück zum Zitat Barrow, H. S. (1971). Simulated patient: The development and use of a new technique in Medical Education. Springfied: Carles C. Thomas. Barrow, H. S. (1971). Simulated patient: The development and use of a new technique in Medical Education. Springfied: Carles C. Thomas.
Zurück zum Zitat Barrow, H. S., & Abrahamson, S. (1964). The programmed patient: a technique for appraising student performance in clinical neurology. Journal of Medical Education, 39, 802–805. Barrow, H. S., & Abrahamson, S. (1964). The programmed patient: a technique for appraising student performance in clinical neurology. Journal of Medical Education, 39, 802–805.
Zurück zum Zitat Boyle, F. M., Dunn, S. M., & Heinrich, P. (2003). More than one way to foster communication skills for medical oncology fellows: a national program in Australia. Journal of Clinical Oncology, 15, 21(22), 4255. Boyle, F. M., Dunn, S. M., & Heinrich, P. (2003). More than one way to foster communication skills for medical oncology fellows: a national program in Australia. Journal of Clinical Oncology, 15, 21(22), 4255.
Zurück zum Zitat Cohen-Cole, S. A., Bird, J., & Mance, R. (1995). Teaching with role-play: A structured approach. In M. Lipkin, S. Puitnam, & A. Lacare (Eds.), The Medical Interview; clinical care, education and research. New York: Springer-Verlag. Cohen-Cole, S. A., Bird, J., & Mance, R. (1995). Teaching with role-play: A structured approach. In M. Lipkin, S. Puitnam, & A. Lacare (Eds.), The Medical Interview; clinical care, education and research. New York: Springer-Verlag.
Zurück zum Zitat Donovan, T., Hutchson, T., & Kelly, A. (2003). Using simulated patients in a multiprofessional communications skills programme: reflections from the programme facilitators. European Journal of Cancer Care, 12, 123–128.PubMedCrossRef Donovan, T., Hutchson, T., & Kelly, A. (2003). Using simulated patients in a multiprofessional communications skills programme: reflections from the programme facilitators. European Journal of Cancer Care, 12, 123–128.PubMedCrossRef
Zurück zum Zitat Ellington, L., Baty, B. J., McDonald, J., Venne, V., Musters, A., Roter, D., et al. (2006). Exploring genetic counseling communication patterns: the teaching role of teaching and counseling approaches. Journal of Genetic Counselling, 15(3), 179–189.CrossRef Ellington, L., Baty, B. J., McDonald, J., Venne, V., Musters, A., Roter, D., et al. (2006). Exploring genetic counseling communication patterns: the teaching role of teaching and counseling approaches. Journal of Genetic Counselling, 15(3), 179–189.CrossRef
Zurück zum Zitat Fallowfield, L., Jenkins, V., Farewell, V., Saul, J., Duffy, A., & Eves, R. (2002). Efficacy of a cancer research UK communication skills training model for oncologists: a randomized controlled study. Lancet, 359(9307), 650–656.PubMedCrossRef Fallowfield, L., Jenkins, V., Farewell, V., Saul, J., Duffy, A., & Eves, R. (2002). Efficacy of a cancer research UK communication skills training model for oncologists: a randomized controlled study. Lancet, 359(9307), 650–656.PubMedCrossRef
Zurück zum Zitat Fellowes, D., Wilkinson, S., & Moore, P. (2004). Communication skills training for health care professionals working with cancer patients, their families and/or carers. Cochrane Database of Systematic Reviews, (2), CD003751. Fellowes, D., Wilkinson, S., & Moore, P. (2004). Communication skills training for health care professionals working with cancer patients, their families and/or carers. Cochrane Database of Systematic Reviews, (2), CD003751.
Zurück zum Zitat Fryer-Edwards, K., Arnold, R. M., Baile, W., Tulsky, J. A., Petracca, F., & Back, A. (2006). Reflective teaching practices: an approach to teaching communication skills in a small-group setting. Academic Medicine, 81(7), 638–644.PubMedCrossRef Fryer-Edwards, K., Arnold, R. M., Baile, W., Tulsky, J. A., Petracca, F., & Back, A. (2006). Reflective teaching practices: an approach to teaching communication skills in a small-group setting. Academic Medicine, 81(7), 638–644.PubMedCrossRef
Zurück zum Zitat Gysels, M., Richardson, A., & Higginson, I. J. (2005). Communication training for health professionals who care for patients with cancer: a systematic review of training methods. Support Care Cancer, 13(6), 356–366.PubMedCrossRef Gysels, M., Richardson, A., & Higginson, I. J. (2005). Communication training for health professionals who care for patients with cancer: a systematic review of training methods. Support Care Cancer, 13(6), 356–366.PubMedCrossRef
Zurück zum Zitat Hampel, H., Grubs, R. E., Walton, C. S., Nguyen, E., Breidenbach, D. H., Nettles, S., et al. (2009). Genetic counseling practice analysis. Journal of Genetic Counseling, 18(3), 205–16.PubMedCrossRef Hampel, H., Grubs, R. E., Walton, C. S., Nguyen, E., Breidenbach, D. H., Nettles, S., et al. (2009). Genetic counseling practice analysis. Journal of Genetic Counseling, 18(3), 205–16.PubMedCrossRef
Zurück zum Zitat Katsichti, L., Hadzipetros-Bardanis, M., & Bartsocas, C. S. (1999). Education and certification of genetic counselors. Genetic Counseling, 10(2), 171–6.PubMed Katsichti, L., Hadzipetros-Bardanis, M., & Bartsocas, C. S. (1999). Education and certification of genetic counselors. Genetic Counseling, 10(2), 171–6.PubMed
Zurück zum Zitat Lenzi, R., Baile, W. F., Berek, J., Back, A., Buckman, R., Cohen, L., et al. (2005). Design, conduct and evaluation of a communication course for oncology fellows. Journal of Cancer Education, 20(3), 143–149.PubMedCrossRef Lenzi, R., Baile, W. F., Berek, J., Back, A., Buckman, R., Cohen, L., et al. (2005). Design, conduct and evaluation of a communication course for oncology fellows. Journal of Cancer Education, 20(3), 143–149.PubMedCrossRef
Zurück zum Zitat Lobb, E., Butow, P., Meiser, B., Barratt, A., Gaff, C., Young, M. A., et al. (2004). Communication and information-giving behaviours in high risk breast cancer consultations: influence on patient outcomes. British Journal of Cancer, 90, 321–327.PubMedCrossRef Lobb, E., Butow, P., Meiser, B., Barratt, A., Gaff, C., Young, M. A., et al. (2004). Communication and information-giving behaviours in high risk breast cancer consultations: influence on patient outcomes. British Journal of Cancer, 90, 321–327.PubMedCrossRef
Zurück zum Zitat McCarthy Veach, P., Bartels, D. M., & LeRoy, B. S. (2007). Coming full circle: a reciprocal-engagement model of genetic counseling practice. Journal of Genetic Counseling, 16, 713–728.CrossRef McCarthy Veach, P., Bartels, D. M., & LeRoy, B. S. (2007). Coming full circle: a reciprocal-engagement model of genetic counseling practice. Journal of Genetic Counseling, 16, 713–728.CrossRef
Zurück zum Zitat Meiser, B., Irle, J., Lobb, E., & Barlow-Stewart, K. (2008). Assessment of the content and process of genetic counseling: a critical review of empirical studies. Journal of Genetic Counseling, 15(5), 434–451.CrossRef Meiser, B., Irle, J., Lobb, E., & Barlow-Stewart, K. (2008). Assessment of the content and process of genetic counseling: a critical review of empirical studies. Journal of Genetic Counseling, 15(5), 434–451.CrossRef
Zurück zum Zitat Merckaert, I., Libert, Y., & Razavi, D. (2005). Communication skills training in cancer care: where are we and where are we going? Current Opinion in Oncology, 17(4), 319–330.PubMedCrossRef Merckaert, I., Libert, Y., & Razavi, D. (2005). Communication skills training in cancer care: where are we and where are we going? Current Opinion in Oncology, 17(4), 319–330.PubMedCrossRef
Zurück zum Zitat Metcalfe, S., Jacques, A., Archibald, A., Burgess, T., Collins, V., Henry, A., et al. (2008). A model for offering carrier screening for fragile X syndrome to nonpregnant women: results from a pilot study. Genetics in medicine, 10(7), 525–535.PubMedCrossRef Metcalfe, S., Jacques, A., Archibald, A., Burgess, T., Collins, V., Henry, A., et al. (2008). A model for offering carrier screening for fragile X syndrome to nonpregnant women: results from a pilot study. Genetics in medicine, 10(7), 525–535.PubMedCrossRef
Zurück zum Zitat Novack, D. H., Dube, C. D., & Goldstein, M. G. (1992). Teaching medical interviewing. A basic course on interviewing and the physician-patient relationship. Archives of Internal Medicine, 152, 1814–1820.PubMedCrossRef Novack, D. H., Dube, C. D., & Goldstein, M. G. (1992). Teaching medical interviewing. A basic course on interviewing and the physician-patient relationship. Archives of Internal Medicine, 152, 1814–1820.PubMedCrossRef
Zurück zum Zitat Pieterse, A. H., van Dulmen, A. M., Beemer, F. A., Ausems, M. G., & Bensing, J. M. (2006). Tailoring communication in cancer genetic counseling through individual video-supported feedback: a controlled pretest-posttest design. Patient Education and Counseling, 60(3), 326–335.PubMedCrossRef Pieterse, A. H., van Dulmen, A. M., Beemer, F. A., Ausems, M. G., & Bensing, J. M. (2006). Tailoring communication in cancer genetic counseling through individual video-supported feedback: a controlled pretest-posttest design. Patient Education and Counseling, 60(3), 326–335.PubMedCrossRef
Zurück zum Zitat Rantanen, E., Hietala, M., Kristoffersson, U., Nippert, I., Schmidtke, J., Sequeiros, J., et al. (2008). What is ideal genetic counseling? A survey of current international guidelines. European Journal of Human Genetics, 16, 445–452.PubMedCrossRef Rantanen, E., Hietala, M., Kristoffersson, U., Nippert, I., Schmidtke, J., Sequeiros, J., et al. (2008). What is ideal genetic counseling? A survey of current international guidelines. European Journal of Human Genetics, 16, 445–452.PubMedCrossRef
Zurück zum Zitat Resta, R. G. (2006). Defining and redefining the scope and goals of genetic counseling. American Journal of Human Genetics Part C, 142C, 269–275.CrossRef Resta, R. G. (2006). Defining and redefining the scope and goals of genetic counseling. American Journal of Human Genetics Part C, 142C, 269–275.CrossRef
Zurück zum Zitat Roter, D., Ellington, L., Erby, L. H., Larson, S., & Dudley, W. (2006) The Genetic Counseling Video Project (GCVP): models of practice. Am J Med Genet C Semin Med Genet, 15;142 C(4):209−220. Roter, D., Ellington, L., Erby, L. H., Larson, S., & Dudley, W. (2006) The Genetic Counseling Video Project (GCVP): models of practice. Am J Med Genet C Semin Med Genet, 15;142 C(4):209−220.
Zurück zum Zitat Runyon, M., Zahm, K., McCarthy Veach, P., MacFarlane, I. & LeRoy, B. (2010). What do Genetic Counselors Learn on the job? A Qualitative Assessment of Professional Development Outcomes. Journal of Genetic Counseling. Published online 19 March 2010. Runyon, M., Zahm, K., McCarthy Veach, P., MacFarlane, I. & LeRoy, B. (2010). What do Genetic Counselors Learn on the job? A Qualitative Assessment of Professional Development Outcomes. Journal of Genetic Counseling. Published online 19 March 2010.
Zurück zum Zitat Siebert, D. (2008). Secrets to creating effective and interesting educational experiences: tips and suggestions for clinical educators. Journal of Genetic Counseling, 17, 152–160.CrossRef Siebert, D. (2008). Secrets to creating effective and interesting educational experiences: tips and suggestions for clinical educators. Journal of Genetic Counseling, 17, 152–160.CrossRef
Zurück zum Zitat Stiefel, F., Barth, J., Bensing, J., Fallowfield, L., Jost, L., Razavi, D., et al. (2010). Communication skills training in oncology: a position paper based on a consensus meeting among European experts in 2009. Annals of Oncology, 21, 204–201.PubMedCrossRef Stiefel, F., Barth, J., Bensing, J., Fallowfield, L., Jost, L., Razavi, D., et al. (2010). Communication skills training in oncology: a position paper based on a consensus meeting among European experts in 2009. Annals of Oncology, 21, 204–201.PubMedCrossRef
Zurück zum Zitat Thomas, J., & Harden, A. (2008). Methods for the thematic synthesis of qualitative research in systematic reviews. BMC Medical Research Methodology, 8, 45.PubMedCrossRef Thomas, J., & Harden, A. (2008). Methods for the thematic synthesis of qualitative research in systematic reviews. BMC Medical Research Methodology, 8, 45.PubMedCrossRef
Zurück zum Zitat Zahm, K. W. (2010). Professional development: Reflective genetic counseling practice. In B. S. LeRoy, P. McCarthy Veach, & D. M. Bartels (Eds.), Genetic counseling practice: Advanced concepts and skills (pp. 353–380). New York: Wiley. Zahm, K. W. (2010). Professional development: Reflective genetic counseling practice. In B. S. LeRoy, P. McCarthy Veach, & D. M. Bartels (Eds.), Genetic counseling practice: Advanced concepts and skills (pp. 353–380). New York: Wiley.
Zurück zum Zitat Zahm, K., McCarthy, P., & LeRoy, B. S. (2008). An investigation of genetic counselor experiences in peer group supervision. Journal of Genetic Counseling, 17(3), 220–233.PubMedCrossRef Zahm, K., McCarthy, P., & LeRoy, B. S. (2008). An investigation of genetic counselor experiences in peer group supervision. Journal of Genetic Counseling, 17(3), 220–233.PubMedCrossRef
Metadaten
Titel
A Model of Professional Development for Practicing Genetic Counselors: Adaptation of Communication Skills Training in Oncology
verfasst von
Kate L. Dunlop
Kristine Barlow-Stewart
Phyllis Butow
Paul Heinrich
Publikationsdatum
01.06.2011
Verlag
Springer US
Erschienen in
Journal of Genetic Counseling / Ausgabe 3/2011
Print ISSN: 1059-7700
Elektronische ISSN: 1573-3599
DOI
https://doi.org/10.1007/s10897-010-9340-y

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