Genetic Counselling, Practice 2

Numbering Code P-PUB01 8N010 PJ90 Year/Term 2021 ・ Irregular, year-round
Number of Credits 4 Course Type Practical training
Target Year Professional degree students Target Student
Language Japanese Day/Period
Instructor name KOSUGI SHINJI (Graduate School of Medicine Professor)
Outline and Purpose of the Course [I. Course overview]
The participants go to an actual genetic counseling clinic to experience its daily routine while performing preliminary examinations (pre-counseling), creating family trees, and conducting follow-up by phone with actual clients.

Staff in charge: Shinji Kosugi, Takahito Wada, Ken Nakajima, Takahiro Yamada, Hidenori Kawasaki, Hideaki Sawai, Yuka Yotsumoto, Masako Torishima, Akiko Yoshida, Yumi Murakami, Sayaka Honda

[II. Teaching/learning method]
Practical exercises (preparation, pre-counseling, supervised practice, case record creation, case report in conferences, discussion, follow-up by phone). Active participation in related conferences and seminars and submission of a report.
The “Genetic Counselor Work Practice,” held between January and March, includes exercises of the actual work of certified genetic counselors, such as booking genetic counseling sessions by phone.
Course Goals Learn how to approach clients appropriately. Capable of conducting a preliminary examination and creating a family tree. Capable of discussing issues in the cases with the doctors in charge. Capable of summarizing a case, as well as searching the literature regarding medical, psychosocial, and ethical issues to obtain the most recent information. Capable of presenting a case at a conference and having a discussion about it. Capable of exchanging information and collaborating with related departments appropriately and practicing team medical care.
Schedule and Contents [Genetic Counseling Practice]
The genetic counseling practice starts around the second half of the first year. The exact date of the start and frequency of the practice are determined based on students' level of knowledge and attainment. In two years, they will have experienced around 60 cases. The first sessions may be limited to observations, but ideally, the students should try to take part in actual genetic counseling as much as possible, even with minor tasks. One example is the initial intake (pre-counseling), which involves the preliminary examination and creation of the family tree. For each case, the student must create a case record and logbook, have it checked by the teacher in charge, and conclude it as soon as possible (within a week at the latest). Then, the student must store it in the designated place. It is also the student’s duty to create a typification sheet and to present the cases he/she has witnessed at conferences and to discuss them. Each case requires around 6 hours (including preparation and search). The students must seek to diversify the disease cases as much as possible, including, for example, familial tumors, neurodegenerative diseases, prenatal diagnosis/chromosomal abnormalities, genetic deafness, ophthalmic diseases, congenital malformations, congenital metabolic disorder, and others.
・Kyoto University Hospital, Clinical Genetics Unit (includes the otorhinolaryngology genetic deafness outpatient ward): Monday to Friday (all course members take turns)
・Hyogo College of Medicine, Clinical Genetics Department: Tuesdays (one person per day)
・Takatsuki General Hospital, Pediatrics/Obstetrics & Gynecology (on an irregular basis)
As a rule, the phone follow-up after the genetic counseling must be made by the students in the genetic counselor course as part of their practical on the job training (OJT) and internship.

[How to write a case record: Excerpt]
1. File name: Medical record number + Short disease name + Consultation day (e.g., 999FAP120915)
For re-examinations, add the date and the number of the re-examination to the previous file name (e.g., 999FAP1261013-2)
2. Type out the medical record number before the body title.
3. Do not write the client’s name, but write the real names of the medical facilities involved.
4. Type out the time (ending time and duration).
5. The family tree must be created as a separate PowerPoint file. The file name must be the same as the Word file above.

[Participation in conferences and workshops]
To acquire a broader set of knowledge and experience, the students must participate in the conferences and workshops below for two years (we will provide financial support as much as possible). The students are encouraged to actively participate in conference presentations and seminars. We also recommend participating in conferences and seminars other than the ones listed below that are deeply related to genetic counseling, and to use these opportunities to do active networking. Participating in patient groups and support groups is also highly recommended. We will provide information accordingly.
Evaluation Methods and Policy Comprehensive evaluation of active participation in practice.
Course Requirements Compulsory subjects only for students in the Genetic Counselor Course (pre-determined subjects):

“Genetic Counseling Exercise 1” for first-year students

“Genetic Counseling Exercise 2” for second-year students
Study outside of Class (preparation and review) [Compulsory events scheduled for 2020] (Students will be contacted in the event of changes)
June 18th and 19th (Fri and Sat) Online until the 30th, The Japanese Society for Hereditary Tumors* Saitama Online
July 2nd to 4th (Fri to Sun) Online until the 18th, Japanese Society for Genetic Counseling* Online
Around September Genetic Counseling Workshop (second-year students only) Kanazawa University?
September 10th to 12th (Fri to Sun) Medical Genetics Seminar Mitsui Garden Hotel Chiba?
October 14th (Thu to Sun) The Japan Society of Human Genetics, rhe Japanese Society for Gene Diagnosis and Therapy, rhe National Liaison Council for Clinical Sections of Medical Genetics* Pacifico Yokohama?
Late January Genetic counseling Advanced seminar (first-year students only) About IRUD
(When the new students of the 2021 intake enter the second year of the course, they will participate in different conferences and workshops other than those listed above.)
Students who participate in conferences and seminars with financial assistance must submit a report of their expenses. The report must contain around one A4 sheet per day of the event, and must be submitted as soon as possible (within a month after each event). Also, the students must be aware that these reports may be documented as a booklet. Second-year students are expected to make at least one research presentation at one of the conferences marked with *.
Textbooks Textbooks/References Also, no resource is as important as the experience of being in contact with actual clients.