Genetic Counselling, Exercise 2

Numbering Code P-PUB01 8N008 SJ90 Year/Term 2022 ・ Irregular, year-round
Number of Credits 2 Course Type Seminar
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 [Basic information] Class date and time: Fridays (every other week in principle) 5th and 6th periods, Classroom: Building G, Seminar room A
Level: Genetic Counseling Exercise 1 (Basic)/Genetic Counseling Exercise 2 (Advanced)
Staff in charge: Shinji Kosugi, Takahito Wada, Takeshi Nakajima, Takahiro Yamada, Hidenori Kawasaki, Masako Torishima, Akiko Yoshida, Hiromi Murakami, Sayaka Honda, Akira Inaba, Kazuo Tamura, Junko Tatsumi, Kazumasa Saigo, Nobuyuki Fukushima, lecturer

[Course overview] Actual genetic counseling cases are presented to the participants, who are expected to have a thorough discussion with other conference participants about problems related to genetic, medical, recuperative, social, legal, ethical, and psychological issues. Starting in the second semester of the first year, the course is more focused on conferences, and the participants are expected to make presentations about the cases they have witnessed in actual genetic counseling practice. This is the most important element in the curriculum of genetic counselor courses at Kyoto University and Kinki University, with the active participation of graduate students from both universities. As a rule, graduate students in the practice period (second-year students: April to October; first-year students: November to year-end; the transition period depends on the situation of each course) must make a case presentation in every class. 4:30-6:30 PM: Joint conference for case presentation
・ Review meeting (the moderator does the timekeeping so that between four and six cases are reviewed at each meeting). From 6:30 PM to around 7:20 PM: Presentations about genetic counseling activities from genetic counselors that completed the course at Kyoto/Kinki Universities, or joint conference attendees/invited speakers

[Teaching/learning method] Case presentation/discussion and creation of conference record (students take turns for each case)
Course Goals Capable of making an appropriate presentation of cases, organizing various problems and making decisions on future response policies, participating in discussions and making logical observations, and creating appropriate conference records.
Schedule and Contents [Moderator] Conference lecturers
[1st lecture] 4/8 [Kosugi] Shinji Kosugi: “Introduction to Joint Conferences”
[2nd lecture] 4/22 [Saigo] Ayako Miyazaki: “Hemoglobinopathy”
[3rd lecture] 5/13 [Yoshida] Yayoi Aizawa: “Institutional and Social Issues Surrounding Genetic Counselors - for Further Success in the Future -”
[4th lecture] 5/27 [Wada] Katsu Takahashi: “Development of a New Antibody Drug to Regenerate Missing Teeth in Patients with Rare Disease Congenital Anodontia”
[5th lecture] 6/10 [Yamada] Akihiko Sekizawa: “Advances in Prenatal Testing Using Maternal Blood”
[6th lecture] 6/24 [Murakami] Hideaki Okajima: “Current Status and Challenges of Liver Transplantation for Hereditary Diseases”
[7th lecture] 7/8 [Kishita] Mina Nakama: “Adding Adrenoleukodystrophy and Genetic Counseling to Newborn Mass Screening”
[8th lecture] 7/22 [Wada] Masayoshi Nakakuni: “Clinical Application of Gene Therapy and the Role of CGC”
[9th lecture] 10/14 [Torishima] Shin-ichi Usami: “Deafness Medical Care Based on Genetic Diagnosis”
[10th lecture] 10/28 [Tamura] Mitsuo Masuno: “How to Proceed with the Diagnosis of Congenital Anomaly Syndrome”
[11th lecture] 11/11 [Nakajima] Atsushi Yamada: “Efforts for Hereditary Gastrointestinal Tumor Treatment at Kyoto University Hospital: from the Standpoint of a Clinician”
[12th lecture] 11/25 [Inaba] Sayaka Honda: “Work as a Certified Genetic Counselor at Kyoto University Hospital”
[13th lecture] 12/9 [Nakama] Miki Okamura: “Hereditary Tumor Treatment and the Role of CGC at Shikoku Cancer Center”
[14th lecture] 1/13 [Kawasaki] New Year Roundtable
[15th lecture] 1/27 [Wada] Yo Niida: “Attempt to Popularize Genetic Testing at Kanazawa Medical University Hospital - Another Way to Use NGS -”

[Specific guidelines for the joint conference]
1) Objective: This is not a practice debriefing session. The attendees must put their impressions aside and focus on whether genetic counseling was conducted appropriately in each case, whether mistakes were made, or if something was missing. They must listen to the specialists’ opinions and comments and join the debate. A time for discussion must be allocated so that many people can share their opinions and they can be effectively applied to genetic counseling.
2) Presentation: Objectively summarize the facts. First, explain the background and main complaint to the participants. Also, briefly indicate the progress of genetic counseling and pertinent issues. Keep the presentation time under 15 minutes, plus 10 minutes for discussion.
3) Slides: Try to use bullets to organize the discussion better. The following number of slides must be followed by all. First half: One slide with the title (including the date and name of the presenters and the doctor in charge), one slide to explain the disease, two slides containing the background of the consultation and main complaint, as well as the family tree. Second half: One or two slides with the progress of genetic counseling and one or two slides with issues and problems.
4) Progress: Instruct the presenters to simplify any redundant parts and to promote constructive discussion.
5) Assessment: Questions, personal opinions, and impressions must be reserved for later, when there is a general discussion. If you really have to make a comment at the beginning, consult the supervisor and doctor beforehand.
6) After the presentation: Add one slide containing the content of the discussion. After the confirmation by the doctor in charge, save it in “Genetic Counseling Record” and “Conference Record” (within a week after the conference).
* Since this activity involves contact with personal information, first-time participants must submit the “Pledge of Confidentiality” in advance. Do not talk about the details of genetic counseling in the presence of others, do not leave the notebook containing genetic counseling information where others can see it, and do not lend the notebook to (or borrow it from) others.
Evaluation Methods and Policy Comprehensive evaluation of presentations, active participation in discussions, creation of conference records, and other activities.
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) Instructions will be given accordingly.
Textbooks Textbooks/References Not used. As a rule, no handout is distributed.
PAGE TOP