Table 1.

NCHPEG’s core competencies in genetics

1. Knowledge

1.1. basic human genetics terminology

1.2. basic patterns of biological inheritance and variation, both within families and within populations

1.3. how identification of disease-associated genetic variations facilitates development of prevention, diagnosis, and treatment options

1.4. the importance of family history (minimum three generations) in assessing predisposition to disease

1.5. the interaction of genetic, environmental, and behavioural factors in predisposition to disease, onset of disease, response to treatment, and maintenance of health

1.6. the difference between clinical diagnosis of disease and identification of genetic predisposition to disease (genetic variation is not strictly correlated with disease manifestation)

1.7. the various factors that influence the client’s ability to use genetic information and services, for example, ethnicity, culture, related health beliefs, ability to pay, and health literacy

1.8. the potential physical and/or psychosocial benefits, limitations, and risks of genetic information for individuals, family members, and communities

1.9. the resources available to assist clients seeking genetic information or services, including the types of genetics professionals available and their diverse responsibilities

1.10. the ethical, legal and social issues related to genetic testing and recording of genetic information (e.g., privacy, the potential for genetic discrimination in health insurance and employment)

1.11. professional role in the referral to or provision of genetics services, and in follow-up for those services

2. Skills

2.1. gather genetic family history information, including at minimum a three-generation history

2.2. identify and refer clients who might benefit from genetic services or from consultation with other professionals for management of issues related to a genetic diagnosis

2.3. explain effectively the reasons for and benefits of genetic services

2.4. use information technology to obtain credible, current information about genetics

2.5. assure that the informed-consent process for genetic testing includes appropriate information about the potential risks, benefits and limitations of the test in question

3. Attitudes

2.6. appreciate the sensitivity of genetic information and the need for privacy and confidentiality

2.7. seek coordination and collaboration with an interdisciplinary team of health professionals