S2E7: The diagnostic odyssey

We are on the lookout for case presenters for season 4. We can’t do another season without your help so please get in touch! Instructions for case presentation are available on our website: http://www.gcchatpodcast.libsyn.com  Join the discussion on social media with #GCchatpodcast  Sound engineered by Shaun Allen. Content and editing by Ellenore Martin and Ashley Crook

Trigger warning: today’s case reflection episode may be distressing to some listeners as the case involves issues of domestic violence, rape and incest. Please consider this before deciding whether or not to listen. Welcome to the final episode of Season 3 of GC Chat: a genetic counselling podcast.  In this episode, we discuss the counselling issues and interventions raised in episode 3: A heavy burden. References mentioned in our discussion: Chen, L.P., Beck, A.E., Tsuchiya, K.D., Chow, P.M., Mirzaa, G.M., Wiester, R.T., Feldman, K.W. (2015), Institutional Protocol to Manage Consanguinity Detected by Genetic Testing in Pregnancy in a Minor, Pediatrics Mar, 135 (3) e736-e739; DOI: 10.1542/peds.2014-2593  McGuire, A. L., Wang, M. J., & Probst, F. J. (2012). Currents in contemporary bioethics. Identifying consanguinity through routine genomic analysis: reporting requirements. The Journal of Law, Medicine & Ethics, 40(4), 1040–1046. https://doi.org/10.1111/j.1748-720X.2012.00731.xdoi:10.1111/j.1748-720X.2012.00731.x  Patch, C., & Middleton, A. (2018). Genetic counselling in the era of genomic medicine. British Medical Bulletin, 126(1), 27–36. https://doi.org/10.1093/bmb/ldy008 on behalf of the Association of Genetic Nurses and Counsellors (AGNC), Middleton, A., Marks, P., Bruce, A., Protheroe-Davies, L. K., King, C., Claber, O., Houghton, C., Giffney, C., Macleod, R., Dolling, C., Kenwrick, S., Scotcher, D., Hall, G., Patch, C., & Boyes, L. (2017). The role of genetic counsellors in genomic healthcare in the United Kingdom: A statement by the Association of Genetic Nurses and Counsellors. European Journal of Human Genetics, 25(6), 659–661. https://doi.org/10.1038/ejhg.2017.28  Additional support options: https://www.1800respect.org.au/ https://www.rainn.org/national-resources-sexual-assault-survivors-and-their-loved-ones https://lifecentre.uk.com/ You can find our usual suggestions for support, our privacy statement and disclaimer, and more information about topics referenced in our discussion on our website.  http://www.gcchatpodcast.libsyn.com #GCchatpodcast Sound engineer: Shaun Allen

**Trigger warning: the new case presented today (from 16:40) may be distressing to some listeners as the case involves issues of domestic violence, rape and incest. Please consider this before deciding whether or not to listen.** Welcome back. We hope you had a nice break.  In this episode, we begin by discussing the counselling issues and interventions raised in episode 2: Adding value. We’ll then present this week’s case, where our guest genetic counsellor discusses a case that weighed heavily for both her and the client. References mentioned in our discussion: Young, M. A., Thompson, K., Lewin, J., & Holland, L. (2020). A framework for youth-friendly genetic counseling. Journal of community genetics, 11(2), 161–170. https://doi.org/10.1007/s12687-019-00439-2  World Health Organization. (2014). Global status reports on violence prevention 2014. Retrieved from. http://www.who.int/violence injury prevention/violence/statusreport/2014/en/     Additional support options: https://www.1800respect.org.au/  https://www.rainn.org/national-resources-sexual-assault-survivors-and-their-loved-ones https://lifecentre.uk.com/  You can find our usual suggestions for support, our privacy statement and disclaimer, and more information about topics referenced in our discussion on our website.  http://www.gcchatpodcast.libsyn.com #GCchatpodcast Sound engineer: Shaun Allen

Welcome to season 3 of GC Chat Podcast.  In this episode, we begin by discussing the counselling issues and interventions raised in episode 1: Respecting wishes. We’ll then present this week’s case, where our guest genetic counsellor reflects on how she added value when she was a student. References mentioned in our discussion: May, T., & Spellecy, R. (2006). Autonomy, full information and the right not to know. European journal of health law, 6(2), 119-132 World Health Organisation. Proposed International Guidelines on Ethical Issues in Medical Genetics and Genetic Services, 1997. You can find suggestions for support, our privacy statement and disclaimer, and more information about topics referenced in our discussion on our website.  http://www.gcchatpodcast.libsyn.com #GCchatpodcast Sound engineer: Shaun Allen

Welcome to season 3 of GC Chat Podcast. In this episode, we introduce our first case of the season, which raised several ethical issues for the genetic counsellor. Reflections will follow in our next episode on 21 December. Join the discussion on social media with #GCchatpodcast You will find suggestions for support, our privacy statement and disclaimer, and more information about topics referenced in our discussion on our website. http://www.gcchatpodcast.libsyn.com *Pseudonyms are used throughout Sound engineer: Shaun Allen

In today's episode we begin by reflecting on the skills and interventions used in episode 7: The diagnostic odyssey. As this is our last episode for season 2, we don’t have a new case to present. We will be reflecting together on what we have learned over the past two seasons.  References we found useful in our discussion:   Ingles, J., & Semsarian, C. (2007). Sudden cardiac death in the young: a clinical genetic approach. Internal Medicine Journal, 37(1), 32-37. doi:10.1111/j.1445-5994.2006.01241.x Stattin, E.-L., Westin, I. M., Cederquist, K., Jonasson, J., Jonsson, B.-A., Mörner, S., . . . Wisten, A. (2016). Genetic screening in sudden cardiac death in the young can save future lives. International journal of legal medicine, 130(1), 59-66. doi:10.1007/s00414-015-1237-8 Helm, B. M. (2015). Exploring the genetic counselor's role in facilitating meaning-making: rare disease diagnoses. J Genet Couns, 24(2), 205-212. doi:10.1007/s10897-014-9812-6 Douglas, H. A. (2014). Promoting meaning-making to help our patients grieve: an exemplar for genetic counselors and other health care professionals. J Genet Couns, 23(5), 695-700. doi:10.1007/s10897-014-9731-6 Join the discussion on social media with #GCchatpodcast  On our website, you will find suggestions for support, our privacy statement and disclaimer, and more information about topics referenced in our discussion.  http://www.gcchatpodcast.libsyn.com

In today's episode we begin by reflecting on the skills and interventions used in episode 6: building trust. We will then present our next case, in which the genetic counsellor reflected on the diagnostic odyssey faced by her client. References we found useful in our discussion:   Bernhardt, B. A., Rushton, C. H., Carrese, J., Pyeritz, R. E., Kolodner, K., & Geller, G. (2009). Distress and burnout among genetic service providers. Genetics in medicine : official journal of the American College of Medical Genetics, 11(7), 527-535. doi:10.1097/GIM.0b013e3181a6a1c2 Bernhardt, B. A., Silver, R., Rushton, C. H., Micco, E., & Geller, G. (2010). What keeps you up at night? Genetics professionals' distressing experiences in patient care. Genet Med, 12(5), 289-297. doi:10.1097/GIM.0b013e3181db82d9 Injeyan, M. C., Shuman, C., Shugar, A., Chitayat, D., Atenafu, E. G., & Kaiser, A. (2011). Personality traits associated with genetic counselor compassion fatigue: The roles of dispositional optimism and locus of control. Journal of Genetic Counseling, 20(5), 526-540. doi:10.1007/s10897-011-9379-4 Lee, W., Veach, P. M., MacFarlane, I. M., & LeRoy, B. S. (2015). Who is at risk for compassion fatigue? An investigation of genetic counselor demographics, anxiety, compassion satisfaction, and burnout. J Genet Couns, 24(2), 358-370. doi:10.1007/s10897-014-9716-5 Silver, J., Caleshu, C., Casson-Parkin, S., & Ormond, K. (2018). Mindfulness Among Genetic Counselors Is Associated with Increased Empathy and Work Engagement and Decreased Burnout and Compassion Fatigue. J Genet Couns, 27(5), 1175-1186. doi:10.1007/s10897-018-0236-6 https://www.heti.nsw.gov.au/education-and-training/courses-and-programs/international-medical-graduate-information/cultural-awareness Join the discussion on social media with #GCchatpodcast  On our website, you will find suggestions for support, our privacy statement and disclaimer, and more information about topics referenced in our discussion.  http://www.gcchatpodcast.libsyn.com 

In today's episode we begin by reflecting on the skills and interventions used in episode 5: Setting boundaries. We will then present our next case on building and maintaining trust in genetic counselling.  References we found useful in our discussion:   Reeder, Veach, MacFarlane, & LeRoy (2017), Characterizing Clinical Genetic Counselors’ Countertransference Experiences: An Exploratory Study. Journal of Genetic Counseling, 26(5), 934–947. Volz, Valverde, & Robbins (2018), Effects of Genetic Counselor Self-Disclosure: an Experimental Analog Study. Journal of Genetic Counseling. doi: 10.1007/s10897-018-0283-z. [Epub ahead of print] Balcom, Veach, Bemmels, Redlinger-Grosse, & LeRoy (2013), When the topic is you: genetic counselor responses to prenatal patients' requests for self-disclosure. Journal of Genetic Counseling, 22(3), 358-73. doi: 10.1007/s10897-012-9554-2. Join the discussion on social media with #GCchatpodcast  On our website, you will find suggestions for support, our privacy statement and disclaimer, and more information about topics referenced in our discussion.  http://www.gcchatpodcast.libsyn.com

Thank you for joining us for our latest episode. We will begin by reflecting on the skills and interventions used in episode 4: do no harm. We will then present our next case, in which the genetic counsellor had difficulty maintaining professional boundaries with her client. A reference we found useful in our discussion: Leefmann, J, Schaper, M & Schicktanz, S. (2017). The Concept of “Genetic Responsibility” and Its Meanings: A Systematic Review of Qualitative Medical Sociology Literature. Frontiers in Sociology. 1. 10.3389/fsoc.2016.00018. Join the discussion on social media with #GCchatpodcast  On our website, you will find suggestions for support, our privacy statement and disclaimer, and more information about topics referenced in our discussion.  http://www.gcchatpodcast.libsyn.com

In this episode, we begin by discussing the counselling issues and interventions raised in episode 3: sitting with discomfort. We’ll then present this week’s case, which starts with Hannah’s* phone call to the genetics service. We’ll be taking a break for the holidays, and will return in the new year to reflect on this episode and introduce new cases. References we found useful in our discussion: Resources developed by Mental Health First Aid Australia www.mhfa.com.au Beyond Blue www.beyondblue.org.au  Lifeline www.lifeline.org.au  Join the discussion on social media with #GCchatpodcast  On our website, you will find suggestions for support, our privacy statement and disclaimer, and more information about topics referenced in our discussion.  http://www.gcchatpodcast.libsyn.com