iRubric: Genetic Counseling Practicum Rubric

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Genetic Counseling Practicum Rubric

Domain I: Genetics Expertise and Analysis

Rubric Code: DX4C726

By katiewix

Ready to use

Public Rubric

Subject: Medical

Type: Assessment

Grade Levels: Graduate

Domain I Genetics Expertise and Analysis
	Exceeds Expectations 3 pts	Meets Expectations 2 pts	Needs Improvement 1 pts	Not Observed (N/A)
Core Concepts Demonstrate and utilize a depth and breadth of understanding and knowledge of genetics and genomics core concepts and principles.
Genetics Principles Demonstrate knowledge of principles of human, medical, and public health genetics and genomics and their related sciences.	Exceeds Expectations Student consistently demonstrates knowledge of core principles.	Meets Expectations Student usually demonstrates knowledge of core principles.	Needs Improvement Student occasionally demonstrates knowledge of core principles.	Not Observed
Apply Knowledge Apply knowledge of genetic principles and understand how they contribute to etiology, clinical features and disease expression, natural history, differential diagnoses, genetic testing and test report interpretation, pathophysiology, recurrence risk, management and prevention, and population screening.	Exceeds Expectations Student always applies knowledge of genetic principles.	Meets Expectations Student usually applies knowledge of genetic principles.	Needs Improvement Student occasionally applies knowledge of genetic principles.	Not Observed
Psychosocial Aspects Integrate knowledge of psychosocial aspects of conditions with a genetic component to promote client well-being.
Psychosocial Understanding Demonstrate an understanding of psychosocial, ethical, and legal issues related to genetic counseling encounters.	Exceeds Expectations Student always demonstrates an understanding of psychosocial, ethical, and legal issues related to genetic counseling encounters.	Meets Expectations Student usually demonstrates an understanding of psychosocial, ethical, and legal issues related to genetic counseling encounters.	Needs Improvement Student occasionally demonstrates an understanding of psychosocial, ethical, and legal issues related to genetic counseling encounters.	Not Observed
Recognition of Lived Experiences Describe common emotional and/or behavioral responses that may commonly occur in the genetic counseling context	Exceeds Expectations Student always describes common emotional and/or behavioral responses.	Meets Expectations Student usually describes common emotional and/or behavioral responses.	Needs Improvement Student occasionally describes common emotional and/or behavioral responses.	Not Observed
Emotional Responses Recognize the importance of understanding the lived experiences of people with various genetic/ genomic conditions.	Exceeds Expectations Student always recognizes the importance of understanding the lived experiences of people with various genetic/ genomic conditions.	Meets Expectations Student usually recognizes the importance of understanding the lived experiences of people with various genetic/ genomic conditions.	Needs Improvement Student occasionally recognizes the importance of understanding the lived experiences of people with various genetic/ genomic conditions.	Not Observed
Impact on Decision Making Evaluate the potential impact of psychosocial issues on client decision-making and adherence to medical management.	Exceeds Expectations Student always evaluates the potential impact of psychosocial issues on client decision-making and adherence to medical management.	Meets Expectations Student usually evaluates the potential impact of psychosocial issues on client decision-making and adherence to medical management.	Needs Improvement Student occasionally evaluates the potential impact of psychosocial issues on client decision-making and adherence to medical management.	Not Observed
family histories & Pedigrees. Construct relevant, targeted and comprehensive personal and family histories and pedigrees
Pedigree symbols Demonstrate proficiency in the use of pedigree symbols, standard notation, and nomenclature.	Exceeds Expectations Student is always proficient in pedigree construction.	Meets Expectations Student is usually proficient in pedigree construction.	Needs Improvement Student is occasionally proficient in pedigree construction.	Not Observed
Interviewing Skills Utilize interviewing skills to elicit a family history and pursue a relevant path of inquiry.	Exceeds Expectations Student always elicits a comprehensive family history.	Meets Expectations Student usually elicits a comprehensive family history.	Needs Improvement Student occasionally elicits a comprehensive family history.	Not Observed
Active Listening Skills Use active listening skills to formulate structured questions for the individual case depending on the reason for taking the family history and/or potential diagnoses.	Exceeds Expectations Student always uses active listening skills.	Meets Expectations Student usually uses active listening skills.	Needs Improvement Student occasionally uses active listening skills.	Not Observed
History Taking Elicit and assess pertinent information relating to medical, developmental, pregnancy and psychosocial histories.	Exceeds Expectations Student always elicits and assesses various histories.	Meets Expectations Student usually elicits and assesses various histories.	Needs Improvement Student occasionally elicits and assesses various histories.	Not Observed
Medical Record Review Extract pertinent information from available medical records	Exceeds Expectations Student always obtains pertinent information from medical records.	Meets Expectations Student usually obtains pertinent information from medical records.	Needs Improvement Student occasionally obtains pertinent information from medical records.	Not Observed
Genetic Testing Identify, assess, facilitate, and integrate genetic testing options in genetic counseling practice
Assess Screening/Testing Investigate the availability, analytic validity, clinical validity, and clinical utility of screening, diagnostic and predictive genetic/genomic tests.	Exceeds Expectations Student always thoroughly investigates screening and testing options.	Meets Expectations Student usually thoroughly investigates screening and testing options.	Needs Improvement Student occasionally thoroughly investigates screening and testing options.	Not Observed
Lab Selection Evaluate and assess laboratories and select the most appropriate laboratory and test based on the clinical situation	Exceeds Expectations Student always selects the most appropriate laboratory and test.	Meets Expectations Student usually selects the most appropriate laboratory and test.	Needs Improvement Student occasionally selects the most appropriate laboratory and test.	Not Observed
Risks/benefits of Testing Identify and discuss the potential benefits, risks, limitations and costs of genetic testing.	Exceeds Expectations Student always comprehensively discusses testing options.	Meets Expectations Student usually comprehensively discusses testing options.	Needs Improvement Student occasionally comprehensively discusses testing options.	Not Observed
Coordinate Testing Coordinate and facilitate the ordering of appropriate genetic testing for the client.	Exceeds Expectations Students always facilitates ordering testing.	Meets Expectations Students usually facilitates ordering testing.	Needs Improvement Students occasionally facilitates ordering testing.	Not Observed
Interpret Test Results Interpret the clinical implications of genetic test reports.	Exceeds Expectations Student always interprets clinical implications of lab reports.	Meets Expectations Student usually interprets clinical implications of lab reports.	Needs Improvement Student occasionally interprets clinical implications of lab reports.	Not Observed
Clinical vs Research Testing Recognize and differentiate specific considerations relevant to genetic versus genomic and clinical versus research testing in terms of the informed consent process, results disclosure, institutional review board (IRB) guidelines, and clinical decision-making.	Exceeds Expectations Student always recognizes differences between clinical and research testing.	Meets Expectations Student usually recognizes differences between clinical and research testing.	Needs Improvement Student occasionally recognizes differences between clinical and research testing.	Not Observed
Risk Interpretation Skills Assess individuals’ and their relatives’ proba- bility of conditions with a genetic component or carrier status based on their pedigree, test result(s), and other pertinent information.
Probablity Assessment Assess probability of conditions with a genetic component or carrier status using relevant knowledge and data based on pedigree analy- sis, inheritance patterns, genetic epidemiology, quantitative genetics principles, and mathematical calculations.	Exceeds Expectations Student always uses relevant information to calculate risk.	Meets Expectations Student usually uses relevant information to calculate risk.	Needs Improvement Student occasionally uses relevant information to calculate risk.	Not Observed
Incorporate Test Results Incorporate the results of screening, diagnostic and predictive genetic/genomic tests to provide accurate risk assessment for clients.	Exceeds Expectations Student always uses test results to provide accurate risk assessment.	Meets Expectations Student usually uses test results to provide accurate risk assessment.	Needs Improvement Student occasionally uses test results to provide accurate risk assessment.	Not Observed
Familial Implications of Results Evaluate familial implications of genetic/genomic test results.	Exceeds Expectations Student always assesses familial implications of test results.	Meets Expectations Student usually assesses familial implications of test results.	Needs Improvement Student occasionally assesses familial implications of test results.	Not Observed
Environmental Factors Identify and integrate relevant information about environmental and lifestyle factors into the risk assessment.	Exceeds Expectations Student always integrates environmental and lifestyle factors into risk assessment.	Meets Expectations Student usually integrates environmental and lifestyle factors into risk assessment.	Needs Improvement Student occasionally integrates environmental and lifestyle factors into risk assessment.	Not Observed
Case Management Demonstrate the skills necessary to successfully manage a genetic counseling case.
Develop & Execute Management Plan Develop and execute a case management plan that includes case preparation and follow-up.	Exceeds Expectations Student always develops and executes case management plan.	Meets Expectations Student usually develops and executes case management plan.	Needs Improvement Student occasionally develops and executes case management plan.	Not Observed
Modify Management Plan Assess and modify the case management plan as needed to incorporate changes in management and surveillance recommendations.	Exceeds Expectations Student always modifies plan as new information is identified.	Meets Expectations Student usually modifies plan as new information is identified.	Needs Improvement Student occasionally modifies plan as new information is identified.	Not Observed
Written & Verbal Skills Document and present the genetic counseling encounter information clearly and concisely, orally and in writing, in a manner that is understandable to the audience and in accordance with professional and institutional guidelines and standards.	Exceeds Expectations Student always clearly and concisely documents orally and in writing.	Meets Expectations Student usually clearly and concisely documents orally and in writing.	Needs Improvement Student occasionally clearly and concisely documents orally and in writing.	Not Observed
Discuss Research Options Identify and introduce research options when indicated and requested in compliance with applicable privacy, human subjects, regional and institutional standards.	Exceeds Expectations Student always introduces appropriate research opportunities.	Meets Expectations Student usually introduces appropriate research opportunities.	Needs Improvement Student occasionally introduces appropriate research opportunities.	Not Observed
Support Resources Identify, access and present information to clients on local, regional, national and international resources, services and support.	Exceeds Expectations Student always identifies and presents information about varied support resources.	Meets Expectations Student usually identifies and presents information about varied support resources.	Needs Improvement Student occasionally identifies and presents information about varied support resources.	Not Observed
Assessment of Literature Critically assess genetic/genomic, medical and social science literature and information
Conducts Thorough Lit Review Plan and execute a thorough search and review of the literature.	Exceeds Expectations Student always conducts a thorough review of the literature.	Meets Expectations Student usually conducts a thorough review of the literature.	Needs Improvement Student occasionally conducts a thorough review of the literature.	Not Observed
Critique Literature Evaluate and critique scientific papers and identify appropriate conclusions by applying knowledge of relevant research methodologies and statistical analyses.	Exceeds Expectations Student always critiques and draws appropriate conclusions from the literature.	Meets Expectations Student usually critiques and draws appropriate conclusions from the literature.	Needs Improvement Student occasionally critiques and draws appropriate conclusions from the literature.	Not Observed
Synthesize Literature Synthesize information obtained from a literature review to utilize in genetic counseling encounters.	Exceeds Expectations Student always synthesizes information from the literature and uses in practice.	Meets Expectations Student usually synthesizes information from the literature and uses in practice.	Needs Improvement Student occasionally synthesizes information from the literature and uses in practice.	Not Observed
Incorporate Literature into Practic Incorporate medical and scientific literature into evidenced-based practice recognizing that there are limitations and gaps in knowledge and data.	Exceeds Expectations Student always integrates evidenced-based practice as determined by literature.	Meets Expectations Student usually integrates evidenced-based practice as determined by literature.	Needs Improvement Student occasionally integrates evidenced-based practice as determined by literature.	Not Observed

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Clinic Practicum

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