Facilitating the Genetic Counseling Process Practice-Based Skills, Second Edition

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Use Examples



  • Provide as many examples as feasible when presenting material. Novices are
    extremely interested in seeing “what it looks like” and “how it’s done.” One
    technique is to refer students to places in the text where there is an example and
    ask them to generate several more. This will facilitate their learning and
    comprehension.

  • Concrete examples are very helpful for illustrating concepts. When you able to,
    provide students with video and/or audio recordings and live demonstrations of
    genetic counseling (preferably by more than one genetic counselor). If possible,
    bring in volunteers to serve as genetic counselors and patients for some of the
    demonstrations.

  • Make your examples basic enough that students do not need a lot of knowledge
    about the genetic condition. Provide them with some details about the condition
    so they can proceed with the activities.


Organize Class Sessions



  • When preparing each class, prioritize activities so you know in advance which
    ones you will delete if you run over time.

  • Arrange your class activities so they progress from easier to more challenging
    ones. You should also begin with less threatening activities (e.g., defining defense
    mechanisms) and then move to more threatening activities (e.g., discussing one’s
    own defense mechanisms). When arranging activities, remember the more
    threatening an activity, the fewer people you may want to have listening to a
    student’s disclosure (e.g., use a dyad format in which students select who they
    want as a partner). When processing a more threatening activity, don’t ask for
    details, although students are free to offer them. For instance, in processing a
    defense mechanisms dyadic exercise, ask, “How was it to do this activity? What
    did you learn about the impact of defense mechanisms on genetic counseling?”
    Do not ask, “What defense mechanisms do you use?”

  • Have on hand an assortment of role-play scenarios you could assign to students
    for role-play practice. Various exercises and activities in this book include sce-
    narios that may be used for role-playing. You can also assign students the task of
    creating role-play scenarios. The objective is to give them practice in perspective-
    taking, thereby promoting empathy as well as practice in case conceptualization.
    For instance, a 24-year-old white male might create a scenario in which the
    patient is a 38-year-old Asian female with breast cancer, thus providing practice
    with cultural empathy (Ridley and Lingle 1996 ). Appendix 2 contains a descrip-
    tion of a written exercise for developing genetic counseling role-plays. If you
    have students create scenarios, we recommend you review them in order to
    insure their appropriateness and accuracy.


1.2 Active Learning Guidelines and Techniques

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