A case-based approach to the development of practice-based competencies for accreditation of and training in graduate programs in genetic counseling

The American Board of Genetic Counseling (ABGC) sponsored a consensus development conference with participation from directors of graduate programs in genetic counseling, board members, and expert consultants. Using a collective, narrative, and case-based approach, 27 competencies were identified as embedded in the practice of genetic counseling. These competencies were organized into four domains of skills: Communication; Critical Thinking; Interpersonal, Counseling, and Psychosocial Assessment; and Professional Ethics and Values. The adoption of a competency framework for accreditation has a variety of implications for curriculum design and implementation. We report here the process by which a set of practice-based genetic counseling competencies have been derived; and in an accompanying article, the competencies themselves are provided. We also discuss the application of the competencies to graduate program accreditation as well as some of the implications competency-based standards may have for education and the genetic counseling profession. These guidelines may also serve as a basis for the continuing education of practicing genetic counselors and a performance evaluation tool in the workplace.The Consortium includes Directors of established graduate programs in genetic counseling and members of the ABGC Board of Directors who participated in the Consensus Development Conference held in January 1994: Diane Baker (University of Michigan/ABGC); Bonnie Baty (ABGC); Joan Burns (University of Wisconsin); Debra Collins (ABGC); Virginia Corson (ABGC); Beth Fine (Northwestern University/ABGC); Elizabeth Gettig (University of Pittsburgh); Verle Headings (Howard University); Jacqueline Hecht (University of Texas); Carl Huether (University of Cincinnati); Bonnie LeRoy (University of Minnesota); Joan Marks (Sarah Lawrence College); Anne Matthews (University of Colorado); Roberta Palmour (McGill University); Lorna Phelps (Medical College of Virginia); Kimberly Quaid (Indiana University); Joan Scott (ABGC); Ann Smith (ABGC); Helen Travers (ABGC); Judith Tsipis (Brandeis University); Ann Walker (University of California-Irvine/ABGC); Jon Weil (University of California-Berkeley); S. Robert Young (University of South Carolina); Randi Zinberg (Mount Sinai School of Medicine, New York).     

A simple encoding and recording system for small group observation

A simple and inexpensive system for coding and recording interaction patterns in small groups is described. It consists of a keyboard and a standard tape recorder, and it is capable of storing sequential data using up to 36 codes. Its main application is in the study of speaker-target patterns, but it can also be used in encoding up to 12 behavioral codes, or six speakers and 6 codes. The keyboard costs less than $200 and is used with conventional tape recorders and minicomputers available at most research sites.     

Adolescent Smoking Behavior and the Recognition of Cigarette Advertisements1

In a study designed to assess the relationship between smoking status and correct identification of cigarette brands, junior high school students from two schools viewed cigarette and automobile advertisements with brand and model identification deleted. Results showed that adolescents with higher ad recognition scores were more likely to smoke cigarettes. In addition, a relationship was found between age and correct identification of cigarette advertisements, with older students identifying more ads correctly than younger students. No significant effects emerged for identification of automobile advertisements except for sex, with boys identifying more advertisements than girls. Additional findings indicated that even “experimental” smokers, who smoked as little as once per year, recognized significantly more cigarette advertisements than nonsmokers. These and other results are discussed in terms of their implications for prevention and policy issues. It is argued that society's allowance of printed cigarette advertising overlooks adolescents' heightened vulnerability to the kinds of appeals used in cigarette advertisements. Present policy also overlooks adolescents' relative unresponsiveness to the health risk information required in cigarette advertisements.     

A cusp catastrophe: Hysteresis, bimodality, and inaccessibility in rabbit eyelid conditioning

Three properties of the cusp catastrophe: bimodality, inaccessibility, and hysteresis were evaluated in rabbit eyelid conditioning. Bimodality was evidenced by the fact that responding tended to occur at either very low or very high levels, and inaccessibility by the fact that intermediate levels of responding were rarely encountered. Hysteresis was demonstrated when: (a) levels of responding attained under a continuous schedule of reinforcement were largely maintained by a schedule which was too lean to promote conditioning by itself; and (b) levels of responding attained with a high intensity unconditional stimulus were largely maintained by a lower intensity unconditional stimulus which was too weak to promote conditioning in its own right. These results are consistent with the model of conditioning suggested by P. W. Frey and R. J. Sears (Psychological Review, 1978, 85, 321–340) which postulates response-mapping rules based on the cusp catastrophe.     

Two kinds of adaptation in the constancy of visual direction and their different effects on the perception of shape and visual direction

Adaptation in the constancy of visual direction can be obtained under two radically different conditions, called eye-movement adaptation and field adaptation. Adaptation resulting from these conditions and from a “normal” condition was measured with a newly developed estimation test. Eye-movement adaptation was found to cause an alteration of compensatory eye movements. It apparently consists of a changed evaluation of eye movements, as demonstrated by two different pointing tests. A form test where the shape of a large oblong is set to look square also confirmed this interpretation. After field adaptation, a pointing test did not register a change, but an adaptation effect could be measured with a forward direction test. This test and a square test where no eye movements were permitted proved to be specific to field adaptation; they measured no effect after eye-movementadaptation. The normal adaptation condition Was apparently equivalent to the eye-movement adaptation condition. Its effect could be measured only with a pointing test. When we changed the normal adaptation condition so that frequent saccades were made during head turning, strong effects were measured with the two tests that were specific to field adaptation.     

Stimulus and response factors in mirror-image discrimination

Two choice-reaction time studies assessed the influence of stimulus-response mapping, stimulus complexity, and stimulus alignment on adults’ discrimination of mirror-image and nonmirror-image stimulus pairs. Half the subjects in Experiment 1 were instructed to treat nonmiiTor pairs as “same” and mirror pairs as “different”; the other half responded in the opposite manner. The first group responded more quickly to nonmirror pairs, while the second group responded more quickly to mirror pairs. This result, which held for horizontal stimuli (side by side) as well as for vertical stimuli (one above the other), confirms the importance of experiential factors in mirror-image “confusions. “ In Experiment 2. stimuli were drawn from a population of patterns whose complexity could be objectively defined. In general, the more complex the pattern, the slower the response and complexity seemed to influence the qualitative nature of pattern processing. In both experiments, subjects responded more quickly to horizontal stimuli than to vertical stimuli.