Practice-based competencies for accreditation of and training in graduate programs in genetic counseling

In January 1996, the American Board of Genetic Counseling (ABGC) adopted 27 practice-based competencies as a standard for assessing the training of graduate students in genetic counseling. These competencies were identified and refined through a collective, narrative process that took place from January through November 1994, and included directors of graduate programs in genetic counseling, ABGC board members and expert consultants. These competencies now form the basis of the document Requirements for Graduate Programs in Genetic Counseling Seeking Accreditation by the American Board of Genetic Counseling (American Board of Genetic Counseling, 1996). The competencies are organized into four domains and are presented and discussed in this article.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 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).     

Reinforcement and punishment in a closed system

Children chose between toys freely and with various restrictive contingencies. Sometimes play with a preferred toy was contingent on play with a nonpreferred toy. Sometimes play with a nonpreferred toy was contingent on play with a preferred toy. Another toy (free toy) was always available during contingency sessions. Because toy playing occupied the entire session the response system was closed. When one response increased in duration others had to decrease. An analysis of closed-system responding revealed that the restrictions of the closed system together with the restrictions imposed by the contingencies forced subjects to alter the proportion of time devoted to the three responses. A geometrical model representing the closed system and an analytical method based on distance are presented to describe the data.     

A new computational method to fit the weighted euclidean distance model

This paper describes a computational method for weighted euclidean distance scaling which combines aspects of an analytic solution with an approach using loss functions. We justify this new method by giving a simplified treatment of the algebraic properties of a transformed version of the weighted distance model. The new algorithm is much faster than INDSCAL yet less arbitrary than other analytic procedures. The procedure, which we call SUMSCAL (subjectivemetricscaling), gives essentially the same solutions as INDSCAL for two moderate-size data sets tested.Comments by J. Douglas Carroll and J. B. Kruskal have been very helpful in preparing this paper.     

A method for the preparation of audio tapes for dichotic listening research

A simple method for producing audio tapes with temporally synchronized messages is described. The duration and spacing of words can be precisely controlled. This method requires a minimum of elaborate equipment, yet synchronization is very accurate with highly intelligible speech.     

Cognitive support for the career choices of college women

The career aspirations of 50 female college seniors of lower- and middle-class backgrounds was assessed by a questionnaire and tape-recorded interview. Using a fourfold classification contrasting career choice with career commitment, the women were classified as innovative career oriented, innovative noncareer oriented, traditional career oriented, and traditional noncareer oriented. The career aspirations of these women, however, were not related to maternal employment patterns as previous studies have indicated. Rather, the perceived attitudes and direction of the parents was found to be a significant correlate of career choice and career commitment. It was concluded that maternal employment as a modeling variable may be unimportant for women of lower- and middle-class backgrounds.This article is based on a dissertation which was submitted in partial fulfillment of the requirements for the Ph.D. degree in the Graduate Center, City University of New York. The author expresses appreciation to Dr. Florence Denmark for her continuous support throughout the entire study and also thanks Dr. Bernard Seidenberg for his valuable suggestions on earlier drafts of this article.     

Graphemic analysis underlying literacy

Three experiments are described that studied the role of detailed graphemic analysis upon the ability to read text. College students named letters in various approximations to English, with frequency of individual letters constant. Findings were that later skill at reading varied with the order of approximation to English of the letters that were named, that the spacing of the letter sequences was important to this result, and, finally, that the influence of specific visual practice extended to the typeface on which the naming and reading were carried out. Hence, rather than a letter-by-letter process or its opposite, a wholly semantic analysis, reading is shown to be intimately dependent upon details of visual analysis of patterns or letter sequences.     

Dimensions of behavior in children with speech and language disorders

The behavioral symptoms of a population of children with speech and language disorders (with a mean age of approximately 6 years) were studied with a teacher and a parent questionnaire. A factor analysis produced similar factors for both questionnaires: Hyperactivity-Conduct, Affect, and Language. An Asocial factor was also found with the teacher questionnaire. The factors of this study were in good agreement with the general factors of Aggression and Withdrawal found in other quantitative studies. Mean factor score profiles were reported for this unique population of children.The authors would like to thank Dr. Donald Guthrie for his statistical consultation and Dr. Howard Grey for the use of his patient population.     

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.     

Parafoveal information is not sufficient to produce semantic or visual priming

Marcel (1978) has shown that semantic priming can occur in the lexical-decision task even if the prime is masked to the point at which its presence cannot be detected. The purpose of the present experiments was to determine if primes that begin four or five spaces to the right of fixation can also produce semantic facilitation even though they are very difficult to recognize. Experiment 1 showed that facilitation did occur when the parafoveal primes used in the subsequent experiments were presented foveally. In Experiment 2, the primes were moved to the parafovea, but the task demands directed the subject’s attention toward the fovea. When subjects were ignoring the information presented to the parafovea (an allocation pattern that should correspond to that used during normal reading), neutral primes were just as effective as either semantically related or identical primes. In Experiment 3, the task demands were altered so that subjects were actively attending to the parafoveal primes. Although subjects were trying to process the primes, there was still no evidence that benefits could be derived from parafoveal primes. A final experiment showed that subjects given extensive practice with the materials will produce large amounts of identity and semantic priming. The results support the conclusion that readers can benefit little from the preprocessing of information in the parafovea unless that information can be supplemented with contextual expectations.