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 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 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.     

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.     

Information Seekers in the Aftermath of Technological Disaster at Three Mile Island1

Information seekers attending the TMI Public Health and Environmental Information Series six years after the Three Mile Island nuclear accident were found to be more educated, less worried, more cynical of experts, more likely to report disturbances in concentration, and more likely to be male than a normative sample of area residents. Course participants are described as seeking cognitive solutions and as having an underlying agenda of restoring lost faith in experts. Those who had evacuated at the time of the accident manifested the most psychological symptoms among course participants.     

SUPPRESSION OF SELF-STIMULATION: THREE ALTERNATIVE STRATEGIES

Four boys with autistic-like behavior were treated for self-stimulatory behavior with three different treatment procedures—time-out, differential reinforcement of other behavior (DRO), and overcorrection. All four boys showed a rapid response to the overcorrection procedure. Three boys demonstrated some evidence of decrement in responding with time-out. During the DRO procedure, one showed a modest decrease, two showed no change, but one exhibited a consistent increase in responding under this condition. A multiple baseline applied to one of the subjects failed to reveal any generalization of suppression from one setting to another. A strong but not perfect relationship was found between a frequency and a duration measure of self-stimulation. There was some evidence of negative side effects for one boy during overcorrection and for another during time-out. None of these negative side effects was enduring. There was also some indirect evidence that overcorrection facilitated appropriate play.     

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.     

Increasing Career Center Accessibility for the Blind

To improve career planning services for visually impaired persons, the career center at Florida State University developed a self-directed program. This article describes strategies for making career information materials and resources more accessible to the blind.