Genetics Counselor

Under Direct Patient Contact:

• Obtain a personal medical history and family history in the form of a pedigree. 

• Assess the risk that the patient will develop cancer, the risk that the patient carries a germline mutation in a cancer susceptibility gene, and provide educational information about the suspected hereditary cancer syndrome(s). 

• Determine if genetic testing is indicated based on national guidelines and identify the most informative test options.

• Weigh and discuss the medical, psychological, social, and ethical impact of genetic testing including psychosocial assessment. 

• Obtain informed consent and coordinate genetic testing if it is pursued. 

• Interpret the results of genetic tests in the context of the personal and family history. Provide post-test counseling including discussion of the results, significance and impact of the test results, medical management recommendations/options based on national guidelines, informing other relatives (cascade testing), future contact and available resources.

• Discuss screening and prevention recommendations/options based on family history and national guidelines when appropriate.

• Maintain timely patient charting and billing submissions. Provide detailed reports for referring providers.

• Ensure information is communicated to patients with consideration of educational level, age, culture and population specific considerations.

• Collaborate with physicians and other healthcare professionals as a member of the multidisciplinary team.

• Critically assess genetic and medical literature.

• Plan, design and direct clinical genetic counseling protocols to meet CoC, NAPBC and other appropriate standards in collaboration with Cancer Center Management.

• Monitor program utilization/quality on an ongoing basis and report to administration/Cancer Center management.

• Identify and implement improvements in efficiency, quality and safety of patient care within the program.

• Create, implement, and oversee programs to identify individuals who meet national guidelines for referral to the program in collaboration with other departments.

• Participate in Cancer Case Conferences, Cancer Committee, Breast Leadership Committee, Breast Program Clinical Operations, and/or other Cancer Center committees which require genetics membership.

• Supervise Genetic Counseling students as needed.

• Participate in research activities when required including developing protocols, survey development, data gathering, writing manuscript for publication and presenting research findings at professional meetings.

• Pursue continuing education to maintain certifications and enhance expertise.

• Contribute to the professional development of peers through lectures, participation in departmental meetings, and as a subject matter expert.

• Provide education to the public through presentations and written materials.