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Clinical Genetics

Introduction

Clinical Genetics is the diagnosis and management of genetic disorders affecting individuals and their families. The rapid increase in understanding of biological variation and its role in health and disease make it an exciting and expanding specialty. The training programme in clinical genetics is four years as a Specialty Registrar and research experience is actively encouraged. Entry requirements are the completion of core medical training (ST1/ST2) and MRCP Part 1 or equivalent.  Full MRCP will be required for entry to the specialty from August 2011.

Clinical genetic services run on a ‘hub and spoke' principle with central and district counselling services. There is close team working between Consultants, SpRs/StRs and Genetic Associates as well as interaction with cytogenetic and molecular laboratory colleagues. Members of the SAC in Clinical Genetics welcome queries from those considering a career in clinical genetics.

Curriculum and Assessment

Competence Based Curricula and Assessment - StRs (for trainees who commenced training from 1 August 2007 to present)

There are two versions of curricula for this training period:

StRs who commenced training between 1st August 2007 and 3rd August 2010 will follow the 2007 version of their specialty curriculum and the 2007 Generic curriculum. Please see the 2007 Curriculum section of this webpage.

StRs who commenced training from 4th August 2010 onwards will use the 2010 version of their specialty curriculum. There is no need to follow the previously known ‘Generic curriculum' as this has now been embedded into the specialty curriculum. Please see the 2010 Curriculum section of this webpage.

2010 Curriculum

The Joint Royal Colleges of Physicians Training Board (JRCPTB) is pleased to announce the 2010 Clinical Genetics curriculum which has been reviewed and rewritten to:

  • meet the GMC's 6 new standards as detailed in their Standards for Curricula and Assessment systems
  • keep up to date with medical advances and changes in the service and training
  • incorporate the framework documents produced by the Academy of Medical Royal Colleges (AoMRC) detailing Common, Medical Leadership and Health Inequality competencies
  • include 5 new assessment methods (Acute Care Assessment Tool, Case based Discussion, Patient Survey, Teaching Observation and Audit Assessment).

This new curriculum has improved content, design and usability compared to its predecessors, and reflects a great deal of hard work and time expended by specialty curriculum groups. This curriculum will become the training manual for all trainees entering ST3 from 4th August 2010.

For further information on the 2010 curriculum it is recommended that you read the Quick Start Curriculum Guide.

If you have any queries or problems regarding the 2010 curriculum please email ptb@jrcptb.org.uk.

Core Training Programmes

Entry into Clinical Genetics training is possible following successful completion of both a foundation programme and a core training programme.

There are 3 core training programmes for Clinical Genetics training:

Assessment

The following methods are used as part of the integrated assessment system:

  • Certificate Examination of Clinical Genetics (Please see section 5.3 of the 2010 curriculum for further details)
  • Workplace-based assessments

The assessment blueprint, which is embedded in the clinical syllabus, shows the possible methods that can be used to assess each of the competencies in the curriculum. Trainees and trainers should refer to the blueprint for guidance on the appropriate assessment methods for each aspect of the curriculum, and so plan the training programme according to the criteria set by the ARCP Decision Aid. It is not expected that all competencies will be assessed by all methods, rather that there will be a sampling of competencies within a variety of settings, both within formal and workplace-based assessment, from which overall competence acquisition has to be determined.

The diagram below describes the training pathway:

Please view the 2010 curriculum for Clinical Genetics for full details on the training routes and selection criteria.

2007 Curriculum

Entry into Clinical Genetics training is possible following successful completion of both a Foundation programme and a core training programme.

Please view the 2007 curriculum for Clinical Genetics for full details on the training routes and selection criteria.

Assessment

The assessment blueprints show the possible methods that can be used to assess each of the competencies in the curriculum. Trainees and trainers should refer to the blueprints for guidance on the appropriate assessment methods for each aspect of the curriculum, and so plan the training programme according to the criteria set by the ARCP/RITA Decision Aid. It is not expected that all competencies will be assessed by all methods, rather that there will be a sampling of competencies within a variety of settings, both within formal and workplace-based assessment, from which overall competence acquisition has to be determined.

Further information on the various methods of assessment can be viewed in the Assessment section of this website.

The diagram below describes the training pathways in general terms.

Competence Based Curricula - SpR (for trainees who commenced training between 1 Jan 2003 and 31 July 2007)

The JCHMT introduced revised curricula for all the medical specialties together with a generic curriculum that applied to all trainees back in 2003. These are competence-based and set out the knowledge, skills and attitudes to be acquired by trainees before they may be awarded a CCT.

Curricula  - SpR (for trainees who commenced training before 1 Jan 2003)

The curricula for trainees enrolling pre 01/01/03 are no longer available on the website but can be obtained by request to ptb@jrcptb.org.uk 

Documents

PTB Training Level
Expand/Collapse PTB Document TypeAssessment Blueprints and ARCP Decision Aids ‎(5)
2007 Clinical Genetics ARCP Decision Aid.pdf2007 Clinical Genetics ARCP Decision Aid34 KB13/07/2010 15:25ACCS (Medicine); FTSTA; ST1; ST2; ST3+
2007 Generic Curriculum Assessment Blueprint.pdf2007 Generic Curriculum Assessment Blueprint191 KB05/02/2010 16:03ACCS (Medicine); FTSTA; ST2; ST1; ST3+
2010 Clinical Genetics ARCP decision aid.pdf2010 Clinical Genetics ARCP decision aid26 KB14/07/2010 14:40ST3+
Clinical Genetics Assessment Blueprint.pdfClinical Genetics Assessment Blueprint210 KB05/02/2010 16:03ST3+
CLINICAL GENETICS SpR COMPETENCY BASED ASSESSMENT.docCLINICAL GENETICS SpR COMPETENCY BASED ASSESSMENT473 KB05/02/2010 16:03SpR
Expand/Collapse PTB Document TypeCurriculum ‎(6)
2003 Generic Curriculum.pdf2003 Generic Curriculum93 KB05/02/2010 16:03SpR
2005 Clinical Genetics Curriculum.pdf2005 Clinical Genetics Curriculum469 KB05/02/2010 16:03SpR
2007 Clinical Genetics Specialty Training Curriculum.pdf2007 Clinical Genetics Specialty Training Curriculum329 KB05/02/2010 16:03ST3+
2007 CMT + ACCS(M) Acute Medicine Level 1 Curriculum.pdf2007 CMT + ACCS(M) Acute Medicine Level 1 Curriculum459 KB05/02/2010 16:03ACCS (Medicine); FTSTA; ST1; ST2
2007 Generic Curriculum.pdf2007 Generic Curriculum339 KB05/02/2010 16:03ACCS (Medicine); ST1; ST2; ST3+; FTSTA
2010 Clinical Genetics Curriculum.pdf2010 Clinical Genetics Curriculum238 KB11/06/2010 12:42ST3+
Expand/Collapse PTB Document TypeGuideline ‎(1)
2010 Gold Guide.pdf2010 Gold Guide639 KB16/07/2010 12:24ST1; ST2; ST3+
Expand/Collapse PTB Document TypeReport ‎(1)
2009  Annual Specialty Report Clinical Genetics.pdf2009 Annual Specialty Report Clinical Genetics21 KB05/02/2010 16:03SAC; SpR; ST3+

Related Links

SAC Membership

Current members of the Clinical Genetics Specialist Advisory Committee. Please contact the Committee Manager for further details.
PersonPositionRepresenting
Dr Sarah Francesca SmithsonChairClincal Genetics Society
Dr Christopher Paul BennettMemberYorkshire and Humber Deanery
Dr Valerie CoupesMemberRoyal College of Paediatrics and Child Health
Brig Peter John FabriciusMemberCOPMeD
Dr Nicola Clare FouldsMemberWessex Deanery
Professor Judith Anne GoodshipMemberAcademic
Dr Ross Alexander HendersonMemberNorthern Deanery
Dr Usha KiniMemberOxford Deanery
Dr Alexandra Christine MageeMemberNorthern Ireland Medical and Dental Training Agency
Dr Kay Alison MetcalfeMemberNorth Western Deanery
Dr Alexandra Juliet MurrayMemberWales Deanery
Dr Richard Nicholas SandfordMemberEast of England Deanery
Dr Mohnish SuriMemberEast Midlands Deanery
Dr Elizabeth SweeneyMemberMersey Deanery
Dr Susan Elizabeth TomkinsMemberSevern Deanery
Dr Peter Douglas TurnpennyMemberPeninsula Deanery
Dr Denise Karen WilliamsMemberWest Midlands Deanery
Dr Andrew Evan FryTrainee RepresentativeTrainee - Wales
Dr Ruth Margaret McGowanTrainee RepresentativeTrainee - Scotland
Dr Chirag PatelTrainee RepresentativeTrainee - England
Dr Sarah Ann LynchObserverRoyal College of Physicians of Ireland