Abstract：
Professionalism in health care is a loosely defined but increasingly studied concept. In genetic counseling, \"professional development\" expectations for entry-level genetic counselors are described in the \"Practice-Based Competencies for Genetic Counselors,\" but the teaching and evaluation of \"professionalism\" among genetic counseling students is relatively unexplored. This study investigated program leaders\' and clinical supervisors\' perceptions of professionalism demonstrated by genetic counseling graduate students to learn about their associated strengths and lapses. Members of program leadership and clinical supervisors at Accreditation Council for Genetic Counseling (ACGC) accredited genetic counseling graduate programs in the United States and Canada were surveyed regarding their observations of genetic counseling students for the years 2017-2019 regarding four domains of professional behavior: integrity, accountability/conscientiousness, teamwork, and patient care, with the Merriam-Webster definition of each behavior provided for each domain. Participants also provided open-text descriptions. Descriptive results showed that the 263 participants found all facets of these professional behaviors to be essential. Patient care had the highest importance and was the domain with the most strengths observed among genetic counseling students. Lapses in professional behavior were identified for self-awareness, time management, and thoroughness. Free responses noted that suggestions or strategies for education about professional behavior from ACGC may improve the professional behavior of genetic counseling students and in turn, genetic counselors. Participants voiced the importance of consideration of diverse professional and cultural backgrounds in setting the expectations for professional behavior among genetic counseling students and genetic counselors so that \"professionalism\" in genetic counseling is not defined through a White lens. Further investigation into challenges that genetic counseling students face regarding professional behavior during their graduate training and strategies for education about these behaviors will aid in the growth and improvement of the training of genetic counselors. Given the sensitive nature of this topic, portions of this discussion may be triggering for some readers.
摘要：
医疗保健专业是一个定义松散但研究越来越多的概念。在遗传咨询中，“专业发展”对入门级遗传咨询师的期望在“遗传咨询师基于实践的能力”中进行了描述，“但是遗传咨询学生中“专业”的教学和评估相对未被探索。这项研究调查了项目领导者和临床主管对遗传咨询研究生所表现出的专业精神的看法，以了解他们相关的优势和失误。美国和加拿大遗传咨询认证委员会（ACGC）认可的遗传咨询研究生课程的项目领导和临床主管成员接受了关于他们对2017-2019年遗传咨询学生关于四个专业行为领域的观察的调查：诚信，责任/尽责，团队合作,和病人护理，与为每个域提供的每个行为的Merriam-Webster定义。与会者还提供了开放式文字说明。描述性结果显示，263名参与者发现这些职业行为的所有方面都是必不可少的。患者护理具有最高的重要性，并且是在遗传咨询学生中观察到的最有优势的领域。职业行为的失败被确定为自我意识，时间管理,和彻底。自由回应指出，ACGC关于职业行为的教育建议或策略可能会改善遗传咨询学生的职业行为，反过来，遗传咨询师参与者表示，在遗传咨询学生和遗传咨询师对职业行为的期望中，考虑不同的专业和文化背景的重要性，因此遗传咨询中的“专业性”不是通过白色镜头来定义的。进一步调查遗传咨询学生在研究生培训期间面临的职业行为挑战以及有关这些行为的教育策略，将有助于遗传咨询师培训的发展和改进。鉴于这个话题的敏感性,这个讨论的部分可能会引发一些读者。
