Objectives
  • To be able to perform an assessment of genetic susceptibility to cancer and to recommend appropriate testing

  • To be able to provide counselling for the patient and family regarding risk and risk reduction

Awareness
  • Awareness of the existence of different syndromes that confer increased risk of certain cancers

  • Awareness of the availability of screening tests and procedures for those identified as having higher lifetime risk

  • Recognition of the importance of multidisciplinary work and the role of genetic counsellors as well as mental health professionals to assist patients as they process difficult information

Knowledge
  • Understanding of the hereditary predisposition to cancer, including the polygenic and multifactorial nature of cancer risk

  • Understanding of distinguishing hereditary cancer syndromes from sporadic cancers

  • Understanding how to obtain a comprehensive family history and how to provide guidance for testing of various family members

  • Understanding of the impact of this information on the patient and his or her family

  • Understanding how to offer advice and support, including the benefits and limitations of various management strategies

  • Knowledge of the major hereditary cancer syndromes

Skills
  • Ability to contribute to multidisciplinary case presentations and to discuss risk assessment and diagnosis of common familial cancer syndromes

  • Ability to recognise individuals with increased risk of harbouring genetic mutations associated with susceptibility to cancer and to provide recommendations for testing and screening and management of cancer risk

  • Ability to describe elements of consent for testing

  • Ability to work with genetic counsellors to identify individuals and families with genetic mutations that increase cancer risk and to offer advice and guidance for the early detection or reduction of risk through surveillance or various management strategies, including the use of prophylactic surgery or medical therapies