Finley Sabra Ledare, Veach Pat McCarthy, MacFarlane Ian M, LeRoy Bonnie S, Callanan Nancy
Cancer Genetics Program, Greenville Health Systems, 900 W. Faris Road, Greenville, SC, 29605, USA.
Department of Educational Psychology, University of Minnesota, Minneapolis, MN, USA.
J Genet Couns. 2016 Apr;25(2):344-58. doi: 10.1007/s10897-015-9865-1. Epub 2015 Aug 5.
Supervision is a primary instructional vehicle for genetic counseling student clinical training. Approximately two-thirds of genetic counselors report teaching and education roles, which include supervisory roles. Recently, Eubanks Higgins and colleagues published the first comprehensive list of empirically-derived genetic counseling supervisor competencies. Studies have yet to evaluate whether supervisors possess these competencies and whether their competencies differ as a function of experience. This study investigated three research questions: (1) What are genetic counselor supervisors' perceptions of their capabilities (self-efficacy) for a select group of supervisor competencies?, (2) Are there differences in self-efficacy as a function of their supervision experience or their genetic counseling experience, and 3) What training methods do they use and prefer to develop supervision skills? One-hundred thirty-one genetic counselor supervisors completed an anonymous online survey assessing demographics, self-efficacy (self-perceived capability) for 12 goal setting and 16 feedback competencies (Scale: 0-100), competencies that are personally challenging, and supervision training experiences and preferences (open-ended). A MANOVA revealed significant positive effects of supervision experience but not genetic counseling experience on participants' self-efficacy. Although mean self-efficacy ratings were high (>83.7), participant comments revealed several challenging competencies (e.g., incorporating student's report of feedback from previous supervisors into goal setting, and providing feedback about student behavior rather than personal traits). Commonly preferred supervision training methods included consultation with colleagues, peer discussion, and workshops/seminars.
督导是遗传咨询专业学生临床培训的主要教学手段。约三分之二的遗传咨询师报告称承担教学和教育职责,其中包括督导职责。最近,尤班克斯·希金斯及其同事发表了第一份基于实证得出的遗传咨询督导能力综合清单。目前尚未有研究评估督导是否具备这些能力,以及他们的能力是否因经验不同而有所差异。本研究调查了三个研究问题:(1)遗传咨询督导对一组特定督导能力的自身能力认知(自我效能感)如何?(2)自我效能感是否因督导经验或遗传咨询经验不同而存在差异?(3)他们使用和倾向于采用哪些培训方法来提升督导技能?131名遗传咨询督导完成了一项匿名在线调查,该调查评估了人口统计学信息、12项目标设定能力和16项反馈能力(量表:0 - 100)的自我效能感(自我感知能力)、个人认为具有挑战性的能力,以及督导培训经历和偏好(开放式问题)。一项多变量方差分析显示,督导经验对参与者的自我效能感有显著的积极影响,而遗传咨询经验则没有。尽管自我效能感的平均评分较高(>83.7),但参与者的评论揭示了一些具有挑战性的能力(例如,将学生报告的来自前任督导的反馈纳入目标设定,以及针对学生行为而非个人特质提供反馈)。常用的督导培训方法包括与同事协商、同行讨论以及工作坊/研讨会。