Department of Pediatrics, Madigan Army Medical Center, Joint Base Lewis-McChord, WA, USA.
Professor Emerita, University of Minnesota, Minneapolis, MN, USA.
J Genet Couns. 2022 Apr;31(2):510-522. doi: 10.1002/jgc4.1521. Epub 2021 Oct 27.
While addressing culture in supervision is important, research suggests genetic counseling supervisors are unsure how to discuss it within the supervisory relationship. This study explored the perceptions of genetic counselor supervisors from the United States regarding how their supervisors approached racial/ethnic differences in their supervisory relationships when they were students, effects on those relationships, and subsequent influences on their supervision practices. Nine genetic counselors who self-identified as White/Caucasian, and nine who self-identified as racial/ethnic backgrounds other than White/Caucasian, were purposively recruited to participate in semi-structured phone interviews. Questions explored participant perceptions of how their supervisors approached racial/ethnic differences in supervision, effects on those supervisory relationships, and influences of their experiences as students on their current supervision practice. Thematic analysis revealed four major themes, with most participants agreeing that (1) recognition of race/ethnicity in supervision was limited as a student and in their current supervision practices; (2) supervisors vary in their comfort discussing race/ethnicity; (3) prior student supervision experiences of racial/ethnic differences have limited effects on current supervision practice; and (4) supervisors desire more training in how to approach conversations around race/ethnicity. Further professional discussions about the role of race/ethnicity in the supervisory relationship and training in addressing the cultural context in supervision are needed.
在监督中考虑文化很重要，但研究表明，遗传咨询师的监督者不确定如何在监督关系中讨论文化问题。本研究探讨了来自美国的遗传咨询师监督者对其导师在他们还是学生时如何处理监督关系中的种族/民族差异的看法、这些差异对这些关系的影响，以及随后对他们的监督实践的影响。九名自认为是白种人/高加索人的遗传咨询师和九名自认为是白种人/高加索人以外的种族/民族背景的遗传咨询师被有目的地招募来参加半结构化电话访谈。问题探讨了参与者对导师在监督中处理种族/民族差异的看法、这些监督关系的影响，以及他们作为学生的经历对当前监督实践的影响。主题分析揭示了四个主要主题，大多数参与者一致认为：（1）作为学生和当前监督实践中，对种族/民族的认识是有限的；（2）导师在讨论种族/民族问题时的舒适度不同；（3）学生时代对种族/民族差异的监督经验对当前监督实践的影响有限；（4）导师希望在如何处理种族/民族问题的对话方面接受更多的培训。需要进一步讨论关于种族/民族在监督关系中的作用的专业问题，并就如何在监督中解决文化背景问题进行培训。
