Peplow Katherine, He Hua, Rivers Bryana, Wusik Katie, Yager Geoffrey, Atzinger Carrie
College of Medicine, University of Cincinnati, Cincinnati, Ohio, USA.
Division of Human Genetics, Department of Pediatrics, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.
J Genet Couns. 2024 Dec;33(6):1226-1237. doi: 10.1002/jgc4.1838. Epub 2023 Nov 27.
Fieldwork supervision is integral to genetic counseling students' training and has the potential to impact how included students feel in the genetic counseling field. For example, in related counseling fields, when supervisees and supervisors discuss their personal similarities or differences in ethnicity, supervisees report a stronger supervisory working alliance (SWA) (Journal of Multicultural Counseling and Development, 2001, 29, 102-113). However, the application of these studies on identity discussions to the genetic counseling field is currently unknown. The objective of this cross-sectional questionnaire-based study was to investigate (a) if genetic counseling students report having discussions of personal identity during fieldwork supervision, (b) who initiated any such discussions, (c) if there was a difference in the supervisory relationship between those who did and did not have discussions of personal identity, and (d) how students perceived the inclusivity of the genetic counseling profession and their genetic counseling programs. Discussions of personal identity were defined in this study as "discussions happening during supervision regarding how one or more aspects of personal identity impacts the provision of genetic counseling services and/or professional interactions" where personal identity included the student or supervisor's gender, sexual orientation, race, ethnicity, religion, disability status or other aspect of identity. Almost 40% of the participants (N = 190) reported discussing personal identity with their supervisor. For students identifying as white, discussions of personal identity were related to a stronger SWA (p = 0.014). However, for those with minoritized identities there was no relationship between the SWA and discussions of personal identity. Therefore, it is unclear from the current research whether discussions of personal identity can be an effective tool in improving inclusivity in the field of genetic counseling. Additional research is needed to explore the direct impact of identity discussions on the supervisory working alliance in genetic counseling supervision.
实地工作督导是遗传咨询专业学生培训的重要组成部分，并且有可能影响学生在遗传咨询领域的融入感。例如，在相关的咨询领域，当被督导者和督导者讨论他们在种族方面的个人异同点时，被督导者会报告称督导工作联盟（SWA）更强（《多元文化咨询与发展杂志》，2001年，第29卷，第102 - 113页）。然而，目前尚不清楚这些关于身份讨论的研究在遗传咨询领域的应用情况。这项基于问卷调查的横断面研究的目的是调查：（a）遗传咨询专业学生是否报告在实地工作督导期间有过个人身份的讨论；（b）是谁发起了此类讨论；（c）进行过个人身份讨论的学生与未进行过此类讨论的学生在督导关系上是否存在差异；（d）学生如何看待遗传咨询职业及其遗传咨询项目的包容性。本研究将个人身份讨论定义为“在督导期间发生的关于个人身份的一个或多个方面如何影响遗传咨询服务的提供和/或专业互动的讨论”，其中个人身份包括学生或督导者的性别、性取向、种族、民族、宗教、残疾状况或其他身份方面。近40%的参与者（N = 190）报告与他们的督导者讨论过个人身份。对于自认为是白人的学生来说，个人身份讨论与更强的督导工作联盟相关（p = 0.014）。然而，对于那些具有少数群体身份的学生来说，督导工作联盟与个人身份讨论之间没有关系。因此，从目前的研究来看，尚不清楚个人身份讨论是否能成为提高遗传咨询领域包容性的有效工具。需要进一步的研究来探索身份讨论对遗传咨询督导中督导工作联盟的直接影响。
