Module - Paternal Risk and Heritability (SLS333)
Clinical experiential learning is the range of activities trainees may undertake in order to gain the experience and evidence to demonstrate their achievement of module competencies and assessments. The list is not definitive or mandatory, but training officers should ensure, as best training practice, that trainees gain as many of these clinical experiences as possible. They should be included in training plans, and once undertaken they should support the completion of module assessments and competencies within the e-portfolio.
Clinical experiential learning
- Critically review UK and international guidelines for gamete donation alongside the HFEA requirements and discuss with the medical lead for a donation service (as they currently provide final clearance for release for treatment of any donor). Understand the need to assess the risks of transmission of a heritable condition.
- Attend the initial screening for a sperm donor (with the permission of donors). Gain awareness of the different genetic tests that may be performed, the information provided to the donor about these tests and his experience of the process including phlebotomy. Evaluate how the centre assesses genetic risk other than through limited laboratory testing. Evaluate your experience in terms of both the clinical decisions and donor experience/needs with particular reference to requirements the donor may have for support around findings of any test. Discuss with your supervisor and the local clinical team for the donor service.
- Attend a medical consultation for a couple considering fertility treatment where the male has a heritable problem (with the permission of patients) this could be a nurse consultation or follow-up consultation within the clinical setting of an HFEA licensed treatment centre.
- Visit at least one clinical genetics service to review the different clinical settings where couples may find out about a heritable illness from the male and discuss this with the team at that service, this could be with a genetic counselor. Reflect on your experience in terms of the differentiation between their service and that of a reproductive science centre and consider how this influences your future practice.
- Visit at least one regional genetics laboratory to review the latest diagnostic techniques being used and discuss this with a member of the Clinical Science team at that service which they may feel may be relevant for a sperm donor. Reflect on your experience in terms of the differentiation between the evolution of testing available and the balance with risk in sperm donation.
- Attend multidisciplinary team meetings to participate in case discussion to review a wide range of clinical cases and describe the partnership between the reproductive science laboratory and other clinical specialisms in the investigation of infertility, for example Clinical Genetics.
- Select one case discussion and review in more detail, following patient progress and actual/potential outcomes, to include the clinical presentation, options considered, treatment provided and patient engagement and experience in the process.
- Become familiar with the laboratory quality management system in a diagnostic genetics laboratory, compare and contrast any differences to your other experience (applies as appropriate to all specialist modules).