Genetics & Genomics
Draft proposed by Dr S P Wu
Reviewed by Dr S P Wu
Essential Skills
Domain 1 - Professional Values & Behaviour
Domain 2 - Communication
Domain 4 - Patient management
Additional desirable skills are listed in each proposal. These recommended skills are to be acquired as opportunity arises.
Download Syllabus (28 November 2023)
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Basic Training
Trisomy, aneuploidy and chromosomal abnormalities
- Genetic basis of Down syndrome, Turner syndrome, Klinefelter syndrome and other aneuploidy
- Understand the different types of chromosomal abnormalities
Common genetic diseases
Epidemiology, clinical features and pathogenesis of common genetic diseases.
Patterns of inheritance
Mendelian inheritance (single gene disorders)
- Common AD, AR and XR disorders
Trinucleotide repeats
Mitochondrial inheritance
Sporadic conditions
Genetic variants
- Different types of mutations: nonsense, missense, frameshift
- Understand loss-of-function and gain-of-function variants
Principle of population screening
- Understand the WHO principle of effective screening
- Understand the present screening programmes in infants and children
Basic principles of antenatal diagnosis
Understand the methods that can be used in antenatal diagnosis:
- Non-invasive prenatal diagnosis techniques
- Amniocentesis
- Chorionic villus sampling
- Preimplantation genetic diagnosis
Basic principles of genetic testing
Basic knowledge of genetic tests available for common genetic diseases.
Desirable skills
Obtaining and Preparation of biospecimens for genetic testing:
- Blood testing
- Buccal swab testing
Higher Training
Cytogenetics
Understand the application of karyotyping, FISH and array comparative genomic hybridization, quantitative fluorescent polymerase chain reaction.
Patterns of inheritance
- Partial chromosomal deletions
- Mosaicism
- Imprinting disorders
Genetic counseling
- Understand the need of pre-test consent and counseling
- Understand the principle of disclosure
Next Generation Sequencing
- Application of Gene panel testing
- Application of whole exome sequencing
- Application of whole genomic sequencing
- Understand the implication of variants of unknown significance
Ethics
Understand the ethics of genetic testing, screening and counselling.
Desirable skills
1.Basic Genetic Counselling skills
2.Obtaining consent for genetic tests