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Application of the RIME framework in genetic counseling fieldwork training to assess practice-based competencies
Deborah Cragun1, Angela Trepanier2, Nevena Krstić3
1College of Public Health, University of South Florida, Tampa, Florida, USA.
Journal of Genetic Counseling
|December 12, 2024
Summary
The RIME framework helps genetic counseling trainees develop clinical skills. Adapting this educational tool supports assessment and goal-setting for practice-based competencies.
Area of Science:
- Medical Education
- Genetic Counseling Training
Background:
- Educational frameworks can standardize learner assessment in genetic counseling (GC) training.
- The RIME (Reporter-Interpreter-Manager-Educator) framework, designed for medical education, offers a structured approach to assessing clinical skills development.
Purpose of the Study:
- To describe the adaptation and implementation of the RIME framework in two genetic counseling graduate programs.
- To align RIME-level expectations with practice-based competencies (PBCs) for clinical fieldwork assessment.
Main Methods:
- Case study approach detailing the implementation of the RIME framework in two GC programs.
- Development of RIME-based assessment forms aligned with the Accreditation Council of Genetic Counseling's 2023 PBCs.
Main Results:
- The RIME framework facilitated the articulation of developmentally appropriate goals and expectations for GC trainees.
- Implementation fostered a growth mindset, aiding in the assessment and guidance of trainee progress during clinical fieldwork.
Conclusions:
- The RIME framework provides a valuable model for assessing and guiding genetic counseling trainees' acquisition of practice-based competencies.
- Further research is needed to evaluate the efficacy of the RIME framework in supporting student progression in GC training.

