Assessment Criteria associated with Exit Level Outcome 1:1.1 Interpret pedigree information and perform genetic risk assessment.1.2 Perform a comprehensive clinical and dysmorphological examination.1.3 Write patient reports.1.4 Perform procedures necessary to make a genetic diagnosis, including skin biopsy, fetal examination, taking of buccal smears etc.1.5 Make genetic assessments of individuals and their families which include the taking of a detailed and directed family history, constructing a family pedigree, performing a comprehensive clinical examination and interpretation of clinical signs.Assessment Criteria associated with Exit Level Outcome 2:2.1 Communicate effectively with patients, family members, other healthcare workers and colleagues.2.2 Act as the patient’s advocate, advisor and guide within the discipline of Medical Genetics.2.3 Act in accordance with high ethical standards and sensitivity towards consultants and their family in all settings.Assessment Criteria associated with Exit Level Outcome 3:3.1 Interpret Medical Genetic test results including karyotyping, molecular testing, biochemical screening and linkage analysis.3.2 Offer care for all conditions commonly occurring in Medical Genetics.Assessment Criteria associated with Exit Level Outcome 4:4.1 Apply knowledge in selection/co-ordination of special investigations and interpreting their results.4.2 Distinguish between genetic screening and genetic diagnostic tests.4.3 Use computer databases in syndrome diagnosis, risk calculation and obtaining relevant information for patient care.4.4 Judge when to seek the help of other specialists and sub-specialists.4.5 Understand and application of therapeutics applicable to Medical Genetics (including gene therapy and enzyme replacement).Assessment Criteria associated with Exit Level Outcome 5:5.1 Produce an article for publication in a peer reviewed journal.5.2 Present research findings at a national or international congress/seminar.5.3 Appropriate computer skills including a good understanding of Bioinformatics.Integrated Assessment:The assessment will be integrated in terms of the type of questions asked and be clinically orientated. The critical exit question is “will the candidate be able to function as an independent Medical Genetics specialist within the medical community and society at large?”Two examinations will be conducted, each with multiple components. Part 1 will have two 3-hour written papers and part 2 will have 2 3-hour papers, an OSCE and 3 clinical cases. The outcomes that will be examined are set out under the Qualification Rules.