Genetic Counsellor
Genetic counsellors help people work out what an inherited condition or a genetic test result means for them and their family.
- Median salary*
- $104,000
3.7%vs last year, before tax
- People employed*
- 780
2.5%vs last year
- Projected growth*
- +18%
to 2035
- AI exposure*
- Low
- automation risk
- Average hours*
- 38/wk
−2h vs all jobs
- Shortage status*
- In shortage
national
Most genetic counsellors work in hospital clinical genetics services or in genetic testing laboratories, seeing patients referred by a GP or another specialist. They take detailed family histories, arrange testing and explain results in plain language, while the clinical geneticist alongside them makes the diagnosis and manages treatment. Because the workforce is small, many work in multidisciplinary teams and some cover several clinics across a health district.
How much do genetic counsellors earn?
The median full-time salary for a genetic counsellor is $104,000 per annum, before tax, up $21,500 since 2018.
Pay usually follows the state health department enterprise agreement covering your hospital or service, so it moves with your classification and years of experience rather than with individual negotiation. Senior clinical roles, team leadership and positions in private genetics practices or laboratories sit higher. Part-time work is common in hospital genetics services, so advertised salaries are often quoted as full-time equivalents.
What does a genetic counsellor do day to day?
The list below is what fills most weeks; the exact mix shifts with seniority and whatever stage the current work is at.
- Taking family histories and drawing pedigrees that map how a condition runs through a family
- Reviewing genetic test results and explaining what they mean for the patient and their relatives
- Counselling people through decisions about testing, surveillance, surgery and family planning
- Arranging testing and referrals, and following up with relatives who may carry the same gene variant
- Writing clinic letters and consultation notes, and entering cases into clinical registries
What skills do genetic counsellors need?
Employers look for clinical assessment and treatment, counselling and support work, health education and advice, backed by Progeny Pedigree Software fluency and strong empathy and interpersonal care.
Specialist skills
- Clinical assessment and treatment
- Counselling and support work
- Health education and advice
- Casework and client support
- Patient care and support
Software and tools
- Progeny Pedigree Software
- PhenoTips
- ClinVar
- Genoox
- Electronic medical record systems
General skills
- Empathy and interpersonal care
- Attention to detail
Is the job growing?
About 780 people work as genetic counsellors in Australia, and employment is projected to grow 18% over the decade to 2035. That's healthy, above-average growth, and the role should stay in solid demand.
How do you become a genetic counsellor?
Here's the path most genetic counsellors take, step by step.
- 1Complete a relevant undergraduate degree
A bachelor degree in science, biomedical science, health science, nursing or psychology gives you the genetics and the people-facing grounding the master's programs expect, and most courses ask for some psychology and biology subjects. It takes three years full time.
- 2Finish a Master of Genetic Counselling
This two-year postgraduate degree is the standard entry qualification and includes supervised placements in hospital genetics services. Places are limited and entry is competitive, so check the prerequisite subjects before you choose your first degree.
- 3Apply for certification with the Human Genetics Society of Australasia
The HGSA accredits the master's programs and certifies practitioners once they have graduated and completed supervised clinical practice. Genetic counselling is not registered with AHPRA, so certification is how employers, laboratories and referral services confirm your standing.
- 4Start in a hospital genetics service or laboratory
New graduates usually begin on a fixed-term contract in a clinical genetics service or a testing laboratory, which builds the breadth of cases needed for certification. From there, counsellors move into senior clinical work, supervision or a specialty clinic such as cancer or prenatal genetics.
Ready to apply as a genetic counsellor?
Whether you're working toward becoming a genetic counsellor or already are one and want a hand with the next step (sharpening your resume for ATS screening, tightening your cover letter, or knowing what you'll actually be asked at interview), here are examples grounded in this specific role, not generic templates.
What jobs can a genetic counsellor move to?
None of the roles genetic counsellors typically move into pay more than the role itself. Psychotherapist is the closest match. If a bigger salary is the goal, moving up into a senior or principal position within the role is usually the faster route than moving sideways.
| Move to | Typical pay change | Overlap | Retraining |
|---|---|---|---|
| Psychotherapist Genetic counsellors bring counselling and psychosocial skills to psychotherapy, though further therapy training is required. | −$15,600 | 58% | short course |
Moves are chosen from Jobs and Skills Australia's Data on Occupation Mobility, which follows income tax records between 2011-12 and 2020-21, together with entry requirements and skill overlap. A known move is one people were seen making in that data. Pay change compares median full-time pay for the two roles.
Who works as a genetic counsellor?
The typical genetic counsellor is 38 years old; 90% are women, 66% work full-time, and full-timers average 38 hours a week.
- 38
- Median age
- 90%
- Female share
- 66%
- Full-time
- −2h
- vs all-jobs avg
What's it like being a genetic counsellor?
The work runs on booked appointments rather than emergencies, so days have a steady rhythm, but the conversations carry weight and often involve waiting for results that may not give a clear answer. It suits people who can sit with someone's distress without rushing to reassure them, and who are comfortable explaining probability rather than certainty. Much of the role is spent with people at a single difficult point in their family's history, then handing them on to the specialists who act on it.
What people like
- The conversation is the work. Appointments are long enough to explain a complex result properly, answer questions and check that the person has understood, rather than moving them along.
- The science keeps moving. Gene panels, testing criteria and treatments for inherited conditions change from year to year, so there is always something new to read and apply.
- Seeing a family act on the information. When a relative you contacted gets tested early and a cancer is caught, that outcome traces back to the pedigree you drew.
- Close working relationships. The field is small enough that you know the laboratory scientists, the clinical geneticists and the counsellors in neighbouring services, which makes case discussions easier.
What people find hard
- Delivering unwelcome news. Telling someone they carry a variant that raises their cancer risk, or that their child has inherited a condition, is a regular part of the job and stays difficult.
- Results that leave the question open. A variant of uncertain significance means you may have to tell a family that testing has not given them an answer, and that further information might come later.
- Time limits and waiting lists. With so few counsellors, services often carry long waits, and the appointment itself may be shorter than the family needs.
- The paperwork around every appointment. Pedigrees, referral letters, consultation notes and registry entries take a real share of the week, and they have to be accurate because other clinicians rely on them.
Based on our synthesis of professional-body surveys and public accounts of the role, not first-person verified reviews.
Which industries employ genetic counsellors?
Hospitals employs the largest share of genetic counsellors, followed by Medical and diagnostic laboratories.
Top employing industries
- 1Hospitals
- 2Medical and diagnostic laboratories
- 3Specialist medical services
- 4Other health care services
- 5Higher education and research
Ranked by employment share; the source doesn't publish an exact percentage per industry.
| Bachelor degree | 52% | |
|---|---|---|
| Postgraduate | 26% | |
| Diploma / Advanced Diploma | 13% | |
| Other | 9% |
Will AI replace genetic counsellors?
Genetic counselling has low exposure to AI overall, because the part of the job that takes the most time is a conversation with a person who is frightened, uncertain or grieving. The technology already in use is mostly analytical and clerical: variant databases such as ClinVar, pedigree software such as Progeny, and drafting aids for clinic letters and case notes. Those tools speed up the lookups and the paperwork around an appointment, but they do not decide what a result means for a particular family or how to say it.
Share of typical working time by exposure level
- Counselling sessions with patients and familiesReading how ready someone is to hear a result, pacing the explanation and sitting with their reaction happens in the room and cannot be delegated to software.40%low
- Family history taking and pedigree constructionPedigree software draws the diagram cleanly once you enter the data, but the questions that surface a relative with early breast cancer or a lost pregnancy are still yours to ask.20%moderate
- Reviewing test results and variant lookupsDatabases such as ClinVar and Genoox pull together published evidence on a variant in seconds, which shortens the search but not the clinical judgement about what to tell the family.20%moderate
- Clinic letters, notes and registry entriesDrafting tools now produce a usable first version of a referral letter or consultation summary from the appointment record, leaving the counsellor to check and correct it.20%high
Common questions about becoming a genetic counsellor
Straight answers to the questions people ask most.
How much do genetic counsellors earn?
Genetic counsellors earn a median of $104,000 per year before tax. Most are employed under state health enterprise agreements, so your classification, years of experience and whether the role is hospital or laboratory based move the figure more than negotiation does.
How do you become a genetic counsellor?
You complete a relevant undergraduate degree, then a two-year Master of Genetic Counselling, and apply for certification with the Human Genetics Society of Australasia. There is no entry path that skips the master's, so check the prerequisite subjects early if you are still choosing a first degree.
Are genetic counsellors in demand?
Genetic counsellors are currently in shortage nationally, and employment is projected to grow 18% over the decade to 2035 over the decade to 2035. Testing is now part of routine cancer and prenatal care, which keeps demand for the role steady, though the profession is small enough that a handful of new positions changes the picture.
Will AI replace genetic counsellors?
AI is unlikely to replace genetic counselling, because the core of the job is a conversation with someone who has just been told something frightening or unclear. Variant databases, pedigree software and tools that draft clinic letters already handle part of the analysis and paperwork, but working out what a result means for a particular family stays with the counsellor.
What else can a genetic counsellor do?
Moving into psychotherapy is one option, since genetic counsellors already bring counselling and psychosocial skills to the role, though it means further therapy training and a different professional registration. It suits counsellors who want to work with mental health more broadly rather than with inherited risk.
Do genetic counsellors need to be doctors?
No. Genetic counselling is a separate profession from clinical genetics, and the two work side by side. The geneticist diagnoses and manages treatment, while you take the family history, arrange testing, explain the result and support the decisions that follow.
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