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C.S. Mott Children's Hospital

Residency Program Policies and Requirements

Residency Program: American Board of Medical Genetics

The logbook is a requirement of the American Board of Medical Genetics to qualify to sit for the Board exams. It is important to initiate the logbook at the time you arrive. You must document experience with 150 cases. There are specific subheadings that need to be completed and familiarity with this process from the outset saves time. You are urged to start the logbook immediately upon the start of the program; after your first 50 cases the Program Director would like to review each logbook with you. Please follow the directions in the latest American Board of Medical Genetics instruction booklet. It can also be downloaded from the ABMG Web site.

Evaluations and Competence
During your rotations in the Medical Genetics Residency you will be evaluated and a permanent record will be established in your file. Specific evaluation forms are used and these templates are available for you to examine. These evaluations are critical for accreditation requirements and for feedback to each resident. Demonstration of competence in specific areas of genetics is required and is measured.

Training Guidelines
I have enclosed a copy of the guidelines for Medical Genetics residency programs. This is a general list of areas and topics with which you should become familiar with during your residency training here at the University of Michigan. This is a draft document prepared by various professors of Human and Medical Genetics and is meant only as a guide. It will not be possible to see a patient with every kind of disorder that may be listed, however this is a useful guideline for general categories that may be used as a kind of checklist, if you so choose. For those areas where you may not see as many patients, I urge you to do as much reading as possible.

Medical Genetics Boards
After satisfactory completion of the training program and application to the ABMG you will qualify to sit for the Medical Genetics Board Examinations. The application includes your logbook and other materials. You are urged to read the requirements for eligibility on the ABMG website. On the day of the ABMG examination you will take two tests, a general Genetics examination and the Clinical Genetics exam. If you qualify and are interested in clinical cytogenetics, clinical biochemical genetics or clinical molecular genetics you will sit for a second day examination in those categories. The examinations are given every three years and usually there is a board-review course a couple of months ahead of the examination time.

The Administrator of the Medical Genetics Residency Program is Cindy Dreffs. She is capable of answering most questions with respect to operations and scheduling. Feel free to address questions to Cindy at any time. She is here Monday, Tuesday and Thursday. If you are interested in purchasing educational materials please discuss this first with Cindy as there is some funding and it must be handled with P-card purchases. Cindy will also ask you to submit monthly scheduling forms.

Yearly Meetings
The Medical Genetics Residency Program will pay for a yearly meeting to the American Society of Human Genetics for each resident. We have also purchased membership for each resident in the ASHG. After completing the program you will assume this expense. Arrangements may also be made for those wishing to go to a separate genetics meeting.

In summary, the Medical Genetics Residency Program has a defined number of service requirements and recommendations for attendance. However, the clinical experience is not overwhelming and as a result there is significant time for research of various kinds. This can include library work, grant preparation or actual experimentation. To the extent that these activities can be performed without interfering with clinical responsibilities and they are encouraged. All residents interested in basic research are expected to apply for a NIH Individual National Research Service Award (NRSA) or a KO8. This will allow you to begin your research career after your clinical experience in the medical genetics residency is finished. Subsequent suggestions for further funding can be discussed. There are also numerous NIH supported postdoctoral award mechanisms here at the University of Michigan including the Genome Sciences Training Grant, Center for Organogenesis, and the Pediatric Scientist Training Program. Applications to these funding mechanisms are also encouraged early in the first year of the program. Clinical research is encouraged, especially related to patients or families evaluated in Genetics program clinics during your rotations.