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C.S. Mott Children's Hospital

Genetics: Training Summary


Training Summary by Year

To see the goals and objectives of these rotations, please view the Goals and Objectives page.


Year 1

In the first year of training, typical activity includes rotations in Pediatric Genetics, along with Pediatric Biochemical Genetics, Molecular Medicine and Genetics, and Cancer Genetics. Trainees usually spend some time in the Cytogenetics, Molecular, and/or Biochemical Lab Rotations and the Outreach Clinics as well.

During the first year or the second year, lab rotations within Biochemical Genetics, Molecular Genetics and Cytogenetics are arranged. These are, at most, one-month rotations where residents are expected to learn the specifics of testing within these diagnostic domains. A syllabus for each rotation is provided. Active participation is expected.

Outreach clinics are a unique opportunity to evaluate and manage genetics patients in an outpatient setting in Marquette, Gaylord or Traverse City. The State supports the efforts of two physicians and two genetic counselors at these clinics. Therefore, an attending physician and at least one resident will attend each clinic. All residents are required to attend these clinics during the first year of their residency. The second year is optional, but is encouraged.

Year 2

In the second year of training, Outreach Clinics are optional, while the areas of focus during the first six months include Pediatric Teratology and Fetal Pathology, Prenatal Genetics, and Adult Neurogenetics. During the last six months of training, optional Outreach Clinics may be continued, while the trainee selects one of three paths of training. These paths include, research, clinical service with a research component, or Clinical Laboratory focus in either Biochemistry, Molecular Genetics, or Cytogenetic research.

Sample Schedule

Year 1

HUMAN GENETICS 541/542

JULY AUG SEPT OCT NOV DEC JAN FEB MARCH APRIL MAY JUNE
PG PG PG PG PG PG PG PG PG PG PG PG
(AG) (AG) (AG)
––––––––––INPATIENT CONSULTS FOR PG/AG––––––––––

––––CYTOGENETIC/MOLECULAR/BIOCHEMICAL LABORATORY ROTATIONS––––

––––––––––OUTREACH CLINICS––––––––––

Year 2

HUMAN GENETICS 803/804 (optional)

JULY AUG SEPT OCT NOV DEC JAN - JUNE
AG/CG AG/CG AG/CG AG/CG AG/CG AG/CG

***

PRG PRG PRG BGL ANG ANG

T/FETAL PATHOLOGY

––––––––––OUTREACH CLINICS (optional)––––––––––

––––––––––INPATIENT CONSULTS FOR PG/AG––––––––––

 

 

Key:

  • PG = Pediatric Genetics & Pediatric Biochemical
  • AG = Adult Genetics
  • PRG = Prenatal Genetics
  • T/FETAL PATH = Pediatric Teratology & Fetal Pathology
  • ANG = Adult Neurogenetics
  • CG = Cancer Genetics
  • BGL = Biochemical Genetics Laboratory

*** Three options exist for six months:

  1. Option 1:  Research

  2. Option 2:  Clinical Service/Research

  3. Option 3:  Clinical Laboratory Focus - Biochemical, Molecular, Cytogenetic

 


General Training Information

Each resident will rotate on numerous services within the Medical Genetics Residency Program. This includes Pediatric Genetics and Biochemical Genetics (which are in the same division), Medical Genetics (the Adult Genetics Clinic), Cancer Genetics Clinic, Prenatal Genetics, and Adult Neurogenetics. These are the required rotations. Additional rotations can be arranged with the approval of the Program Director. You are required to take a minimum of 12 months of Pediatric Genetics. You may opt to take more Adult Genetics or to extend other rotations. The services have been arranged to maximize the clinical experience and to minimize overlap with other resident participation in those clinics. You are expected to participate in the full spectrum of service requirements for those clinics including pre-clinic rounds, clinic and post-clinic rounds, inpatient and outpatient consultations, and seminars. Didactic coursework is also required.

Seminars and Conferences

Residents have opportunities to attend a large number of conferences based on their interests. These are encouraged and there is plenty of time for this kind of educational experience. During the first year, Medical Genetics residents are required to attend the Human Genetics basic science courses taught to the graduate students HG 541 and HG 542. The second year courses, HG 803 and HG 804, which emphasize contemporary methods and their application to specific problems such as transgenic experiments, bioinformatics, gene expression, microarrays and other high throughput expression monitoring, cancer genetics and other methods are optional. Given the rapid pace of genetic research your participation in these courses is encouraged. Please check with Janet Miller in the Department of Human Genetics who coordinates HG 541/542 and HG 803/804 for a course syllabus (janmil@umich.edu; 4-5490).

Vacation

Vacation is to be arranged with the person in charge of the service you are on at the time and in consultation with the Program Director. The House Officer agreement with the University provides for 28 days vacation per year, and the Medical Genetics Residency Program provides an additional 2 weeks for scientific or clinical genetics meetings.

Faculty

The following faculty are responsible for the rotations on the respective services.

Pediatric and Biochemical Genetics
Jeffrey W. Innis, M.D., Ph.D
pager 3327
764-0579

Medical Genetics
Elizabeth Petty, M.D.
pager 3694
615-9830
Cancer Genetics Clinic
Stephen Gruber, M.D., Ph.D.
Pager 10733
763-2532
Prenatal Genetics
Marjorie Treadwell, M.D.
Pager 15676
764-1406
Adult Neurogenetics
John Fink, M.D.
Pager 3129
936-3087
Teratology/Fetal Pathology
Mason Barr, M.D.
Pager 1078
764-9511
Cytogenetics
Diane Roulston, Ph.D.
pager 30154
763-5804
Molecular Genetics
Ram Iyer, Ph.D., M.Sc.
Pager 0326
764-0579
Pediatric Genetics Outreach Clinics
Coordinator:
Jane Schuette, M.S.
pager 7813
764-0579, 936-7950

Marquette
Jeffrey Innis, M.D., Ph.D.
Pager 3327
764-0579
Traverse City
Jeffrey Innis, M.D., Ph.D
Pager 3327
764-0579
Gaylord
Jeffrey Innis, M.D., Ph.D
Pager 3327
764-0579
Biochemical Genetics
Ayesha Ahmad, M.B.B.S.
Pager:15797
764-0579

Jess G. Thoene, M.D.
764-0579

Molecular Genetics
Ram Iyer, Ph.D., M.Sc.
Pager 0326
764-0579

The clinical rotations that you will be participating in are based at the following locations:

Pediatric Genetics:
1st Floor Taubman, Area D

Biochemical Genetics:
1st Floor Taubman, Area D (Pediatric Genetics)

Adult Medical Genetics:
3rd Floor Taubman, Area D (Offices-Medical Genetics MSRB III)

Cancer Genetics:
Level 1 Cancer Center (CCGC)

Prenatal Genetics:
(Fetal Diagnostic Center) F4806 Mott
(Teratology Clinic) 1644 Taubman Center, Ob/Gyn Clinic

Teratology/Fetal Path:
see Dr. Mason Barr

Adult Neurogenetics:
CCGC 1st floor clinic

The times of each respective clinic are indicated on the schedule provided at the beginning of the handout. Please check with service chiefs or attending physicians for any changes. (see schedule.)

Informatics

With respect to informatics, there are several programs that are capable of helping us make diagnoses of multiple congenital anomaly syndromes. These include OMIM, SYNDROC, London Dysmorphology Database and Neurogenetics Database. Numerous books, especially MMBID, are also very helpful. During the orientation you will learn how to use these systems and they will prove to be an important part of your educational experience.

For the most part it is the responsibility of the resident who sees the patient to dictate the chart, follow up labs and follow-up letters that may accompany that. For most purposes this dictation should be performed on the same day or the day after to facilitate timely communication with referring physicians and family members. In general, shadow files and charts should not leave the respective administrative area.

Quality assurance indicators are 1) newly diagnosed patients require telephone contact with the referring physician and consultation arrangements made within two days of medical genetics evaluation and 2) all patients and their referring doctors are to receive a letter summarizing genetics counseling within eight weeks of a counseling session.

Following dictation, transcriptionists will type and display the text on Care Web (http://careweb.med.umich.edu). You are expected to modify the draft version electronically. When finished, the attending will review and sign.

Consults

Residents cover inpatient consults in any area of the hospitals. If the consults occur in the Main Hospital they are supervised by the attending physician on-call in Adult Genetics; for those that occur in the Mott Children’s Hospital they are covered by the on-call physician for that month in Pediatric and Biochemical Genetics.Timely attention to these consults is necessary. Staffing should occur on the same day or immediately the day after. If this cannot be arranged contact the Program Director. It is important to keep in mind that Medical Genetics Residents are often the primary contacts with other faculty, residents and fellows of the institution.