Medical Genetics – Rotations

Rotation: General Genetics

Site: UConn Health, Connecticut Children’s Medical Center
Site Director: Dr. Joseph Tucker, UConn Health
Hours: 8 a.m. to 5:30 p.m.

During the General Genetics rotation, fellows will learn how to diagnose and manage genetic disorders, and provide patients and their families with genetic counseling. The fellow will practice taking a family history, interpreting the past medical history, and learn how to synthesize data from a detailed physical examination to arrive at a differential diagnosis. The fellow will learn how to provide follow up evaluations, based on past test results, and other significant data. The fellow will also learn how to identify possible carriers at risk in the family and be able to discuss carrier testing and prenatal options, as well as identifying psychosocial issues involved in the care of their patients.

Rotation: Prenatal Genetics Service

Site: UConn Health/UConn John Dempsey Hospital, Outpatient Pavilion, 8th Floor
Site Director: Dr. Joseph Tucker
Hours: 8 a.m. to 5:30 p.m.

During the Prenatal Genetics Service rotation, the fellows will learn to use diagnostic tools to diagnose and manage prenatal genetic disorders. They will also be trained to provide patients and their families with appropriate genetic counseling and support specific to the disorder. This rotation includes interacting directly with patients each week (initially observing and subsequently providing genetic counseling for these patients).

Rotation: Hereditary Cancer Genetics

Site: UConn Health, Outpatient Pavilion, 4th Floor and CM3
Site Director: Dr. Joseph Tucker
Hours: 8 a.m. to 5:30 p.m.

During this rotation, the fellows will learn how to provide risk assessment and counseling for hereditary and familial cancer syndromes. They will have the opportunity to provide supervised consultations for approximately 40 new patients with a personal or family history of cancer suggestive of a hereditary cancer syndrome. The fellow will gain experience in performing genetic risk assessment, counseling, DNA banking and genetic testing to detect germ line mutations, as well as evaluations with the patients. They will also write comprehensive reports to patients and their referring physicians.

Rotation: Cytogenetics Rotation

Site: UConn Health
Site Director: Dr. Peter Benn
Hours: 8 a.m. to 5:30 p.m.

During this rotation, the fellow will learn how to analyze chromosomes, and understand their application to clinical genetics diagnosis. They will have hands-on experience with testing equipment and learn how to do a basic karyotype, a FISH analysis, and learn the indications for a routine cytogenetic study versus a cancer cytogenetic study.

Rotation: Biochemical Genetics

Site: Mount Sinai Hospital
Site Director: Dr. George Diaz
Hours: 8 a.m. to 5:30 p.m.

During this rotation, the fellows will learn how to intake a patient and gain pertinent information and make informed decisions about diagnostic and therapeutic interventions based on patient and family information and preferences, up-to-date scientific evidence, and clinical judgment. They will also learn how to develop and carry out patient management plans. Finally, they will provide counseling and support for the families as well as suggestions for adherence.

Rotation: Molecular Genetics

Site: Genzyme Genetics Laboratories
Site Director: Dr. Ruth Heim, Ph.D.
Hours: 8 a.m. to 5:30 p.m.

During this rotation, the fellows will learn how to use molecular genetics technology in a clinical and research setting to diagnose genetic conditions and provide genetic counseling, carrier testing and prenatal testing for individuals and their families. The fellow will participate in daily laboratory activities and lab interpretation meetings with the section directors. They will also learn how to correlate the laboratory findings with the clinical applications, management and recommendations for follow up.

Rotation: Neuromuscular Disorders

Site: Hospital for Special Care
Site Director: Dr. Kevin Felice
Hours: 8 a.m. to 5:30 p.m.

During this rotation, the fellow will learn to recognize and diagnose neuromuscular genetic conditions and provide the relevant genetic counseling specific to neuromuscular disorders. Additionally, the fellow will learn the techniques of diagnostics testing and will participate in clinical and didactical activities. They will also learn how to correlate the laboratory findings with the clinical applications, management and recommendations for follow up.