CLINICAL AND LABORATORY INTERNSHIPS

The Detroit Medical Center and surrounding metropolitan health care systems offer an exceptional foundation for clinical genetics training. The diverse population found in the greater Detroit area provides a unique opportunity to explore how ethnic and cultural differences influence the effectiveness of clinical genetic services and the genetic counseling process. Students are active participants in a diversity of well established medical genetic and multidisciplinary clinics, training under experienced clinicians who are leaders in their fields. Students also gain hands-on clinical genetics laboratory experience in the molecular, biochemical and cytogenetics laboratories. Students begin their clinical internships in their first semester and continue throughout their training. The clinic and laboratory experiences are strategically planned to complement the concurrent classroom experience and enhance learning. The experiences include:

First Year Observational Experiences (Fall)

Beginning in October of the first semester, students are scheduled to attend a variety of clinics, many which are multidisciplinary clinics, to begin to observe how genetics is integrated into healthcare. These clinics are selected to provide an excellent opportunity to observe a team approach to the care of an individual with a chronic condition. Examples of observational clinical experiences include multiple sclerosis, cystic fibrosis, autism, craniofacial, oncology and spina bifida clinic.

First Year Introductory Internship (Winter)

The purpose of the internship during the first year is for students to begin to apply what they have learned during their course work to the clinical setting by observing in genetics and other multidisciplinary clinics. Students will be expected to maintain a log that will document the appropriate facts about the cases, psychosocial issues, the student’s interpretation of the genetic counselor/patient interactions and the student’s own personal thoughts and feelings surrounding the case. Students may be assigned certain case preparation duties and have some responsibility for collecting the family history information during these rotations. Examples of introductory clinical experiences include reproductive genetics and ultrasound, pre implantation genetic diagnosis, hemophilia clinic, neurogenetics, adult neurology rounds, cancer and pediatric clinics.

Second Year Formal Clinical Internships (Summer)

The purpose of the internship during the second year is for students to function, with supervision, as the primary genetic counselor in a variety of clinical settings. During this second year internship, students will acquire cases for their logbooks for program accreditation purposes. Students will be required to complete 5 seven-week rotations. Our program offers several options for pediatric, reproductive and hereditary cancer clinics. Furthermore, Wayne State University has as exceptionally strong neurogenetics program and also provides the follow-up for all positive newborn screens within the State of Michigan in the Metabolic Clinic. Our students rotate through both of these clinics. With the permission of the program directors, students may choose to do one rotation as an elected away rotation the second half of the summer between their first and second years.

Genetics Service Laboratory Rotations

Genetic counseling students will spend approximately three weeks each in the Cytogenetics Laboratory and the Molecular Genetics Diagnostic Laboratory and one week in the Biochemical Genetics Laboratory. During each rotation, the student is expected to perform relevant background reading, work through a case book containing typical examples of normal and abnormal test results, participate in ongoing laboratory testing, participate in laboratory meetings, and assist in interpreting laboratory results under the supervision of the laboratory director. Students also gain exposure to the HLA Haplotyping Laboratory at the Detroit Medical Center, the maternal serum screening lab at the DMC and the DNA Diagnostic Laboratory at Henry Ford Hospital to round out their experiences.

CLINICAL EXPERIENCE AT WAYNE STATE UNIVERSITY AND THE DETROIT MEDICAL CENTER

 




Additional Clinical Faculty and Experiences

 


Genetic Counseling Graduate Program
Center for Molecular Medicine and Genetics
Wayne State University School of Medicine
3127 Scott Hall
540 E. Canfield Avenue
Detroit, MI 48201
Administrative Office:
(313) 577-6298
Fax: (313) 577-9137
Email: lknight@med.wayne.edu


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