2013-2014 Human Genetics Courses
The Empathic Attitude I
This course provides a theoretical and practical understanding of client-centered counseling. Rogerian techniques are applied and integrated into clinical genetic counseling cases. Special emphasis is placed on understanding the emotional content of language in all phases of the genetic counseling process, eliciting a client’s psychological needs, and the choice of vocabulary in explaining complex genetic phenomena.
The Empathic Attitude II
This course is a continuation of The Empathic Attitude I
Genetics Across the Lifespan I
Over four semesters, students participate in weekly seminars designed to introduce and integrate scientific, psychosocial, and ethical issues in human genetics. Emphasis is placed on the development and evaluation of values, attitudes, and skills in professional helping and on the role of the genetic counselor as patient advocate. In some cases, students will work in small groups in a case-based approach, reviewing a variety of genetic disorders. The group format is designed to give students practical experience in working in a collaborative manner, which has become a requirement in the workplace. Additionally, a seasoned genetic counselor will discuss topics such as: coordinating a genetics clinic; protocols for patient care; history-taking skills; and educating the patient, both verbally and in writing. Special emphasis is placed on understanding the emotional content of language in all phases of the genetic counseling process, eliciting a client’s psychosocial needs, and the choice of vocabulary in explaining complex genetic phenomena. Additionally, this course will focus on the development of professional skills, separate from clinical skills, that are necessary in the professional world. Topics will include resume writing, interviewing skills, job searches, negotiating salary and benefits, and the institutional personality. The final semester will continue to provide second-year students with small group time to present, discuss, and examine challenging genetic counseling cases and issues that arise from their second-year internship experiences, utilizing experienced genetic counselors acting as facilitators. Ethical Issues will be covered in a series of workshops that explore specific bioethical issues that pertain to the field of human genetics, such as patients’ rights, informed consent, confidentiality, predictive genetic testing, and duty to warn.
Genetics Across the Lifespan II
This course is a continuation of Genetics Across the Lifespan I
Advanced Human Genetics I
This seminar in contemporary human genetics spans several levels of biological organization: the genetics of cells, individuals, families, and populations. Topics include pedigree analysis, cytogenetics, molecular biology of DNA/RNA synthesis and expression, epigenetic regulation of genetic loci, mitochondrial inheritance, complications and exceptions in pedigree analysis, diagnostic techniques of molecular genetics, mutations and polymorphisms, linkage and gene discovery, multifactorial inheritance, risk estimation, Hardy-Weinberg equilibria, Bayesian calculations, population genetics, lod scores, malformation/deformation syndromes and sequences, and cancer genetics.
Advanced Human Genetics II
This course is a continuation of Advanced Human Genetics I
Professional Issues in Genetic Counseling I
The focus of this two part course is to help students develop a professional identity as a genetic counselor in the context of both the healthcare setting and the community as a whole. Topics presented Part I may include resume/cover letter writing, interviewing, summer rotation preparation, performance evaluation and the supervisory relationship.
Professional Issues in Genetic Counseling II
The focus of this two part course is to help students develop a professional identity as a genetic counselor in the context of both the healthcare setting and the community as a whole. Topics presented in Part II of this course may include networking, salary negotiation strategies, billing and reimbursement, licensure, marketing, grant writing, self-care, exam preparation, supervision models and expanded career roles.
Peer Issues in Genetic Counseling
In this course, students will present, discuss and examine challenging genetic counseling cases and professional issues which arise from their 2nd year rotation experiences. Each week, several students will be required to present cases to the class, discuss their role in the case and discuss issues involved in the case that may have impacted the clients and/or the genetic counselor and student. Students are also required to comment on cases presented by others. We will examine cases in the context of several models of genetic counseling and within the context of the genetic counseling code of ethics. We will consider the role of supervisor in the training of genetic counselors. We will also consider the role of continued “supervision” beyond graduation.
Professional Issues in Genetic Counseling I
The focus of this course is to help students develop a professional identity as a genetic counselor in the context of both the healthcare setting and the community as a whole. Topics presented in this course may include resume/cover letter writing, interviewing, summer rotation preparation, networking, salary negotiation strategies, billing and reimbursement, licensure, marketing, grant writing, self-care, exam preparation, supervision models and expanded career roles.
Discussion of ethical issues as they relate – to genetic counseling.
Introduction to Cancer Genetic Counseling
The focus of this course is to provide students with an understanding of cancer genetic counseling through case based study of clinical services. This course will provide students with an introduction to the medicine of breast, ovarian and colon cancers, including anatomy and physiology of affected organs, screening modalities and treatment options. Familiarize students with the terminology and vocabulary associated with oncology, pathology and cancer genetic counseling. Instruct students on family and medical history collection, pedigree interpretation and cancer risk model utilization. Inform students about testing criterion, presentation of testing options and interpretation of test results. Explore the psychosocial aspects of hereditary cancer syndromes, family dynamics, patient autonomy and grief.
Interview and Counseling Based Models
The interview is a fundamental component in the genetic counseling process. This course provides an overview of concepts and skill in this area of practical learning. Through engaging in activities and practice opportunities the student will test their knowledge, learn skills, and refine techniques for interviewing patients. In clinical work, we use an interview to begin to see our patients, to learn about them as individuals, and to let them see us, to learn about us as helping professionals.
Every student in the Joan H. Marks Human Genetics Program is required to complete a capstone experience and submit a manuscript documenting the experience or project to fulfill the requirements for obtaining a master’s degree in Human Genetics from the Graduate Studies division of Sarah Lawrence College.
Educational Outreach/Capstone I
First year students take part in an educational outreach project. They can work in pairs or alone. Each group identifies an audience to whom they would like to give a presentation about some aspect of the genetic counseling field. It can be focused on science, counseling or some other aspect such as ethics. The most popular choice for an audience is school-based, from elementary school to college. Other audiences have included seniors in an assisted-living facility, and adults and children attending a health fair in Harlem.
Advanced Human Genetics Special Topics Workshop
This practicum, a co-requisite of the Advanced Human Genetics seminar, is designed to provide students a series of workshops dealing with topics related to human genetics and genetic counseling. A more practical approach is emphasized here, applying knowledge acquired in Advanced Human Genetics, as well as in other courses. Some workshops will be facilitated by the Advanced Human Genetics instructor, while others will involve guest lecturers. Topics include cytogenetics, pedigree calculations, Bayesian analysis, molecular techniques, maternal serum screening, hemoglobinopathies, teratology, and cancer genetics.
Biochemistry of Genetic Disease
This course examines the chemistry and metabolism of proteins, carbohydrates, lipids, and nucleic acids. Biochemical abnormalities seen in certain genetic diseases are discussed and correlated with the disease phenotype. Emphasis is placed on DNA, RNA, and protein synthesis, using selected genetic diseases as models. The risks, benefits, and limitations of state newborn screening programs and heterozygote carrier testing are detailed.
Case Management Practicum
This second-year practicum trains graduate students in genetic counseling case management and psychosocial counseling. Behind two-way mirrors, students elicit the emotional and psychosocial needs of a client, couple, or family seeking genetic counseling for any of a variety of hereditary disorders. The practicum provides students the chance to work with the client(s) in an atmosphere where taking risks and trying different approaches is encouraged. Students further practice the choice of vocabulary to explain complex genetic phenomena to clients who may have no formal training in the sciences. In January of the second year, each student prepares an oral presentation on a randomly selected, clinical, genetic counseling case. The oral presentation is made before a panel of clinical geneticists, genetic counselors, and faculty of the Human Genetics program. During the presentation, the student is expected to detail the genetic, medical, and psychological issues surrounding the case, to describe in full her or his case management, and to elicit the psychosocial needs of the client(s). The objective of the exercise is to assess the student’s ability in case management and integration from initial referral to follow-up, including research, psychosocial assessment, counseling issues, and support services. It serves to identify the areas in which the student needs to focus during the last academic semester and clinical rotations.
This course considers the normal development of the human embryo from the earliest stages to birth. A review of reproductive physiology is followed by a description of the earliest stages of embryonic differentiation and the development of individual organ systems. The course focuses on the stages, developmental mechanisms, and organ systems with greatest potential for improving our understanding of the pathophysiology of congenital abnormalities and malformation syndromes. The role and timing of teratogens, the intrauterine environment in abnormal development, and the contribution of genetic factors are all considered. Through detailed examination of several complex malformation syndromes, students gain insight into the consequences of disrupting the normal synergy between different organ systems during development.
Physiology of Human Disease
The objective of the course is to provide students with an understanding of human physiology, beginning with the cell and principles of cellular physiology and continuing through most of the major organ systems. Focus on hereditary diseases and therapeutic approaches will be used to emphasize and teach physiological principles. Course topics will include: membrane transport and the physiological basis of cystic fibrosis, stem cell physiology and bone marrow transplantation, the etiology and physiology of diabetes, pathophysiology of the Multiple Endocrine Neoplasia syndromes, congenital heart malformations and pediatric cardiology, and physiology of the muscular dystrophies and skeletal dysplasias. The course will include student presentations on special topics of their choice in physiology, as well as midterm and final exams.
Introduction to Clinical Medicine
This course reviews the basic clinical skills required to facilitate the transition between basic medical sciences and the study of specific genetic disease entities. Emphasis will be on understanding the symptoms and physical signs needed to construct and decipher the medical history, physical examinations, written case summary, and oral presentation. Specific genetic counseling cases, as well as general principles, will be discussed in a workshop format.
Public Health Genetics
This course consolidates several established workshops and short courses into a single class. The first module focuses on basic concepts in epidemiology as they apply to genetics, introducing an epidemiologic approach to genetic disease, testing, and counseling. Specifically, the course will provide students with key genetic and epidemiologic concepts, introduce the basic structure of study design, and provide opportunities to evaluate examples from the literature. Each three-hour session comprises a one-hour lecture introducing key concepts, a one-hour case study carried out in a small group format, and a one-hour journal club in the large group setting. Due to the increasing importance of clinical research and informatics in the genetics field, a second module explores research methodologies and SPSS. Students are introduced to the common research methods used in clinical genetic research and are instructed in recognizing the qualities of good research studies. They are further afforded an opportunity, through the use of the electronic classroom setting, to develop and analyze certain aspects of a database that they have created. The goal of this module is to help them become aware of research protocols as they apply to clinical genetics and to learn skills they might apply to their thesis project. A third module takes on the prickly ethical issues that are common in the genetics field. This module covers issues such as patient rights, informed consent, confidentiality, predictive testing, genetic discrimination, and the duty to warn. A fourth module provides students with additional experience in performing Bayesian calculations, in using statistical methods of risk assessment, and in practicing risk assessment through pedigree analysis and molecular testing.
Medical Genetics Seminar
This yearlong seminar is taught by 20 clinical and molecular geneticists drawn from medical schools in the greater New York area. Seminar topics include: cytogenetics, cytogenetic techniques, sex chromosome abnormalities and disorders of sex differentiation, autosomal and X-linked abnormalities, population genetics, genetically lethal conditions, biochemical genetics and inborn errors of metabolism, developmental genetics, environmental teratogens, neurogenetics, immunogenetics, genetic polymorphisms, multifactorial inheritance, infertility and assisted reproductive technologies, cancer genetics, genetics of craniosynostoses, advanced topics in linkage and lod scores, detection and counseling for detection of prenatal anomalies based on ultrasonography and fetal echocardiography, and genetic disorders of special organ systems. Molecular diagnosis of genetic diseases is emphasized. Genetic counselors supplement the genetics seminars with discussion of the psychosocial issues and counseling techniques for many of the topics. The course requires the writing of a master’s thesis.
This course explores the discipline of reproductive genetics, which commences in the preconception period. It provides students a basic understanding of human reproduction and new reproductive technologies. Emphasis is placed on the practical application of this knowledge in prenatal genetic diagnosis, management, and therapy.
Seminar in Genetic Counseling
This yearlong seminar involves an intensive study of the assessment and treatment of individuals and families with genetic problems. Through role-playing, videotape, and live supervision, students become familiar with the skills needed to communicate with patients of all backgrounds. Students also learn to interpret specific genetic applications as outgrowths of personality traits and family structure. They learn how to develop therapeutic interventions designed to enhance the effectiveness of communicating genetic information to at-risk patients, in part through detailed analysis of changes observed during counseling sessions.