Clinical Rotation

Clinical Rotation Network

The USC School of Medicine; Columbia, SC
Department of Obstetrics and Gynecology
Students are exposed to all facets of prenatal screening and diagnosis including CVS, amniocentesis, high-resolution ultrasound, first trimester and multiple marker screening, and noninvasive prenatal screening. During the course of the rotation, students may also work with patients for preconception genetic counseling and other adult onset genetic conditions. Students have the opportunity to attend a monthly multidisciplinary fetal board meeting.
Students will participate in full genetic counseling sessions for individuals who have a personal diagnosis or family history of cancer. Students will offer gene panel testing, attend tumor boards and participate in telemedicine for satellite clinics.

The Medical University of South Carolina; Charleston, SC
Prenatal Wellness Center

This rotation offers a variety of prenatal and preconception genetic counseling opportunities and observation of prenatal tests, including CVS, amniocentesis, and high-resolution ultrasound.  The monthly Fetal Board allows for the participation in a multidisciplinary discussion and planning of management of pregnancies with fetal abnormalities.

Greenville Hospital System Cancer Genetics Clinic; Greenville, SC 
Students gain experience in counseling about hereditary cancer risks, reviewing genetic testing options, and facilitating patient decision-making in an oncology setting. Students participate in follow-up consultation when a patient is known to have a documented hereditary cancer mutation with our medical director. This includes full discussion of cancer risk management, inheritance pattern and assisting relatives in pursing testing, providing support resources, and psychosocial adjustment to hereditary cancer risk.

The Greenwood Genetic Center; Greenwood, SC
This center provides prenatal, pediatric, and adult genetic counseling services. Individuals are referred for a variety of general genetic conditions; GGC places an emphasis on developmental disorders, autism and birth defects. Laboratory activities include cytogenetic, molecular, and metabolic diagnostics and research. There are opportunities to observe fetal autopsies and participate in monthly Case Review.

The Greenwood Genetic Center; Columbia, SC
This rotation provides opportunity to participate in neonatal, child and adult evaluations,  outreach satellite clinics and specialty clinics such as craniofacial, metabolic, and Down Syndrome clinics.

The Greenwood Genetic Center; Greenville, SC
This rotation provides the opportunity to see children and adults with a variety of genetic conditions.  Specialty clinics, such as craniofacial and neurodevelopmental genetics, offer exposure to clinics in a team setting.

Augusta University Medical Center; Augusta, GA This rotation provides experience with inpatient and outpatient comprehensive genetic counseling evaluations and offers opportunities for student participation in interdisciplinary specialty teams such as comprehensive cystic fibrosis clinic (pediatric and adult) and comprehensive hemophilia clinic (pediatric and adult). Students will also participate in cancer genetic counseling evaluations. Students will have the opportunity to participate in hospital-wide genetic test management decisions.

The Carolinas Medical Center; Charlotte, NC
This regional referral center offers a full range of genetic services including comprehensive genetic evaluations, genetic counseling, prenatal diagnosis, cytogenetics, and molecular diagnostics. This rotation focuses on prenatal, pediatric and cancer aspects of genetic counseling. Students are encouraged to participate in a variety of specialty clinics, including a unique Down syndrome clinic.

Fullerton Genetics Center; Asheville, NC
The clinical rotation experience offers students the opportunity to participate in the evaluation and counseling of pediatric, adult (cancer, late-onset disorders, preconception), and prenatal patients. Students will also have the opportunity to participate in the only multidisciplinary Fetal Alcohol Spectrum Disorders clinic in the state, the NC Pregnancy Riskline (teratogen exposure concerns), and follow-up of patients being treated for lysosomal storage diseases.

Savannah Perinatology; Savannah, GA
Students participate in all areas of prenatal and preconception genetic counseling, including CVS, amniocentesis, high-resolution ultrasound, fetal anomaly counseling and NIPT.  Students can also participate in multidisciplinary neonatal case conferences (monthly), hemophilia treatment center clinic (monthly) and ethics case conferences (weekly). 

Duke University Medical Center; Durham, NC
Fetal Diagnostic Center
Genetic counseling students in the Duke Fetal Diagnostic Center will be exposed to a wide variety of prenatal counseling opportunities.  This experience will include preconception as well as prenatal counseling for advanced maternal age, abnormal maternal serum screening, teratogen exposures, ultrasound anomalies, carrier screening due to various ethnic backgrounds, and family history of genetic conditions.  Other educational opportunities are available through interdisciplinary meetings to discuss the management of pregnancies and deliveries of babies with prenatally identified conditions, radiology conference to discuss abnormal ultrasound findings, and genetics case conference.

Medical Genetics Program

In this setting, genetic counseling students will observe and interact with children, adults and families with established genetic diagnoses. Students will also be involved with consultations regarding possible genetic diagnoses for both in patients and out patients. Students will attend a general genetics clinic and clinics devoted to specific conditions. Weekly clinics include Cardiovascular genetics clinic, Fragile X syndrome clinic and Metabolic Disease clinic. Monthly specialty clinics include Down Syndrome Clinic, Neurofibromatosis Clinic, and Connective Tissue Clinic.

The University of North Carolina; Chapel Hill, N.C.
Our Reproductive Genetics Clinics are staffed by five genetic counselors working in conjunction with maternal fetal medicine specialists. This clinic offers students a variety of experiences in prenatal genetic counseling including working with patients of increased maternal age, positive serum screening, ultrasound abnormalities, teratogen exposures and patients with a broad range of family history concerns. Students will have contact with a diverse patient population and gain experience working with Spanish interpreters. Students will see patients both at the UNC prenatal diagnostic clinic and at our satellite clinic at the Rex Birth Center in Raleigh, NC. Other opportunities for students include participating in weekly meetings and following patients through the Center for Maternal and Infant Health and the UNC Perinatal Palliative Care program, working with the maternal serum screening laboratory, and developing educational material for patients.

The UNC Adult and Cancer Genetics program is comprised of six genetic counselors and three medical geneticists.  This rotation is primarily based in the general adult and specialty clinics.  Students are exposed to a variety of referral indications in our general adult clinics, including intellectual disability, connective tissue disorders, neurodegenerative disorders, neuromuscular disorders and metabolic evaluations.  Adults and children are seen in our specialty clinics, which include bleeding disorders, ophthalmology and cardiology.  Students are expected attend a weekly conference to discuss upcoming clinics and difficult patient cases.  Students may have opportunities to attend additional conferences and assist with inpatient consults