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Rotations

Guidelines and Descriptions


Clinical training is integral to the overall graduate training experience. Much learning is by doing rather than reading. Our philosophy is for the student to be involved with the clinics at the earliest possible time so that he/she gains as much experience as possible during the program. Graduates have always had the quantity and variety of cases required to apply for the ABGC board examination.


The first quarter consists of classes, participation in section activities such as patient review and journal club, role-playing, and observation of genetic counseling cases. Beginning in the second (winter) quarter, students rotate through six five-week rotations at Northwestern University-affiliated hospitals or at nearby hospitals. Students are always supervised while counseling patients. All students will have 1-2 rotations in each of the following areas:


• Prenatal counseling: Students perform preconception and prenatal genetic counseling regarding amniocentesis, chorionic villus sampling, ultrasound abnormalities, abnormal maternal serum screening results, first trimester screening, carrier screening, and family history indications.

• Cancer genetics counseling: Students learn to elicit comprehensive cancer family histories, perform cancer risk assessment, and counsel patients regarding cancer family history.

• Pediatric and general genetics: Students participate in clinics such as spina bifida, neurofibromatosis, general genetics, skeletal dysplasia, and other pediatric genetics areas.

In addition to the required rotations above, each student also will be assigned to several of the following rotations:
• Teratogen counseling. Students perform intakes, research, risk assessment, and teratogen counseling for telephone inquiries regarding exposure to medications, chemicals, or infections during pregnancy (http://www.fetal-exposure.org/ ).

• Pediatric Hematology/oncology. This rotation allows the student to research conditions and counsel families regarding sickle cell, thalassemia, hemophilia, and other hematological genetic conditions.

• Neurogenetics. This rotation allows the student to participate in neurogenetics research and clinics such as muscular dystrophy, amyotrophic lateral sclerosis, Huntington disease and other dementias.

• Genetic Counseling Research. Students learn the complexities of working in research by working with counselors in diverse research settings: neurogenetic research, cardiovascular research, a large scale genetic association study or a molecular diagnostics laboratory.

• Adult Genetics. Students learn to research genetic conditions affecting the adult population, and counsel patients with a personal or family history of these conditions.

Additional elective rotations may become available over time. Every effort will be made to provide each student with a well-rounded combination of rotations that both provide breadth of training and meet specific needs of students and faculty.


Summer Rotations

During the summer between the first and second years, students complete two six-week, full-time clinical placements at other institutions. The summer placements are designed to give more in-depth clinical experience. The placements are generally at other institutions in Chicago but not at Northwestern. The sites may include Children's Memorial Hospital, University of Illinois at Chicago, University of Chicago, Stroger Cook County Hospital, Evanston Hospital, Loyola University, Rush Medical Center, and Advocate Christ Hospital. Virtually all genetic counselors at these institutions are board certified, ensuring that a high proportion of clinical cases will be counted toward the ABGC logbook. Students with a strong desire to complete a placement in another city will be accommodated when an ABGC-approved rotation is available.

In the Northwestern program, classroom learning can be applied to the clinical experience, and the clinical experience can be brought into the classroom. Cases and counseling issues are frequently discussed in class.



Alumni comments about clinical rotations:

“Chicago offered a great location for availability to diverse populations at different clinics throughout the city.”

“I think the clinical rotations are one of the strengths of the NU program. I was very prepared on my first day of work.”

“I got everything I could have hoped for from my rotations.”