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Department: MEGNT-Molecular and Human Genetics
Course: 525-Adult Genetics

Course Director: Shweta U. Dhar, M.D.
Course Faculty: Jennifer Ellen Posey,Shweta U. Dhar, M.D.,Sandesh C. S. Nagamani, M.D.
Elective Location: BTGH,SLEH,TCH,VAMC
Elective Offered Terms:
Months: 1A,1B,1C,2A,2B,2C,3A,3B,3C,4A,4B,4C
Min. Number of Students:Max: 1
Elective Type: Clinical
Credit: 8
Pre-requisites: Medicine
Visiting Student Elective: Yes
Open to International Students: Yes
Faculty Approval: Yes

Time Commitment Percentage of time expected
Regular Hours (Mon-Fri): M-F; 8a.m.-6 p.m. Inpatient Ward:
Night Call: No Inpatient consultations:
Number on-call nights: Outpatient clinics:
Weekends: No Surgery:
Statement of Goals:
Adult Genetics is a rapidly developing field of clinical genetics and is increasingly being recognized as an important component of medical care. The genetic basis for familial cancer syndromes has become well established with well-defined clinical utility. Genetic evaluations for hereditary breast and ovarian cancer syndrome, as well as for familial colorectal cancer syndromes such as Lynch Syndrome and Familial Adenomatous Polyposis, have become standard of care. With advances in medical knowledge and management, many children with known genetic conditions survive into adulthood and need to be managed by a genetic specialist who is well versed with genetic conditions as well as adult medicine. Thus, being able to recognize genetic disorders in adults is essential for every branch of adult medicine. Students who choose this elective will learn to diagnose and manage adults with childhood onset of genetic conditions, such as Neurofibromatosis and Marfan syndrome as well as adult onset of genetic conditions such as Ehlers Danlos syndrome and Lynch syndrome.
Learning Activities
Students will attend three outpatient clinics held every week at the Ben Taub General Hospital, the VA Medical Center and at Baylor Clinic. They will also get an opportunity to see inpatient consultations at the Ben Taub hospital, VA Medical Center, St. Luke's hospital and the Methodist hospital. Didactic sessions will include attending a monthly cancer genetics case conferencewhere interesting patients seen the previous month are discussed and cases reviewed. There are additional teaching conferences held each week by the genetics department including a Monday noon conference, Thursday post-clinic conference and Friday grand rounds that review topics of clinical relevance. A key to recognizing genetics diseases is the ability to take a detailed family history and record a family pedigree efficiently and effectively. Students will learn to generate a family pedigree as well as the utility of specialized genetic tests used to diagnose adults with genetic diseases. They will also get an opportunity to attend counseling sessions with the genetic counselor to enable them to understand the complexity and challenges of adult genetics. The goal of this rotation is to introduce to the student and make them aware of genetic conditions that are increasingly being recognized in the adult population and to know when to consider a genetic evaluation for patients with general or subspecialty problems. As this is a relatively new branch of clinical genetics, there is a dearth of published literature and the student, if willing, will have an opportunity to conduct chart reviews and mini-projects with a potential to publish articles related to adult genetics.
Evaluation Methods
Students are evaluated by the director of the Adult Genetics service, with input from other clinical faculty who observe the student's work. Evaluation consists of review of written histories and physicals, oral presentation of cases, familiarity with medical literature including ability to provide a differential diagnosis, and interest and participation of a journal article of the student's choice will be required at the Adult Genetics faculty meeting in order to complete the course evaluation. Minimum required hours are Monday-Friday from 8:00 a.m. to 4:00 p.m. with no nights or weekends or beeper calls.
When and Where to report on first day of service:
Dr. Asghai-Ali Room 68-183 on 6th floor
For additional information regarding this elective contact:
Contact Name: Veronica Cortez
Contact Phone: 713-798-7820
Contact Fax: (713) 798-6450
Contact Location: Medical

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