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Department: MEGNT-Molecular and Human Genetics
Course: 544-Clinical Genetics

Course Director: Lorraine Potocki, M.D.
Course Faculty: Carlos A. Bacino, M.D.
Elective Location: TCH
Elective Offered Terms:
Months: 1A,1B,1C,2A,2B,2C,3A,3B,3C,4A,4B,4C
Min. Number of Students:Max: 2
Elective Type: Clinical
Credit: 8
Pre-requisites: Medicine, Pediatrics, Psychiatry, OBGYN, Surgery, Family Medicine, OR Neurology
Visiting Student Elective: Yes
Open to International Students: Yes
Grading: H,HP, P, MP, F Narrative Evaluation
Faculty Approval: No

Time Commitment Percentage of time expected
Regular Hours (Mon-Fri): M-F; 8 a.m.-6 p.m. Inpatient Ward:
Night Call: No Inpatient consultations:
Number on-call nights: Outpatient clinics:
Weekends: No Surgery:
Statement of Goals:
Patients with genetic diseases represent 35-50 percent of pediatric hospital admissions and an ever-increasing number of adult hospital admissions. Genetic components have been identified for common disorders such as cancer, atherosclerotic coronary artery disease, obesity, osteoporosis, diabetes, and mental illness. Thus, genetic diseases represent an increasing portion of the chronic care seen in both pediatric and adult inpatient and outpatient settings. Students who choose this elective should learn an organized approach to recognition, diagnosis, and management of patients with genetic disorders.
Learning Activities
Students work with the inpatient consultation service and attend outpatient clinics. The majority of consultations are at Texas Children's Hospital and Ben Taub General Hospital on the Pediatric or Newborn services. Additional patients, including adults, are seen at The Methodist Hospital, St. Luke's Episcopal Hospital, Women's Hospital, and St. Joseph's Hospital. The outpatient clinics include a weekly genetics clinic, a weekly metabolic diseases clinic, bi-weekly birth defects clinic at Ben Taub General Hospital, and monthly phakomatoses and cancer clinics. Didactic sessions are organized for students on the rotation during which faculty review general topics in clinical genetics including Mendelian principles, principles of ctyogenetics, metabolic emergencies, and topics in molecular medicine. There are additional teaching conferences held each week to review patients and topics of clinical relevance. Students should also learn the appropriate use of specialized diagnostic laboratories for diagnosis and management of patients with genetic problems. A key to the recognition of genetic disease is the ability to take a family history and record a family pedigree efficiently and effectively. The goal of this experience is to make the students more comfortable with genetic principles that are becoming increasingly important in practice and to know when it is appropriate to consider a genetic consultation for the patients with general or subspecialty problems.
Evaluation Methods
Students are evaluated by the attending faculty member on the inpatient consult 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 patients, familiarity with medical literature including ability to provide a differential diagnosis, and interest and participation in the clinical genetics service. No written or oral examination is given. Minimum required hours are Monday-Friday, 8-6 p.m. No night or beeper call is expected.
When and Where to report on first day of service:
For additional information regarding this elective contact:
Contact Name: Myriam Garcia
Contact Phone: 832-822-6523
Contact Fax: 832-825-4294
Contact Location: TCH CCC Suite 1560

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