Typical Course of Study – 21-month track
First Year
Fall Semester
- Embryology (online course - summer prior to 1st year)
- Advanced Medical Genetics: Clinical Genetics (GENE 525) (3 credits)
- Advanced Medical Genetics: Molecular & Cytogenetics (GENE 524) (2 credits)
- Principles and Practices of Genetic Counseling (GENE 528) (3 credits)
- Research in Genetics (GENE 601) (2 credits)
- Preparing for Genetic Counseling Practice (GENE 534) (1 credit)
- Genetic Counseling Journal Club (GENE 535) (0.5 credit)
- Collaborative Practice I
Spring Semester
- Psychosocial Issues in Genetic Counseling (GENE 529) (3 credits)
- Advanced Medical Genetics: Cancer Genetics (GENE 531) (2 credits)
- Advanced Medical Genetics: Quantiative Genetics and Metabolism (GENE 527) (2 credits)
- Research in Genetics (GENE 601) (1 credit)
- Preparing for Genetic Counseling Practice (GENE 534) (1 credit)
- Genetic Counseling Journal Club (GENE 535) (0.5 credit)
- Collaborative Practice I
Summer Semester
- Clinical Practicum in Genetic Counseling (GENE 532) (2 Credits)
- Research in Genetics (GENE 601) (1 credit)
Second Year
Fall Semester
- Advanced Medical Genetics: Genomics and Therapeutics (GENE 526) (2 Credits)
- Clinical Practicum in Genetic Counseling (GENE 532) (5 Credits)
- Genetic Counseling Journal Club (GENE 535) (0.5 credit)
- Research in Genetics (GENE 601) (2 Credits)
- Fieldwork Processing Group
Spring Semester
- Ethical Issues in Genetics/Genomics (BETH 412) (3 Credits)
- Clinical Practicum in Genetic Counseling (GENE 532) (4 Credits)
- Genetic Counseling Journal Club (GENE 535) (0.5 credit)
- Research in Genetics (GENE 601) (2 Credits)
- Fieldwork Processing Group
Typical Course of Study – 33-month track
First Year
Fall Semester
- Embryology (online course - summer prior to 1st year)
- Advanced Medical Genetics: Molecular & Cytogenetics (GENE 524) (2 credits)
- Principles and Practices of Genetic Counseling (GENE 528) (3 credits)
- Preparing for Genetic Counseling Practice (GENE 534) (1 credit)
- Genetic Counseling Journal Club (GENE 535) (0.5 credit)
- Collaborative Practice I
Spring Semester
- Psychosocial Issues in Genetic Counseling (GENE 529) (3 credits)
- Cancer Genetics (GENE 531) (2 credits)
- Preparing for Genetic Counseling Practice (GENE 534) (1 credit)
- Genetic Counseling Journal Club (GENE 535) (0.5 credit)
- Collaborative Practice I
Summer Semester
- Clinical Practicum in Genetic Counseling (GENE 532) (3 Credits)
Second Year
Fall Semester
- Advanced Medical Genetics: Clinical Genetics (GENE 525) (2 credits)
- Clinical Practicum in Genetic Counseling (GENE 532) (1 credit)
- Research in Genetics (GENE 601) (2 Credits)
- Genetic Counseling Journal Club (GENE 535) (0.5 credit)
Spring Semester
- Advanced Medical Genetics: Quantitative Genetics and Metabolism (GENE 527) (2 credits)
- Clinical Practicum in Genetic Counseling (1 credit)
- Research in Genetics (GENE 601) (2 Credits)
- Genetic Counseling Journal Club (GENE 535) (0.5 credit)
Summer Semester
- Clinical Practicum in Genetic Counseling (GENE 532) (2 Credits)
- Research in Genetics (GENE 601) (1 credit)
Third Year
Fall Semester
- Advanced Medical Genetics: Genomics and Therapeutics (GENE 526) (2 Credits)
- Clinical Practicum in Genetic Counseling (GENE 532) (2 Credits)
- Research in Genetics (GENE 601) (2 Credits)
- Fieldwork Processing Group
Spring Semester
- Ethical Issues in Genetics/Genomics (BETH 412) (3 Credits)
- Clinical Practicum in Genetic Counseling (GENE 532) (2 Credits)
- Research in Genetics (GENE 601) (1 Credit)
- Fieldwork Processing Group
Course List
GENE 524 Advanced Medical Genetics
Molecular and Cytogenetics An in-depth forum for discussion of fundamental principles regarding clinical cytogenetics and molecular genetics and their relevance to medical genetics, genomics and genetic counseling. Following a historical overview, topics include a discussion of numerical and structural aberrations, sex chromosome abnormalities, issues regarding population cytogenetics, clinical relevance of such findings as marker chromosomes, mosaicism, contiguous gene deletions and uniparental disomy. The course will cover principles of molecular genetics including structure, function and regulations of genes (DNA, RNA, proteins), genetic variation, inheritance patterns and both cytogenetic and molecular laboratory techniques (fluorescence in situ hybridization, micro-array, SNP analyses, exome and genome sequencing) in the clinical laboratory.
GENE 525 Advanced Medical Genetics: Clinical Genetics
Fundamental principles regarding congenital malformations, dysmorphology and syndromes. Discussion of a number of genetic disorders from a systems approach: CNS malformations, neurodegenerative disorders, craniofacial disorders, connective tissue disorders, skeletal dysplasias, hereditary deafness, cardiovascular genetics, etc. Discussions include diagnosis, etiology, genetics, prognosis and management.
GENE 526 Advanced Medical Genetics: Genomics and Therapeutics
This course provides a foundation in genomic approaches and technologies which have greatly expanded our understanding of not only rare genetic disorders but common ones as well. The clinical implications of interpreting next-generation sequencing results, identifying limitations of genomic technologies, and practicing annotation and interpretation of genomic testing results are also covered. In addition, resources and bioinformatics tools including national databases and clinical labs to aid in the interpretation of genomic test results including variants of uncertain significance are discussed. The second half of the course will focus on treatment of genetic disease, with a deeper dive into the mechanisms of action of treatment, while also focusing on the risks, benefits, and limitations of various therapeutic approaches for genetic diseases.
GENE 527 Advanced Medical Genetics: Quantitative Genetics and Metabolic Disorders
This course provides a foundation in quantitative genetics. Concepts related to risk assessment and calculation and its application to medical genetics including principles and application of Hardy Weinberg equilibrium and applying Bayes' Theorem as a mechanism to refine risk assessment based on patient-specific data are covered. The second half of the course focused on fundamental principles of metabolic testing based on how disorders typically present – the acutely ill newborn, organomegaly, fasting intolerance, neuromuscular, and mitochondrial Discussion of screening principles and newborn screening as well as therapy for metabolic diseases.
GENE 528 Principles and Practices of Genetic Counseling
Fundamental principles needed for the practicing genetic counselor. Topics include skills in obtaining histories (prenatal, perinatal, medical, developmental, psychosocial and family); pedigree construction and analysis, physical growth and development; the genetic evaluation; the physical examination and laboratory analyses; prenatal issues, prenatal screening and diagnosis; and teratogenicity.
GENE 529 Psychosocial Aspects of Genetic Counseling
Fundamental principles regarding the psychosocial aspect of birth defects and genetic disease, its psychological and social impact on the individual and family. Topics include the genetic counseling interview process, issues regarding pregnancy, chronicity, death and loss, as well as the impact of cultural issues. Resources for families are also explored. Basic interviewing skills are addressed. Students will have an opportunity for practice of skills through role play and actual interviewing situations.
GENE 531 Clinical Cancer Genetics
This seminar discusses basic concepts in cancer epidemiology, principles of cancer genetics, inherited cancer syndromes, cytogenetics of cancers, pedigree analysis for familial cancer risk and approaches to the differential diagnosis of inherited and familial cancers. Additionally, topics of risk assessment, genetic testing, screening, management and psychosocial issues in providing genetic counseling to patients with familial and inherited cancers will be discussed.
GENE 534 Preparing for Genetic Counseling Practice
This course is designed to provide students with a practical foundation in preparing for clinical participation in various practice areas. This hands-on course will build on didactic content learned from Gene 528: Principles of Genetic Counseling and Gene 529: Psychosocial Genetic Counseling and will serve as an applied course. Students will have the opportunity to practice empathy and listening skills, patient education, and counseling techniques through patient role plays. In addition, students will attempt practical skills such as chart review, interpretation of screening and testing reports, pedigree risk assessments, online risk models, simulated coordination of testing, application of practice guidelines in a clinical context, completion of requisition forms, and identification of genetic testing options based on insurance considerations. This practice-based exploration of clinical genetic counseling will be a safe space to practice counseling skills and will equip students to participate in patient care on clinical rotations.
GENE 535: Genetic Counseling Journal Club
This in-person seminar course will discuss current topics in genetic counseling by reading and reviewing recently published articles in the scholarly literature. This will allow students to practice and hone critical appraisal of the literature and apply recently published literature to genetic counseling practice. The format is a group seminar, problem-based learning in which a student will lead a semi-structured interactive presentation and facilitation of group discussion of the research article. For each session, students choose articles with the instructor’s guidance, prepare discussion questions, and lead the group discussion. Articles can be selected from any peer-reviewed journal.
BETH 412 Ethical Issues in Genetics and Genomics
This course is designed to familiarize graduate students with the major controversies regarding the generation and use of new human genetic information. Topics will include the growth of susceptibility and predictive genetic testing, prenatal diagnosis, genetic discrimination, human genetic variation research, eugenics, genetic counseling, and the limits of human gene therapy. The course will be conducted as a seminar, involving discussions of readings, guest speakers, and student presentations.
GENE 601 Genetic Counseling Research Seminar
This required research seminar is held during the first-year, with the goal of providing guidance regarding the development of a research proposal. Discussion involves quantitative, qualitative and mixed research approaches. Students will identify their specific research question and specific aims, discuss issues regarding review of the literature, develop the appropriate research design (study population, data collection, data analysis) to answer the research question, discuss the required format of the proposal, human subjects' protection (IRBs) issues and the proposal defense. The end product of the seminar will be a written research project proposal.
Collaborative Practice I
This year-long course will include curriculum that focuses on community-based projects and includes classroom instruction and simulation which supports the students’ work. This course will include entry-level health professions students and other interested students. Students will learn how to work in interprofessional teams by completing community-based projects, with didactic coursework and leadership mentoring throughout. Genetic counseling students will participate in this course alongside students from dental medicine, nursing, medicine, psychology, physician assistance and social work, among other disciplines.
Online Clinical Embryology
This online course, developed by the faculties of the Genetic Counseling Program and Department of Anatomy at the University of Cincinnati, provides students with an in-depth review of normal human development and provides a basis for explaining the process of developmental anomalies. Moreover, the course provides an introduction to the treatment of patients with congenital anomalies as well as counseling options for families of affected individuals. Students are given access to the course prior to being classes of the first year. They are required to have completed the course by the end of September of the first year.
GENE 532 Clinical Rotations
There are six rotations; five in the clinical areas and one in the laboratory. These begin over the summer semester with a six-week General Genetics/Prenatal Diagnosis/Cancer Genetics/Specialty Clinic Rotation at Akron Children's Medical Center Hospital and a two -week Clinical Cytogenetics/Molecular Genetics Laboratory rotation. Rotations continue through the second year of the program with four 8-week rotations including General Genetics and Specialty Clinics rotation (includes children and adults); Prenatal Diagnosis Rotation; and Clinical Cancer Genetics. In addition, there is one 8-week rotation that consists of two 4-week electives. There are several potential areas for elective rotations including rotations with genetic counselors in commercial labs, the opportunity for “advanced” rotations in areas such as prenatal genetics or cancer genetics, and specialty rotations such as ophthalmology or cardiomyopathies. Students rotate at the Center for Human Genetics in University Hospitals Cleveland Medical Center, the Genomic Medicine Institute at the Cleveland Clinic and at MetroHealth Medical Center. In addition, students start observational experiences at these institutions beginning early in the first year.
GENE 601 Research Requirement
The Program requires a research project to be carried out for the completion of the program. This scholarly project may be a clinical or counseling project, or laboratory-based project and must relate to some aspect of genetic counseling. At the completion of the project there is a committee oral defense. The final research project is submitted to the research committee in manuscript format suitable to submit for consideration of publication. All students present their research to the department faculty, staff and students at the annual Department of Genetics and Genome Sciences poster sessions.
Additional seminars:
Professional issues seminar:
The second-year professional issues seminar is an opportunity for students to discuss professional issues as they prepare to graduate at the end of their 2nd year. The intent of the seminar is to a forum to discuss pertinent and timely topics regarding professional practice. The seminar covers such topics as an overview of the professional societies (NSGC, ABGC, ACGC, AGCPD, ABMG, ACMG, ASHG), billing & reimbursement for genetic services, credentialing, writing effective resumes, tips on interviewing and negotiating for genetic counseling positions, developing effective talks & slide presentations, examining non-traditional roles in genetic counseling, aspects of clinical supervision, preparing for their first genetic counseling position, including a discussion on financial planning.
Fieldwork Reflection and Processing Groups
This student-led seminar is intended to create a space for second year students to process clinical cases, give and receive feedback to each other in a small group setting, brainstorm ideas together, potentially identify psychosocial counseling theory and techniques used in patient scenarios, and share personal and professional experiences with the aim of supporting growth, improvement, and maintenance of genetic counseling skill development. The time in class is utilized for students to explore and develop their professional self and gain deeper insight into their own and their patients’ experiences, while also taking on more clinical responsibilities for each case. students will work together on processing how their own thoughts, attitudes, traits, and biases impact a genetic counseling appointment.