For
one of our 3 or 4-week rotation blocks, second year students are able to pick a
site that interests them. I have an
interest in cancer genetic counseling and wanted more exposure to GI
cases. For my optional rotation, I chose
a rotation with Beth Dudley, MS, MPH, LCGC and Randall Brand, MD at the Cancer
Genetics program at UPMC Shadyside in the Gastroenterology (GI)
department. In this rotation, I had the
opportunity to counsel patients for polyposis, pancreatic cancer, and Lynch
Syndrome. I was also able to observe Dr.
Brand perform colonoscopies, endoscopies, and pancreatic endoscopic ultrasounds
(EUS). Observing the procedures helped
me to fully understand the screening procedures and have the confidence to
discuss them with patients. My favorite
part of this rotation was the opportunity to see and participate in the full
role of a genetic counselor starting from case prep and ending with the results
disclosure and patient letter. I prepped
for cases by calling the patients and obtaining their medical and family
history. I then researched pertinent
information based on the differential diagnosis and composed educational
materials for the sessions. I counseled
the patients with Beth, and after the sessions, briefed Dr. Brand on the
patient and then shadowed Dr. Brand during his discussion with the
patient. After the sessions I assisted
Beth in sending the samples out to the testing labs and wrote up progress notes
that summarized the counseling appointments and Dr. Brand’s appointments. I loved that I was able to come in from time
to time during my next rotation to call out the results to patients and then
write results letters to patients. This optional
rotation was a great opportunity that allowed me to see more GI cancer cases
and further develop my cancer genetic counseling skills.
-Laura Cross, class of 2016