Friday, September 18, 2020

Entering Grad School During a Global Pandemic


Starting graduate school is a challenge in normal circumstances, but the presence of the COVID-19 pandemic has brought unexpected difficulties and changes. Our new first-years discuss their experiences beginning their training while dealing with this new crisis.





"While I could never regret matching with Pitt and beginning my graduate career, it has definitely been anticlimactic and not at all what I was expecting. One of the things I was really looking forward to was having tight-knit bonds with the other students in my class -- going to classes together, studying in the Public Health building together, having all the same experiences as we began becoming genetic counselors. And these things can all still happen in various ways, they just take a little more effort, and there’s a little more distance between us. Spread across the states, we have weekly Zoom meetings to study together or just talk. We meet up for brunch (six feet away in parks). Our group chat is filled with questions about classes, but also jokes, pictures of pets, plans to explore the city. I love reaching out to my classmates and seeing them back out just as eagerly. Though the pandemic is raging on stronger than ever, I still hope that one day we will all be sitting in class together, not having to worry about distancing or masks." -Bailey Sasseville



"Going to graduate school during a pandemic has been very challenging, to say the least. I was a graduate student in the MPH program prior to joining the genetic counseling program, so the contrast between today and a year ago today is especially stark. I traveled to campus, shoulder-to-shoulder, on a cramped bus during the morning and evening rush hours; this reality is now out of the question. When I finally arrived at the GSPH building, it was always so alive with activity – students huddled together for study groups and jovial conversation. I had a chance to visit professor office hours; face-to-face seminars and lectures kept me engaged in the conversation. A morning beverage from my favorite coffee cart kept my head in the game. All in, there were cues, signs, and conversations that kept me attuned to deadlines, exams, and events of interest. All of that was taken away abruptly, and my physical world is now much more still, for better or worse. I got my first taste of these challenges in the spring when COVID-19 emerged in March, grinding much of student life to a halt. I knew that these challenges would persist, invariably, into the present day.

Still, I was so elated to have matched with Pitt’s GC program that nothing could have stopped my advance on this new and exciting opportunity. It was as if I was re-ignited: my motivation to proceed was kicked into high gear. I would not be swayed to put my education on pause, or to worry about what this new “normal” would look like, because the department had demonstrated to me prior its dedication to the best interests of all students. Now, the Human Genetics department has risen to the occasion – just as I knew it would. The amazing faculty has been wholly supportive and accommodating, and acknowledges that this is no ordinary time for any student. Students make effort and time to hold each other up, and emphasize the importance of mental health transparency during these times. I love that my class, and our GC directors, are so open to exploring our questions and concerns, both academic and personal, and that the department as a whole regularly asks students what they can do to help us get through this. Nothing about this is perfect or ideal, but we are making it work over a distance in the best way that we can. The teamwork effort has been my rock as we weather this storm, and I know that the lessons learned will make us all more prepared moving forward." -Frank Swann

"When I heard that I matched with Pitt, I remember staying in for weeks on end afterwards because of my mom’s paranoia of me catching COVID if I so much as stepped foot outside. I would religiously take precautions to protect myself and people I love, but I did not want to worry her - who expressed extreme happiness and concerns that her daughter might move away in the midst of the pandemic. She was disappointed that she could not travel to the U.S. to help me move. It was funny and touching at the same time when she always called me to see me in action, as I cleaned, packed, and sent boxes across states (my hands got excessively dry after the thousand times she reminded me to sanitize). To her satisfaction, I finished a long moving process with “grace” and “intact health.”

The moving’s excitement passed.

Then, seemingly in a whirlwind, class started, though I had been very much looking forward to it. As a huge introvert, I used to overestimate my tolerance of doing everything online (though I have always preferred attending class in person). Big mistake. There are times I daydream with nostalgia about what this pandemic has done to me, my family, my friends. The healthcare workers at the front line. The people who have lost so much probably due to carelessness or, most of the time, just bad luck. There are times I panicked thinking, “What if it does not get better?” Here at Pitt, we take all the classes during our first year and do rotations in our second year - I appreciate that the approach would equip us with tools we need to know, but what if I never get the chance to sit with my classmates in the same classroom? What if it is really harder getting to know each other because it’s purely through a screen? 

So far though, the pandemic has proved me wrong. True kindness is just a call away - when I got into a fender-bender, my program director asked how she could help, and one of my classmates offered to drive me to the ER if I did not feel well. I guess in the grand scheme of things, this pandemic is like a Pittsburgh storm. Sudden, raging, angry - the kind of storm that makes you drive with emergency lights the entire way. The kind that gets you drenched to the bones, that makes you appreciate your luck and car for not giving out on the street midway.

But afterwards, you are greeted with a peaceful night, filled with light sprinkling in your sleep. Or a beautiful sky, bright with sun and shine that welcomes you to a nice day in the park. That’s when I look out the window and remind myself. We are all in this for the long game." -Phuc Thi Hong Do





"When the pandemic began ramping up in early 2020, I started questioning my decision to go to graduate school. I was expecting grad school to be difficult, but I wasn’t expecting to have to deal with a global pandemic while adjusting to my new program. I decided to continue on my path because I was incredibly excited about my future as a genetic counselor, and didn’t want anything to delay that end goal. This adjustment has been difficult in many ways. I have always defined myself as a “people person” so the lack of in-person interaction with my classmates has made the experience more isolating. In addition, my class has missed out on some wonderful bonding experiences, like the Human Genetics department retreat that generally occurs in September. Given that we are currently doing everything remotely, I’ve been dealing with the sadness that comes with losing certain experiences that you thought were guaranteed, but overall I’m so happy to be here. I think that out of any grad program to start during a pandemic, a Master’s in Genetic Counseling is the way to go! In my experience, it seems that this field attracts people who are thoughtful, supportive, and passionate. This is absolutely holding true. My classmates have been putting in extra effort to get to know each other and support each other, even if it is through a computer screen or from six feet away. I’m grateful to be going through this experience with such outstanding people, but of course am hoping that we can all experience a more “normal” version of grad school soon. I know we’ll all be thrilled to actually see each other during class instead of just watching each other pop up on the Zoom screen!" -Savannah Binion





"These past few months have been full of surprises. I was so excited when I found out I was accepted into Pitt’s Genetic Counseling Program. One of the perks of genetic counseling programs is the small class sizes which allow students to form close friendships, but the pandemic has altered how students are interacting with each other. Previous classes describe spending most of the day together, attending classes, studying, and getting to know each other. My class is having to overcome the obstacle of not being able to have classes in person. But when one door closes another one opens. My classmates and I are able to connect via Zoom for study sessions and are able to participate in socially distant activities. Remote learning has given us the opportunity to explore outdoor spaces like Arsenal Park and the Pitt Campus. Students also have more flexibility with their work schedules because of remote learning. For example, students can attend remote classes while staying at the hospital or lab instead of having to travel back and forth. While starting grad school during a pandemic is not ideal, we are fortunate to be able to continue our education and make lifelong friendships." -Haley Soller

Monday, September 7, 2020

Psychosocial Counseling Challenges During the Pandemic

The COVID-19 pandemic has created many obstacles for genetic counselors to overcome, including a unique set of psychosocial challenges. In this blog, some of our second-year students share their experiences and challenges with counseling during the pandemic. 

 

 

“Though I’m glad our clinical rotation sites are taking all necessary precautions, I’ve found that reading psychosocial cues from clients is so much harder when everyone is wearing masks. I’ve been more likely to ask direct questions about how a client is feeling rather than reflecting their emotions with statements like “It seems like you’re feeling…” because I can’t tell how they’re feeling at all! During my previous cancer rotation, I wore a face shield during sessions and could barely see the pedigree as I was taking it, which made for some messy pedigrees and lots of white out. On the flip side, I’ve built some great rapport with clients over our shared frustrations with our newly masked lives!” -Kaylee Williams


“I am definitely thankful for our clinical rotations to return to the in-person setting, but it has certainly come with some difficulties. To reduce the chances of spreading COVID at the Children’s Hospital of Pittsburgh, everyone is required to wear a mask, and the genetic counseling students, such as myself, are only scheduled to come in once or twice a week. This brings about some unique challenges. For one, asking classmates or supervisors questions takes more effort because you aren’t all together like how it was before COVID. Secondly, trying to read people’s facial expressions is nearly impossible when they are wearing a mask, so I find myself trying to listen to the tone of their voice as an indicator as to how they feel. But on the other hand, I still feel like I can make a connection with the people I meet, the conversations just might revolve around masks a little more now!” - Michael Gosky

 

“COVID has definitely thrown a wrench into our training and into everybody’s lives. I’ve taken to asking all of my patients directly how they’re feeling about the current pandemic. It’s a good way to get a feel of what I need to think about when I’m counseling. Some of the questions I think about: Are they extremely stressed or handling things relatively well? Are they feeling isolated from their support systems? What challenges are they facing with healthcare services? Knowing the answer to some of these questions helps me figure out what I can do for the patient.” -Chelsey Walsh


“The pandemic has created many challenges for everyone and in my training as a genetic counselor. Although I am thankful that we were able connect with patients through telemedicine during the summer months, I found that telemedicine comes with a unique set of psychosocial challenges. Many of my telemedicine patients did not have a quiet space in which to attend appointments and were distracted in our sessions by other family members and various activities taking place at home. I worried about how much information the patients were hearing and retaining throughout the session, so I was frequently asking patients about their understanding and using the teach-back method. Since returning to in-person rotations, I have encountered other challenges with everyone wearing masks and social distancing during sessions. Although necessary, masks make it harder to interpret patient facial expressions and for me to offer minimal encouragers to patients. In addition, social distancing with patients in the office changes the dynamic of the session to feel less personal initially. I find that contracting and building rapport are especially important during the pandemic to overcome the awkwardness of being physically separated in appointments.” -Kaitlyn Scola

Wednesday, September 2, 2020

Student Work Position: Genetic Counseling Assistant for UPMC Hereditary GI Tumor Program


I work as a Genetic Counseling Assistant (GCA) for the Hereditary Gastrointestinal (GI) Tumor Program at Shadyside Hospital. Part of the responsibilities of my job focus on tasks that we will also be performing in clinical rotations. These tasks include completing patient intake forms prior to appointments, requesting pathology reports, and calling patients for a family history intake. My job also involves entering patient pedigrees into progeny and documenting genetic testing results in patient records and research study databases. I have additional responsibilities in several research studies, and for this part of my work I review consent forms, ask research survey questions, document patient records in research study databases, and research participant follow-up. Lastly, I have the opportunity to provide information and training to incoming students in clinical rotations and the GCA position.

My thesis for the genetic counseling program is related to my position. It is based on our research study that evaluates in-person genetic counseling vs. a pre-recorded video of the information covered in a genetic counseling session for patients newly diagnosed with pancreatic cancer. My thesis project will assess patient satisfaction and knowledge outcomes based on the service delivery model in which they were presented genetic testing information for pancreatic cancer. As part of the project, I attend the multidisciplinary pancreatic cancer clinic at UPMC Hillman and Presbyterian to recruit patients into my thesis study.

Working as a GCA for the Hereditary GI Tumor Program has allowed me to gain extra clinical experience that is valuable in my training as a genetic counselor. Throughout my first year in the genetic counseling program, my work position provided me an opportunity to translate counseling skills discussed in the classroom into practice and as a result, I felt confident going into second-year rotations. In addition, my experience has helped me gain important research and professional skills that will be vital in my career.

Mariele Anneling, Class of 2021