Wednesday, November 30, 2022

Faculty Spotlight: Christine Munro



Christine serves as the Director of Recruitment and Admissions at the Pitt Genetic Counseling Program and as a genetic counselor with the UPMC Primary Care Precision Medicine Clinic.  We asked her some questions about her and her role, and here are her responses.

1. How did you find out about genetic counseling?

During my undergraduate degree, genetic counseling was briefly brought up in a genetics class. After doing some research on my own it truly felt like the perfect merge of my interests but I had always thought I would apply for a public health degree as my next step. When I learned of  the University of Pittsburgh’s dual degree option in Public Health Genetics and Genetic Counseling, I could not have been more excited and knew that is where I wanted to land.

2. What does your current role in the program entail?

My current role is Director of Recruitment and Admissions for the Genetic Counseling program. I lead the holistic applicant review process with the program’s admissions committee and develop recruitment strategies. I am also involved with students through research mentorship and I work as a clinical site supervisor in our Primary Care Precision Medicine rotation.

3. What made you decide to work to develop the Primary Care Precision Medicine Clinic?  What is the mission of this clinic?

The Primary Care Precision Medicine clinic was created to bridge a current gap in genetic service delivery. There is an increasing awareness and uptake of genetic testing and Primary Care clinics find themselves at the forefront of genetic risk assessment and appropriate triage but physicians have expressed a lack of confidence in their genetics knowledge. Genetic counselors (GC) embedded in primary care is one potential solution to scale genetic services. When we take a look at the services that primary care physicians (PCP) provide in areas like preventative care, prescription management, routine screenings, prenatal care, newborn care, and chronic disease management, there is a great deal of overlap and connection with subspecialty genetic services such as risk assessment, pharmacogenomics, cancer risk assessment, prenatal carrier screening and testing, newborn screening, and polygenic risk scores. This highlights the potential for a complimentary relationship between PCPs and GCs. Additionally, individuals will have genetic needs throughout their lives and a single genetics visit is unlikely to be enough. There are multiple points where an individual might require genetics care and this unique clinic model allows for that follow-up loop. Lastly, we know there are barriers to appointments and disparities in referral practices. This clinic model has the potential to decrease logistical barriers, meet patient’s where they are at, ensure appropriate referrals for all, decrease wait times for specialty clinics and reduce costs for specialty appointments. The goal of this clinic is not only to scale genetic services but to improve equitable access to these services. I am very proud to work with such an amazing and innovative team. I am also so happy our genetic counseling students get an opportunity to rotate with us in this unique space.

4. What does your role in clinic look like?

In my clinical role, I work with a multidisciplinary team seeing patients for a variety of indications. We also work on research projects and genetics education initiatives for physicians.

5. What is your favorite part of your job?

It is really difficult to choose one “favorite” thing about my job so I will list a few: the field of genetics is constantly evolving which is stimulating,  the ability to mentor students and witness their progress and contributions is so rewarding, and lastly the opportunity to guide and advocate for patients and families during a difficult time is extremely fulfilling work.

Monday, November 14, 2022

Michelle Takemoto Leadership Seminar Reflections

Pitt Genetic Counseling students and Michelle Takemoto are pictured with a mosaic background


Michelle Takemoto, a genetic counselor with the Hawaii Department of Health and MGPN coordinator, spoke to our students on November 4 about a broad range of topics as part of our Leadership Seminar Series.  Our students reflected on her talk:

I am thankful that I had the opportunity to meet Michelle and listen to her phenomenal presentation about public health genetics. It was great to learn about her own personal journey to genetic counseling and how she became a leader in the field. From working on projects that increase accessibility to genetic services for underserved populations to starting the Minority Genetic Professionals Network, I am incredibly appreciative of all the work she has put in to advocate for marginalized identities. From one member of MGPN to another, thank you for providing me with a community of shared experiences and a sense of belonging in the profession! - Leann To

I am so grateful that we all got to meet Michelle for our leadership seminar! It was interesting to hear how her work ties in both genetic counseling and public health, and learn more about the genetics services in Hawaii. As a member of the Minority Genetics Professional Network, I was excited to learn more about her role in the creation of the organization and how she envisions its future. It was inspiring to see how passionate she is about serving underserved populations and advocating for underrepresented minorities in genetic counseling. I feel very lucky to have had the opportunity to talk to one of the leaders in the field, and I am looking forward to hearing her speak at NSGC! - Impana Shetty

It was so awesome to hear from Michelle for our leadership seminar! She really brought forth a lot of barriers that need to be addressed in the field of genetic counseling, but also talked a lot about the intersection between public health and genetic counseling. It was wonderful to hear from a GC who plays a role in her local public health initiatives, which as a dual degree student was so inspiring because she is doing the dream that so many dual degree students want to accomplish. She was so real with us about our goals and I honestly loved her advice of making space for ourselves in these public health spaces, because GC’s are needed there. It was fantastic to have Michelle come speak with us and I cannot wait to hear her talk at NSGC. – Samantha Runa

Meeting Michelle has been one of the biggest highlights of my graduate career thus far. She shared not only her immensely important perspectives on inspiring and growing inclusivity within the field, but also connected with us all on the importance of the interplay between public health and genetics (specifically, the importance of building relationships). This talk could not have come at a better time in my journey to becoming a genetic counselor. I felt like I learned so much about how to better expand my own opportunities as well as how to become involved in making the field more equitable. Her talk at NSGC is going to be incredible, and I’m so thankful to have gotten to know her on a more personal level. - Ariel Breeze

What a refreshing experience. I appreciated the straightforward and genuine presentation given by Michelle, having firmly planted feet in both public health and genetic counseling worlds. It was a privilege to speak with her about inequities in healthcare, and it has lit a fire in myself to do my part. I am looking into the Minority Genetics Professional Network to connect with other professionals and hopefully make a difference. Thank you, and I look forward to seeing you at NSGC! - Daniel Brennsteiner

I appreciated hearing the perspective of a genetic counselor outside the "bubble" of Pittsburgh.  Hearing about Michelle’s journey to genetic counseling and her passion for the field was energizing.  She touched on the intersection between public health and genetic counseling, which is helpful and inspiring to a dual degree student like myself.  Newborn screening processes and accessibility of testing sites/clinics are things we may take for granted in places like Pittsburgh.  Working on an island like Hawaii, Michelle has had to be flexible and advocate for patients and counselors alike.  Hearing first-hand how I can be a leader in the field using both my degrees adds focus to a world of opportunity. - Megan Zieber

Michelle gave a wonderful talk in Leadership Seminar that included her role in MGPN and the incredible work they do to connect underrepresented minorities in the genetic counseling profession to each other.  She addressed some important barriers that genetics services in Hawaii face and described some ways to move forward.  I appreciated the time she took to speak with us at different points throughout the day.  She was so down-to-earth, and I cannot wait to hear her speak at NSGC!  - Rebecca Oberschmidt

It was wonderful having Michelle as our Leadership Seminar speaker. Her talk was compelling and motivating. I enjoyed hearing about her roles with MGPN and Regional Genetics Networks. Most interesting to me was her work in telegenetics training and increasing access to genetic services. Michelle and I had a conversation after her talk about some of the many barriers to genetic services, including the ways in which telegenetics is not always the answer. Looking forward to hearing more from Michelle at NSGC and in the future! - Madalyn Charnego