Brigham and Women's Hospital
Brigham and Women's Hospital (BWH) is a major teaching hospital associated with Harvard Medical School. This hospital offers a full range of medical and surgical services for adults, an obstetrics and gynecology service, and a level three neonatal intensive care unit. The cytogenetics laboratory that serves the Harvard Medical School community is also located at Brigham and Women's Hospital.
Genetics training at Brigham and Women's Hospital is focused on adult and prenatal genetics. In addition, during the Brigham and Women's Hospital rotation, residents attend two half-day clinics a week at the Dana Farber Cancer Institute (DFCI), where they are exposed to cancer genetics.
The inpatient consultation service provides diagnostic evaluations, risk assessment and genetic counseling for adults who are inpatients at Brigham and Women's Hospital. Consultations on newborns at Brigham and Women's Hospital are performed as part of the Children's Hospital Inpatient Consultation service.
Residents attend the following clinics during your three-month rotation at BWH. The primary teaching in each clinic is provided by the supervisor in that clinic, as well as other staff members and fellows who participate in those clinics.
- General Genetics Clinic: Individuals are referred for diagnostic evaluations, testing, genetic counseling and treatment. Residents meet with patients to gather medical and family history, perform the initial physical examination and they then confer with the genetic counselor and the attending physician to discuss impression and plan.
- Marfan and Connective Tissue Disease Clinic: Patients are seen in the Cardiovascular Genetics Center by Clinical Genetics and Cardiology for initial diagnostic evaluations, for yearly follow-up and for problem focused visits.
- Neurofibromotosis 1 (NF1) Clinic: Patients with NF1 are seen by genetics for diagnostic evaluations, yearly follow-ups, and problem focused visits.
- Center for Fetal Medicine and Prenatal Genetics: Patients are seen on a daily basis for risk assessment, discussion of testing options for at-risk pregnancies, and/or genetic counseling surrounding abnormalities detected during prenatal diagnostic testing. Residents attend the Center for Fetal Medicine for a minimum of one half day per week. Residents observe diagnostic procedures as well as counseling sessions with the perinatologists, medical geneticists, or genetic counselors.
- GI Cancer Clinic: Individuals with, or at risk for, hereditary colon cancer are evaluated, assessed for genetic risk and offered genetic testing where applicable. Genetic counseling and support services are provided for individuals and families going through the genetic testing process. Residents participate in sessions with gastroenterologists, oncologists and genetic counselors
- Breast and Ovarian Cancer Clinic: This clinic offers risk assessment and genetic counseling and testing for individuals at risk for hereditary breast and ovarian cancers and for individuals going through the genetic testing process. Residents participate in sessions with the oncologists and genetic counselors.
- Malformations Surveillance Program: An Active Malformations Surveillance Program has been in place at BWH since the 1970s. Residents participate in the regular meetings of the Surveillance team.