Massachusetts General Hospital

Overview

Massachusetts General Hospital (MGH) is a large 900 bed tertiary urban hospital. Training in genetics at MGH was established in 1968. Although based in the Department of Pediatrics, trainees have always evaluated children and adults during this rotation. Clinical training at MGH is based in several clinics which have both children and adults as patients. The emphasis in the subspecialty clinics is on learning, not on being a care provider. The affected individuals or patients receiving care are the vehicle for residents to learn about that disorder including diagnosis, management and related basic science.

Patients are seen in the pediatric and adult services and elsewhere in the hospital for inpatient consultations. The genetics inpatient service is staffed Monday morning through Friday afternoon (including nights), by the resident on the MGH rotation and an attending physician. Weekend call, from Friday evening through Monday morning, is covered by the residents and an attending physician.

 

Outpatient Clinics

Residents attend the following clinics during their three-month rotations at MGH. Each residents primary teacher in the clinic is the supervisor in that clinic as well as other staff members and fellows who participate in those clinics.

  1. General Genetics Clinic: Clinics are held each day. Patients are seen for diagnosis and counseling of single gene disorders, multifactorial disorders, and congenital anomaly syndromes. Approximately 30% of patients are adults.
  2. Metabolism clinic is held on Thursday mornings.
  3. Fragile X Multidisciplinary clinic*: This is a clinic dedicated to the care of families with Fragile X syndrome
  4. Craniofacial/Cleft Clinic: This is a multidisciplinary clinic dedicated to the diagnosis and treatment of patients with craniofacial disorders.
  5. Prenatal Diagnosis Clinic: Patients are seen daily as needed. Residents are supervised by an attending physicisan, and work along with three genetic counselors.
  6. Neurogenetics/Neurofibromatosis*: These clinics meet on alternate Wednesdays. Both children and adults are seen in all of these clinics.
  7. Neuromuscular Disease Clinic*: The genetics resident will see primarily adult patients with any type of muscle disease.
  8. Cancer Genetics*: Residents participate in clinics at the MGH Breast Center under the supervision of Kristen Shannon, a genetic counselor.Residents participate in clinics at the MGH Breast Center under the supervision of a genetic counselor.
  9. Microtia Clinic*: This clinic takes place at the Mass Eye and Ear Infirmary.