Genetic Counseling Program

Clinical Rotation Sites

The UNCG Genetic Counseling Program offers clinical rotations at:

Duke University Medical Center (3 clinics)
Moses Cone Health System (1 clinic)
University of North Carolina at Chapel Hill Medical Center (4 clinics) and
Wake Forest University Medical Center (2 clinics)
Carolinas Medical Center (1 clinic)

Also, these two clinical rotation sites are available for summer rotations:

Fullerton Genetics Clinic
(1 clinic)
Wilmington Maternal Fetal Medicine (1 clinic)

Other clinical rotation sites may be approved by Program Director Nancy Callanan.

Descriptions of our clinical rotation sites follow.


Duke University Medical Center – Hereditary Cancer Clinic, Durham, NC

The Hereditary Cancer Clinic at Duke University Medical Center allows genetic counseling students the exposure to both clinical patient care and research. Students will talk with families before genetic counseling appointments to obtain family and medical history. Students will learn how to use statistical models for risk assessment and will learn to identify appropriate literature and resources for families. Students may have the opportunity to discuss diagnoses, natural history of cancer and pros and cons of testing options. Thorough documentation will be expected in the form of consultation notes and patient and physician letters. Students will have the opportunity to attend cancer case conferences and may be asked to present a case during the rotation. Return to Clinical Rotations Overview

Duke University Medical Center - Fetal Diagnostic Center, Durham, NC

Genetic counseling students in the Duke Fetal Diagnostic Center will be exposed to a wide variety of prenatal counseling opportunities.  This experience will include preconception as well as prenatal counseling for advanced maternal age, abnormal maternal serum screening, teratogen exposures, ultrasound anomalies, carrier screening due to various ethnic backgrounds, and family history of genetic conditions.  Other educational opportunities are available through interdisciplinary meetings to discuss the management of pregnancies and deliveries of babies with prenatally identified conditions, radiology conference to discuss abnormal ultrasound findings, and genetics case conference. Return to Clinical Rotations Overview

Duke University Medical Center – Pediatrics and Specialty Clinics, Durham, NC

In this setting, genetic counseling students will observe and interact with children, adults and families with established genetic diagnoses. Students will also be involved with consultations regarding possible genetic diagnoses for both in patients and out patients. Students will attend a general genetics clinic and clinics devoted to specific conditions. Monthly specialty clinics include Down Syndrome Clinic, Neurofibromatosis Clinic, Connective Tissue Clinic, Metabolic Clinic and the Fragile X clinic. There are several weekly meetings in this setting that students may be asked to attend, including a patient review meeting on Monday afternoons and an Education Conference and a Case Conference on Wednesday mornings. Ideally, students will attend this setting on Monday, Wednesday, and either Thursday or Friday each week. Return to Clinical Rotations Overview


Fullerton Genetics Center– General Genetics Clinic, Asheville, NC

Patients seen at Fullerton include children for evaluation, adults for evaluation and counseling (e.g. cancer, neurological disorders), and couples/women for prenatal genetic counseling. Genetic counseling students will have the opportunity to be involved in all aspects of patient care and follow-up where time permits. In addition, students may have the opportunity to spend time with public health genetic counselors at satellite clinics and on home visits. Meetings that students may attend include a monthly Fetal Board conference to review abnormal pregnancies, case review meetings, and a biweekly journal club. Return to Clinical Rotations Overview


Moses Cone Health System – Greensboro, NC

This rotation provides a combination of both pediatric and prenatal genetic counseling experiences in a community health system. The pediatrics clinic consists of a wide variety of clinical concerns including developmental delay, chromosomal abnormalities, skeletal dysplasias, and many other genetic diagnoses. Testing options vary but include blood chromosomes, skin biopsies, metabolic screening, and other specific disorder testing. The prenatal clinics consist of patients, who are advanced maternal age, have positive MSAFP screening results or significant family history concerns. Testing options in this setting include ultrasound and amniocentesis. Students have the opportunity to participate in all aspects of prenatal and pediatric genetic counseling. During certain times of the year, there will also be the opportunity to participate in cancer genetic counseling sessions at Wesley Long Hospital , part of Moses Cone Health System. Return to Clinical Rotations Overview


University of North Carolina at Chapel Hill – Cancer Center, Chapel Hill, NC

Genetic Counseling students will be exposed to all aspects of genetic counseling for cancer genes and syndromes. Students will learn how to create computer-generated pedigrees and to manage a cancer genetics database.  They will also undergo training in computer based risk assessment tools. There are meetings that the student may attend including a multidisciplinary breast cancer conference, a molecular diagnostic laboratory meeting , journal club and outreach clinics .  Students may also be exposed to cancer research, as UNC is part of the Cancer Genetics Network. Return to Clinical Rotations Overview

University of North Carolina at Chapel Hill – Prenatal Clinic, Chapel Hill, NC

The UNC CH Prenatal Clinic is a high volume referral center for obstetricians around the state. Patients are referred due to advanced maternal age, positive maternal serum AFP screening results, family histories of genetic conditions and fetal abnormalities. Testing that is commonly offered in this location includes Level II ultrasound, amniocentesis and chorionic villus sampling (CVS). Students will also have exposure to the AFP screening laboratory at UNC CH and will assist in calling providers with positive screening results. Weekly meetings available to students include an interdisciplinary fetal anomalies case conference and grand rounds when the topic is pertinent. Return to Clinical Rotations Overview

University of North Carolina at Chapel Hill – Pediatric Genetics and Metabolism Clinic, Chapel Hill, NC

The Pediatric Genetics Clinic at UNC includes individuals and families with a variety of genetic conditions. Students will be expected to take a medical and family history, discuss inheritance patterns, describe testing options, take an active part in the genetic counseling portion of the visit, and, if possible, write a letter summarizing testing results.  For each of your assigned patients, you will need to review any existing medical or other records, write a summary of the relevant information on the work-up form, research the condition for which the patient is referred (including phenotypic and genotypic features, testing options, and resources.) and recognize the counseling issues that are likely to arise during the session. You will have the opportunity to write counseling letters summarizing the visit and, possibly, testing results.  Part of this rotation also includes exposure to the metabolism clinic. Typical diagnoses in this clinic include PKU, MCAD, methylmalonic acidemia, and lysosomal storage disorders.  The vast majority of these individuals are on dietary management for their condition and our two metabolic dieticians play a key role in their management. New patients from the clinic include those with abnormal biochemical testing, abnormal newborn screens, known inborn errors of metabolism, or family histories of a metabolic disorder.  Responsibilities also include coordinating outside laboratory testing (often working with the referral testing laboratory), and identifying, creating and distributing appropriate support materials. A unique experience in this clinic is the opportunity for the genetic counseling students to play a significant role in management of those patients with metabolic disorders without a dietary component, including MPS disorders. Genetic counseling students will also get the opportunity to meet with patients in current clinical trials for enzyme replacement therapy. Return to Clinical Rotations Overview

University of North Carolina at Chapel Hill – Adult Genetics Clinic, Chapel Hill, NC

Genetic Counseling students will be exposed to a wide variety of adult onset genetic syndromes as well as adults who have genetic conditions that were not diagnosed in childhood, such as neurofibromatosis type 1 and Elhers-Danlos syndrome.  Students will participate in the general adult clinic on Wednesday and Fridays as well as specialty clinics in cardiology, ophthalmology, thrombophilia, hemophilia and dermatology.  Students will also attend meetings including patient clinic conferences, a molecular diagnostic laboratory meeting, and grand round conferences.  
Return to Clinical Rotations Overview



Wake Forest University Medical Center – Prenatal Diagnosis Clinic, Winston-Salem , NC

Genetic Counseling students will have the opportunity to participate in a variety of genetic counseling sessions at Wake Forest and Forsyth Medical Center including advanced maternal age, positive AFP screening, family history and ultrasound anomaly cases. Students may attend a multidisciplinary case conference to discuss patients who have a fetus with an ultrasound anomaly. Students will also have exposure the AFP screening laboratory at Wake Forest . Students have the opportunity to work with multiple genetic counselors in this setting. Return to Clinical Rotations Overview

Wake Forest University Medical Center – Pediatrics Clinic, Winston-Salem , NC

Genetic counseling students will have the opportunity to observe and participate in a general genetics clinic. Participation will include case preparation, genetic counseling during the session and follow-up. Students may have the opportunity to attend specialty clinics such as the Marfan syndrome clinic, Cleft Lip and Palate clinic, Craniofacial clinic and Prader Willi clinic. Students may also be involved in in-patient consultations at the hospital. There is a weekly meeting students may attend which includes a journal club, educational presentations and case review. Return to Clinical Rotations Overview


Carolinas Medical Center North East- Charlotte, NC


The Women’s Institute at Carolinas Medical Center – NorthEast is a prenatal clinic staffed by a Genetic Counselor, two Sonographers and one Maternal Fetal Medicine physician.  Students have the opportunity to develop skills in providing the full spectrum of prenatal genetic counseling services to patients referred for advanced maternal age, abnormal maternal serum screens, family history issues, carrier screening, teratogenic exposures, maternal conditions, recurrent pregnancy loss, and abnormal ultrasound findings.  In addition, students have the opportunity to see patients in our larger prenatal clinic at Carolinas Medical Center – Main, where opportunity also exists to attend monthly genetic conferences. Return to Clinical Rotations Overview


Wilmington Maternal Fetal Medicine - Wilmington, NC


This is a prenatal clinic providing genetic counseling for referrals such as advanced maternal age, positive maternal serum screening results, ultrasound abnormalities and family histories. The genetic counseling student will have the opportunity to participate in all aspects of prenatal genetic counseling in our clinic, including all logbook roles. The proportion of participatory versus observatory interaction will be dependent upon the amount of clinical experience obtained by the student prior to this clinical rotation. We would like to allow as much participatory activity as possible for each student on a case by case basis. The genetic counseling student will be expected to document their activities in this rotation through a personal case log. He or she will also have the opportunity to document their activities through pedigrees, clinic notes and patient letters. The student will have the opportunity to participate in ancillary activities of our clinic including staff meetings and presentations, Hospital Grand Rounds, any appropriate resident lectures, Tumor Board conferences, and any applicable local or regional meetings occurring at the time of the rotation. Return to Clinical Rotations Overview


Summer rotations at
other sites may be arranged on an individual basis with approval of Program Director Nancy Callanan.

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  • "I chose to attend UNCG because of its shared learning environment and the access to some of the leading institutions in the country. "



  • "UNCG is a great fit for me. The program directors have extensive experience in the world of genetic counseling and provide you with opportunities to work with some of the best medical centers in the country. Our location allows us to have expert guest lecturers, many of whom you also get to work alongside or observe in your clinical rotations in your second year. We also have some really wonderful and unique opportunities as a part of this program: we observe in syndrome specific support groups and clinics, tour genetic laboratories, and are matched with a family with a genetic disease to learn what it is like to live with a genetic condition. Finally, our directors are genuinely invested in each of us, and care about our success and getting to know each of us personally."




  • "The director and assistant director do their best to ensure that our program provides a collaborative learning experience.  Both are active members of the Genetic Counseling community and strive to introduce you to all aspects of this field.  We also have renowned clinical sites and the beautiful state of North Carolina at our disposal.”