Virginia Commonwealth University Health System Program

Program Overview

The Clinical Laboratory Genetics and Genomics Fellowship at Virginia Commonwealth University is aimed at training Laboratory Genetics and Genomics (LGG) fellows to excel in clinical genetic testing. The program focuses on imparting knowledge and skills essential for interpreting genetic test results within a high-complexity laboratory environment.

This fellowship spans two years and is accredited by both the ACGME and the ABMGG. Its comprehensive curriculum encompasses didactic education and hands-on experiences in laboratory genetics and genomics techniques, critical for diagnosing patients with constitutional, prenatal, or oncology conditions.

Mission Statement

The fellowship's mission includes not only training fellows to interpret genetic testing but also instilling skills necessary for effective communication of results to diverse healthcare professionals. Additionally, the program emphasizes counseling skills for dealing with patients facing genetic disorders with due sensitivity and an understanding of cultural, age, gender, and intellectual diversity.

Curriculum Details

First Year

During the first year, fellows complete hands-on rotations in:

• Constitutional cytogenetics
• Constitutional (germline) molecular genetics
• Clinical genetics
• Maternal-fetal medicine
• Hematology
• Biochemical genetics

Fellows are also expected to complete a laboratory rotation towards the end of the year, focusing on cancer cytogenetics or molecular genetics.

Key required courses in the first year include:

• Introduction to Human Genetics
• Medical Genetics II
• Special Topics: Diagnostic Genetic Testing

Second Year

The second year focuses on more specialized rotations, including:

• Cancer cytogenetics
• Cancer (somatic) molecular genetics
• Exome/genome sequencing
• Concentrated study with a test validation project

Key courses during this year include:

• Medical Genetics I

Research Opportunities

The program encourages fellows to engage in research, which may involve case series write-ups or translational collaborations with clinical and research faculty. Dedicated workspaces are provided in the Cytogenetics and Molecular Genetics labs to foster research initiatives.

Application Information

The fellowship is competitive, with approximately 100 applications received in each cycle. Typically, two fellows are accepted every two years. Candidates must possess either a PhD in biological sciences or an MD with completion of a residency in either Pathology or Medical Genetics. Preference is given to those with experience in diagnostic genetic testing/counseling.

Application requirements include:

• A one-page personal statement
• A comprehensive curriculum vitae (CV)
• Three letters of recommendation
• Completed VCUHealth LGG Application

International applicants must submit a letter of approval from the ABMGG certifying eligibility for the training program and may be required to have their prior training reviewed.

Salary and Benefits

The LGG fellows are considered employees of the hospital, receiving salaries and benefits in alignment with the guidelines set by the VCUHS GME office and national standards.

Living in Richmond

Located in Richmond, Virginia, VCU is within a vibrant city known for its rich history and cultural offerings. The city is well-suited for both work-life balance and professional growth, featuring a range of activities from art galleries and museums to parks dedicated to outdoor sports and recreation.

Fellows often choose to live within a 15-mile radius of the university. Options include areas such as Carytown and Church Hill, known for their vibrant community feel. Additionally, residents have access to nearby attractions including Washington, D.C., Virginia Beach, and the stunning Blue Ridge Mountains.

Visa Support

For international applicants, the program offers visa support, typically sponsoring J-1 visas. This assistance facilitates a smooth transition for fellows coming from outside the United States.

Competitiveness and Diversity

The program prides itself on being inclusive and open to applicants from diverse backgrounds, including those holding DO degrees or being International Medical Graduates (IMGs). Individuals keen to join the program must demonstrate a strong academic foundation and relevant experience.

Unique Aspects of the Program

Alongside clinical training, fellows benefit from a program that fosters multidisciplinary interactions with various health care professionals. This prepares fellows to navigate and contribute effectively to the complexities of the healthcare system.