Tuesday, 16 August 2011

Clinical Radiological Pathological Conference: August 2011. A female with sexual development problem

Clinical-Radiological-Pathological conference is the monthly acticity held by Department of Medciine, Faculty of Medicine, Chulalongkorn University.
There is presentation of a case and discussion by clinician (internal medicine staff), radiologist and a diagnostician (usually pathologist but can be any one aware of the final diagnosis such as microbiologist, geneticist, parasitologist or clinicians)
The CRPC case will be recorded and posted on our department website: http://forum.cumedicine.org/index.php?board=6.0

Before the date of CRPC, there is the active discussion board in another webboard: http://forum.cumedicine.org/index.php?topic=528.msg2181#new

This month, the CPC case is a 18-year-old woman who presented with primary amenorrhea, secondary sex characteristics underdevelopment, and a large lobulated heterogeneous enhancing mass with amorphous calcification in the pelvic cavity.

Who are interested in case discussion can follow the link and leave the comments.

Reference for the discussion: Books: Genetic Disorders of Human Sexual Development: Leonard Pinsky, Rober P Erickson and R Neil Schimke. http://ukcatalogue.oup.com/product/9780195109078.do
Orphanet: http://www.orpha.net/consor/cgi-bin/index.php
Gene reviews: http://www.ncbi.nlm.nih.gov/books/NBK1116/
OMIM: http://www.ncbi.nlm.nih.gov/omim

Sunday, 7 August 2011

Medical Genetics residency training in USA

Medical genetics residency training is relatively new medical specialty training in USA. As the growing body of genetic knowledge, the realization of application in practical medicine, this field has been developed but in a slow pace than previous expectation. Doctors who have been enrolled in the training will sit for the examination for board certification of clinical genetics. Only MD can be entered into this type of training. Currently, there are about 1000 american board certified medical geneticists in US and elsewhere in the world. This number is only about 1% of all doctors.

There are other three laboratory based subspecialty training: biochemical genetics, molecular genetics and cytogenetics which allow both MD and non MD doctorate graduate to enter this type of training. Another genetics sub specialty training are molecular genetics pathology and Neurogenetics that are run by American Board of Pathology and American board of neurology and psychiatry respectively. We will focus on training that are accredited by board of medical genetics.

Pathway of training

1.single specialty training with or without subspecialty training

2.combined specialty training (combined with internal medicine/ pediatrics or OB-GYN)

The first one is the most common pathway. There are about 50 programs owned for this type of training. These are the list of accredited programs from all states in USA.

or you can follow this link: http://www.acgme.org/ for accredited programs search.
The eligible for enter each programs are set different by institution but the eligibility for sit in the exam for amedican board of medical genetics are set and evaluated by American Board of Medical Genetics as followings:

Training Requirements for Certification

Foreign Medical Graduates Credentials Check

Individuals seeking ABMG certification must fulfill all of the requirements for certification, as detailed in this document. Individuals who hold doctoral degrees earned outside of the US, Canada, or Puerto Rico or who underwent medical training outside of the US, Canada, or Puerto Rico, may need to meet additional requirements.

Doctoral degree requirements for each genetics specialty are as follows:

Clinical Genetics………………………...MD or DO

Clinical Cytogenetics……………………MD, DO, or PhD*

Clinical Biochemical Genetics…………. MD, DO, or PhD*

Clinical Molecular Genetics……………..MD, DO, or PhD*

*PhD must be in genetics, human genetics or a related field, as determined by the ABMG.

The Clinical Genetics specialty training requirements include:

24 months of satisfactorily completed full-time training in an ACGME-accredited residency program in a specialty (other than clinical genetics) that is recognized by the ABMS, (e.g., pediatrics, obstetrics and gynecology, internal medicine, etc.) and an additional 24-months of satisfactorily completed full-time training in an ACGME-accredited clinical genetics residency training program;


48 months of satisfactorily completed full-time training in an ACGME-accredited 4-year clinical genetics residency. (Note: In this instance the 48 months of training satisfy both the graduate medical training requirement and the medical genetics residency training requirement);


60 months of satisfactorily completed full-time training in an ACGME-accredited combined residency such as pediatrics/medical genetics, internal medicine/medical genetics, or obstetrics and gynecology/medical genetics. Upon successful completion of all the requirements of the combined residency, a trainee is qualified to apply for certification by either the American Board of Pediatrics (ABP), the American Board of Internal Medicine (ABIM), or the American Board of Obstetrics and Gynecology (ABOG) (depending on the other discipline) and the ABMG. Applicants must satisfactorily complete the specific credentialing requirements of each board to be eligible to sit for the examination of that board. Certification in one specialty is not contingent upon certification in the other specialty.

The laboratory specialties (Clinical Biochemical, Clinical Cytogenetics and Clinical Molecular Genetics) training requirements include a minimum of 24 months of satisfactorily completed full-time training in an ABMG-accredited laboratory genetics training program.

For certification in each additional ABMG specialty (except Clinical Genetics): an additional 12 months of completed full-time training in an ABMG-accredited fellowship program in that specialty is required. For certification in Clinical Genetics as an additional ABMG specialty, the same requirements as those detailed above in IB apply.

Number of months of ABMG-approved medical genetics training to be completed by number of ABMG specialty certifications sought:

Number of ABMG

primary specialty certifications* Months of completed ABMG-approved medical genetics training

1 24 months

2 36 months

3 48 months

4 60 months

*Note: Certification in Clinical Genetics always requires 24 months of completed training in an ACGME-accredited clinical genetics residency.


Credentialing Requirements and Process

The credentialing process determines an applicant’s candidate status for the ABMG certifying examination. All documents required for the credentialing process must be submitted to the ABMG Administrative Office and postmarked by the deadline (see Deadlines, Section VI).

Full training options can be found at American Boards of Medical Genetics website