Topic 1

50+ cases prepared by genetics attendings, residents, and medical students to learn about genetic disorders. These could be used for a group discussion or for self study (what I usually use them for)

Submitted by Debra Regier.  I give permission for others to modify and use for educational purposes.

5 dysmorphology cases:

Using Zoom, we created 5 break-out rooms with a chief resident or genetic counselor "mentor" in each room with one of the attached cases. As individuals came into the room, I assigned them randomly to break out rooms.  Each room also had one on-site "team" of people in a room (i.e. the cardiology team of 2 residents was in a room with other individuals at home).

 I opened the session with orientation on some commonly used genetics resources (see first few slides).  Then, each person on the call (about 30 single individuals from home and 5 "teams" in their work rooms) were assigned to a break out room. There, they answered the questions asked. 

Second, the created a PICMONICS-style drawing for the disorder their case described.

Then, each group showed their picture (some were on paper and they held up to the camera, some were in team white boards, some were quickly built on ppt--each team decided what to do themselves) and went through their though process and what resources they used.

At the end, each team sent their images to the chief residents.  The chiefs sent out the pictures to the full residency program in the week in review email and there was voting and the "team" that won received fights to house the "calamity clock" (yes...really a clock I wrote "calamity" on that they have in their room that can be wiped down and moved to another room after the next genetics noon conference!.

Submitted by Debra Regier.  I give permission for others to modify and use for educational purposes.

Using the product of a QI project (Billington, Snyder, Regier), I have a group discussion over Zoom regarding why metabolic patients are admitted.  The most common answer is vomiting or fever.  We then, use each sub-category and discuss that vomiting/fever leads to metabolic decompensation and the underlying fear are the categories (brain edema, hypoglycemia, rhabod, stroke/clot, cardiac dysfunction). 

When the team "gets" the sub-category, I "paste" it into the powerpoint (I make it so it goes in the order I want it to populate by copying/pasting from a second copy of it and only "showing" the one that I'm adding to on the screen). 

Each "strip" has a situational awareness phrase (we use IPASS, but you could adapt to your program's hand-off system) and a list of the common rare disorders we have admitted to our hospital.

To end the lecture, we talk about how these presentations should also make you think of these rare disorders.

Since this does NOT include the lab testing we often do, I often recommend that they consider watching the 6 minute pathway video.

Submitted by Debra Regier.  I give permission for others to modify and use for educational purposes.