Residency Rotations



First Year: During the first year of training there are 3-month rotation blocks in Adult Genetics (includes Neurogenetics, Connective Tissue Genetics, Dermatologic Genetics, Cancer Genetics, and General Genetics), Pediatric Genetics, and Biochemical Genetics (the latter two rotations significant in-patient consultation exposure) for a total of 9 months, and one month each in Clinical Molecular Genetics, Cytogenetics and Prenatal Genetics.

Second Year: The second year includes three additional 2-month rotation blocks (6 months total) in Adult Genetics and in Pediatric or Biochemical Genetics with increasing responsibility and autonomy, as well as also rotations that develop clinical specialization.

Clinical Facilities: The University of Washington Medical Center and Seattle Children's Hospital campuses are about 1.5 miles apart and served by a shuttle bus service. In 2010, U.S. News & World Report of America's Best Hospitals ranked UWMC 12th in the nation, and ranked Seattle Children's Hospital 7th best among pediatric hospitals nationally. In the last few years, the total number of families seen in all the Clinic Genetics programs has exceeded 4000 with a diversity of diagnoses that spans the full spectrum of genetic conditions.

Faculty: There are 35 medical geneticists certified by the American Board of Medical Genetics in the program based at University of Washington and Seattle Children's Hospital that include 32 Clinical Medical Geneticists, 7 Clinical Cytogeneticists, 4 Clinical Molecular Geneticists, and 4 Clinical Biochemical Geneticists (this adds to more than 35 because some individuals are certified in more than one specialty). Many of our faculty are leaders in their respective fields. There are 47 faculty who are members of the training program. For more information on our faculty click here.

Didactics: Trainees are required to participate in Journal Clubs, Clinical Conferences, the Medical Genetics Seminar series and didactic training in the classroom as well as the development of clinical research projects and basic research projects.

Research: All residents are required to perform substantial research leading to presentations at regional or national conferences, and to publications in peer-reviewed journals. The majority of clinical faculty and a research faculty cohort of more than 20 individuals (click here for faculty profiles) are engaged in active funded research which in 2009 had total funding of over $10.5 million dollars. Research mentors are active in all the specialties of medical genetics and additional mentors are found in other Departments of the School of Medicine (Genome Sciences, Medicine, Pediatrics, Pathology, Biomedical History and Ethics), the Fred Hutchinson Cancer Research Center, and the VA Hospital.




Resident Responisbilities


Residents are physicians in training. They learn the necessary skills for their chosen specialty through supervised patient care activities, didactic sessions, required reading, and self-study. Our program promotes outstanding patient-centered care in a supportive, educational environment. All patient care activities are supervised by an attending clinical geneticist. Residents are given progressively greater responsibility as they advance through their training, and according to their level of education, professional abilities and clinical experience.

Residents are part of a team of care providers. The team includes an attending, and a genetic counselor, trainees from other specialties, nurses, medical assistants, nutritionists, and medical students. Residents provide care in both the in-patient and ambulatory settings. They may serve on a team providing direct patient care, or may be part of a consultative team. Each member of the team is dedicated to providing excellent patient care. Residents are expected to demonstrate professionalism, punctuality, accountability, and compassion at all times.

The specific role of each resident will vary with the rotation, years of clinical training, the patient's illness, and individual needs, and scheduling. All residents are expected to assist in participating in education of fellow residents and medical students.





Training Programs





Salaries and Benefits


The ACGME-accredited residency in Clinical Genetics is for two years, with research an expected part of the training. The first year of the residency is clinical, and trainees are paid at standard UW GME Stipend Schedule rates for residents/fellows and have fringe benefits including participation in the UW Retirement Plan (UWRP). The current salary rates depend on the length of previous training (PGY3 or 4, etc) and the rates for these positions can be found under Stipend Schedule at the UW GME Policies and Procedures website.

In the second year of the residency, trainees have fewer clinical responsibilities, and spend time in research training, during which they are paid through the title/job class code Senior Fellow Trainee/0442 and are funded by an NIH training grant. A third year of training devoted to research is strongly encouraged, and may also be funded by the NIH training grant. The transition from the UW GME stipend schedule to the NIH training grant may result in a decrease in the stipend during the research period, depending on the length of time from the first doctoral degree. The NIH pay rate can be found under Stipend Levels at the NIH NRSA website . Benefits are also affected by the change in job class code to Senior Fellow Trainee/0442, as Senior Fellow Trainees/0442 are not eligible to participate in the UWRP, and vacation and sick leave are administered differently under this job class codes. Further, taxation rules vary (i.e., Senior Fellow Trainees are generally exempt from FICA). Moonlighting is allowable as long as it is follows the UW Graduate Medical Education rules.

Salary from other outside sources to support training in Clinical Genetics must be approved by the Vice Dean for Clinical Affairs and Graduate Medical Education, Dr. Lawrence Robinson.
We are providing this information for applicants so they will be aware of their salary and fringe benefits during training before they are recruited to these positions. For more details on current salary and benefits, please consult and Program Director and the UW GME Policies and Procedures website.




Fatigue Management


The ACGME requires programs to educate residents and faculty on fatigue management. Residents and faculty are required to review the following annually and consult the program director or program coordinator if they have further questions.


ACGME presentation on fatigue management



Duty Hours Policy


Medical Genetics adheres to the ACGME requirements for duty hours. Please contact the Program Director for further information.


Medical Genetics Duty Hour Policy