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Resources from NYMAC Regional Genetics Network

Alissa Terry, ScM, CGC

Genetic Counselor

Project Manager, NYMAC

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Financial Disclosure:

ALISSA TERRY

Has No Relevant

Financial Disclosures

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Annual Meeting

Telegenetics Training

NYMAC Team

NYMAC Website

Webinar or educational event

Advisory Committee

Funded Collaboration

Student Collaboration

HAVE YOU ENGAGED WITH NYMAC?

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New York Mid-Atlantic Caribbean Regional Genetics Network

  •   NYMAC is one of seven Regional Genetics Networks (RGNs) supported by federal grant funding from The Health Resources and Services Administration (HRSA) to ensure that underserved individuals with genetic conditions and their families have access to quality care. 

  •   The seven RGNs, supported by the National Coordinating Center (“NCC” housed at ACMG) and The National Genetics Education and Family Support Center, work to meet the unique needs of their respective regional areas.  https://nccrcg.org/rgns/

  •    The RGNs have a history of collaborating with Families, Family orgs, NSGC, ACMG, training programs, and regional/state genetics organizations, healthcare providers, therapists, educators, public health, and more.

WHO IS NYMAC?

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WHAT DID NYMAC DO?

      To achieve

To achieve�

ACCESS to quality genetics services for people with genetic conditions and their families

Provide Education about genetics to families and professionals

Support Telemedicine projects to make genetics appointments easier for families

Improve the genetics delivery system by working with diverse local collaborators

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Engaging Communities to Improve Local Genetics Systems�NYMAC TEAMS : Continental Region

NEW YORK TEAM

Dr. Noura Abul-Husn

Division Chief, Genomic Medicine, Icahn School of Medicine at Mount Sinai

Amanda Bergner

Program Director/Genetic Counselor, Columbia University/Genetic Counseling Graduate Program

Katie Bergstrom

Genetic Counselor, Weill Cornell Medicine

Carina Bertolini

Genetic Counseling Student Columbia University

Naomi Brickel

Parent, Community Support and Public Policy/Westchester Institute for Human Development

Dr. Heather Brumberg

Neonatologist, New York Medical College and Maria Fareri Children’s Hospital at Westchester Medical Center

Dr. Michele Caggana

Geneticist, New York State DOH/Wadsworth Center-NBS

Sharon Chesna

Executive Director, Mothers and Babies Perinatal Network

Cynthia Cortright

Director of Medical Services & SNAP, Broome County DSS

Luba Djurdjnovic

Program Director/Genetic Counselor, Ferre Genetics

Dr. John Gianonne

Assoc. Medical Director / CMO, United Health Services Hospitals/ Delaware Valley Hospital

Douglas Hamilton

Program Manager, Family Support/Community Family Services, Saint Regis Mohawk Tribe

Isha Kalia

Genetic Counselor, Columbia University/Genetic Counseling Graduate Program

Lara Madison

Program Director, WILLOW Initiative, Maternal Infant Community Health Collaborative/Albany County Dept. Health

Aman Mann

Genetic Counselor, Cancer Genetics Northwell Health Cancer Institute

Kendra Muckle

Medical Assistant Specialist 2, Bureau of Medical, Dental and Pharmacy Policy/New York State DOH

Dr. Elisa Muñiz

Director, Developmental-Behavioral Pediatrics Fellowship Program, Rose F. Kennedy Children’s Evaluation and Rehabilitation Center/The Children’s Hospital at Montefior

Lin Perry

Project Director, Parent to Parent of NY State

Monisha Sebastin

Genetic Counselor, The Children’s Hospital at Montefiore

Emily Soper

Genetic Counselor, Icahn School of Medicine at Mount Sinai

Penny Stringfield

Account Executive /Parent, Ad Elements/Parent

Mabel Thomas

Genetic Counselor, Sema4 Laboratory

Nori Williams

Genetic Counselor, PWN Health

Monika Zak

Program Director/Genetic Counselor, Long Island University/Genetic Counseling Graduate Program

Randi Zinberg

Program Director/Genetic Counselor, Icahn School of Medicine at Mount Sinai/Genetic Counseling Graduate Program

NYMAC TEAMS LEAD

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NEW YORK

Barrier

Public awareness about when to seek a referral to genetics

Project

Designed an infographic and pocket card focusing on appropriate genetic referrals 

Next Steps

Community Outreach Committee of the NYS Genetics Task Force will monitor access issues and continue outreach efforts

https://nymacgenetics.org/newyork/

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NEW YORK

https://nymacgenetics.org/newyork/

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DC TEAM

Equipo de DC

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DC

Barrier / Barrera

Families not understanding the value and relevance of genetics AND distrust in genetics professionals

Project / Proyecto

Created “My DC Genetics Journey” videos featuring local families sharing their experiences with genetics

Next Steps / Próximos pasos

Outreach Committee of the Maryland and DC Society of Genetic Counselors will support providers

Barrera

Las familias no comprenden el valor y la relevancia de la genética Y desconfían de los profesionales que se dedican a la genética.

Proyecto 

Se crearon videos denominados “My DC Genetics Journey”, que muestran familias locales que comparten sus experiencias con la genética.

Próximos pasos

El Comité de Extensión de la MDCGC (Sociedad de Asesores Genéticos de Maryland y DC) brindará ayuda a los proveedores.

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VIRGINIA TEAM

Equipo de Virginia

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VIRGINIA

Barrier / Barrera

Need for education and support families who require genetics

Project / Proyecto

Developed a “Genetic Navigator” training add-on for volunteers and employees at CFI (local F2F) with prior genetic experience

Next Steps / Próximos pasos

CFI will continue the VA Genetic Navigator program

Promote use of GN program by genetics and non-genetics providers

Barrera

Necesidad de educación y apoyo a las familias que requieren servicios genéticos

Proyecto 

Se elaboró un complemento de capacitación de "Genetic Navigator" (navegador genético) para voluntarios y empleados de CFI (F2F local) que tienen experiencia genética previa.

Próximos pasos

CFI continuará con el programa VA Genetic Navigator.

Promover el uso del programa GN por parte de proveedores de servicios genéticos y otros.

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https://cfi.partnership.vcu.edu/programs/genetic-navigator-program-of-virginia/

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https://www.veipd.org/main/sub_2023_talks_tuesdays.html

Virginia

Early Intervention�Professional Development Center

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MARYLAND TEAM

Equipo de Maryland

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MARYLAND

Barrier / Barrera

Need for education of providers and families about appropriate referrals to genetics

Project / Proyecto

Created infographics focusing on pediatric, cancer and general genetics referrals

Next Steps / Próximos pasos

MDCGC will collaborate with the Parents Place of Maryland to provide support to families

MDCGC will facilitate genetic referrals for Maryland Rural Health Association

Barrera

Necesidad de educar a los proveedores y a las familias sobre las derivaciones apropiadas a genética

Proyecto 

Se crearon infografías centradas en referencias pediátricas, oncológicas y de genética general.

Próximos pasos

MDCGC colaborará con Parents Place of Maryland para ayudar a las familias.

MDCGC facilitará referencias genéticas para la Asociación de Salud Rural de Maryland.

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WEST VIRGINIA TEAM

EQUIPO DE VIRGINIA OCCIDENTAL

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WEST VIRGINIA

Barrier / Barrera

Lack of education of providers about the value of genetic services

Project / Proyecto

Support efforts to build a genetics infrastructure at WVU

Fund genetics education for providers

Genetics focused outreach to providers

Next Steps / Próximos pasos

Support efforts to pass Licensure bill for genetic counselors

Continue to expand genetic services in WV

Barrera

Falta de educación de los proveedores sobre el valor de los servicios genéticos

Proyecto 

Apoyar las medidas para construir una infraestructura genética en WVU.

Financiar educación genética para proveedores.

Ofrecer programas de extensión centrados en la genética para proveedores.

Próximos pasos

Apoyar los esfuerzos para aprobar un proyecto de ley de licencias para asesores genéticos.

Seguir ampliando los servicios genéticos en Virginia Occidental.

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PENNSYLVANIA TEAM

EQUIPO DE PENSILVANIA

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PENNSYLVANIA

Barrier / Barrera

Need to educate providers and families about genetic services and appropriate referrals

Project / Proyecto

Created separate family and provider infographics on genetic services

Next Steps / Próximos pasos

Outreach by Genetic Services Committee of the Pennsylvania Association of Genetic Counselors to increase awareness

Barrera

Necesidad de educar a los proveedores y las familias sobre los servicios genéticos y las derivaciones adecuadas

Proyecto 

Se crearon infografías separadas para familias y proveedores sobre servicios genéticos.

Próximos pasos

Divulgación del Comité de Servicios Genéticos de la PAGC (Asociación de Asesores Genéticos de Pensilvania) para sensibilizar al público.

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NEW JERSEY TEAM

EQUIPO DE NUEVA JERSEY

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NEW JERSEY

Barrier / Barrera

Need to educate providers and families about appropriate referrals to genetics

Project / Proyecto

Developed a Genetics training for NJ Community Health Workers Institute

Next Steps / Próximos pasos

Community Outreach Committee of the Human Genetics Association of NJ will support genetic trainings by the CHW Institute

Barrera

 Necesidad de educar a los proveedores y a las familias sobre las derivaciones apropiadas a genética

Proyecto 

 Se diseñó una capacitación en genética para el Instituto de Trabajadores de Salud Comunitarios de Nueva Jersey. 

Próximos pasos

 El Comité de Extensión Comunitaria de la HGANJ (Asociación de Genética Humana de Nueva Jersey) apoyará las capacitaciones sobre genética del Instituto CHW.

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DELAWARE TEAM

EQUIPO DE DELAWARE

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DELAWARE

Barrier / Barrera

Health disparities/ underserved communities 

Project / Proyecto

Created a family infographic on genetic services and a flyer on sickle cell trait

Next Steps / Próximos pasos

Delaware GCs will support efforts to increase awareness of genetic services by local organizations

Barrera

 Disparidades de salud/comunidades desatendidas 

Proyecto 

 Se creó una infografía familiar sobre servicios genéticos y un folleto sobre el rasgo de la célula falciforme.

Próximos pasos

 Los asesores genéticos de Delaware apoyarán las iniciativas para educar a las organizaciones locales sobre los servicios genéticos.

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A CLOSER LOOK AT FOUR YEARS IN PARTNERSHIP WITH PR AND USVI

UNA MIRADA MÁS EXHAUSTIVA A CUATRO AÑOS DE LA ALIANZA CON PUERTO RICO Y LAS ISLAS VÍRGENES

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Engaging Communities to Improve Local Genetics Systems�NYMAC TEAMS : Caribbean Region

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NYMAC GOALS in PR and USVI

 

Goal 1. Create local teams to plan and implement telemedicine and professional education programs�

Goal 2. Support intercultural and interprofessional education and collaboration between PR and USVI and the continental states�

Goal 3. Design, implement and evaluate a culturally effective model for telegenetics �

1. Crear el equipo de Puerto Rico para planear e implementar programas de telemedicina y educación a profesionales

2. Respaldar la educación intercultural e interprofesional entre Puerto Rico y las Islas Vírgenes y los estados

3. Diseñar, implementar y evaluar un modelo culturalmente efectivo para la telegenética 

OBJETIVOS DE NYMAC en PUERTO RICO Y LAS ISLAS VÍRGENES

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Puerto Rico

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Puerto Rico

Barrier / Barrera

Lack of provider education about genetic services on the island

Lack of genetics providers

Project / Proyecto

Provide workshops for both families and providers on the value of genetic services

Increase access to genetics counseling services to alleviate burden on existing providers

Next Steps / Próximos pasos

Work on genetic education videos in Spanish for providers

Support the genetic counseling profession to be recognized on the island

Barrera

Falta de educación de los proveedores sobre los servicios genéticos en la isla

Falta de proveedores de servicios genéticos

Proyecto 

Dictar talleres para familias y proveedores sobre el valor de los servicios genéticos.

Aumentar el acceso a los servicios de asesoramiento genético para aliviar la carga de los proveedores disponibles.

Próximos pasos

Crear videos de educación genética en español para proveedores.

Promover que se reconozca la profesión de asesoramiento genético en Puerto Rico.

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NYMAC Education in PR

Educación de NYMAC en Puerto Rico

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Genetic Counseling Outcome Scale- Question Selection ProcessEscala de resultado del asesoramiento genético. Proceso de selección de preguntas

McAllister et al. 2011

Muñoz-Cabello et al. 2017

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Escala finalizada

Finalized Scale

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US Virgin Islands

Islas Vírgenes de Estados Unidos

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U.S. Virgin Islands 

Barrier / Barrera

Lack of providers to provide genetic services 

Lack of expansive genetics education

Project / Proyecto

Provide family and provider training workshops on the topic of genetics

Recruit a geneticist, create genetics education tools, and help to secure funding for MCH pediatrician and newborn screening tracking system 

Next Steps / Próximos pasos

Set up genetics clinic

Build out Newborn Screening tracking system 

Continue genetics education through shared resources

Barrera

Falta de proveedores para brindar servicios genéticos

Falta de educación genética amplia

Proyecto 

Brindar talleres de capacitación para familias y proveedores sobre genética. 

Se contrató a un genetista; se crearon herramientas de educación genética y se obtuvo financiación para el pediatra del MCH y el sistema de seguimiento de exámenes de detección de recién nacidos.

Próximos pasos

Montar una clínica de genética.

Se elaboró un sistema de seguimiento de detección de recién nacidos.

Continuar la educación genética a través de recursos compartidos.

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NYMAC Education in USVI

Educación de NYMAC en USVI

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Sharing Lessons from our Collaborations

Compartimos lecciones de nuestras colaboraciones

Humildad cultural: lecciones de los colaboraciones de NYMAC

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What resources remain available and who else is doing related work?

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NYMAC Education Resources

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NYMAC Educational Events: Recordings and Slide Sets

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NYMAC Website

NYMAC Social Media

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What's available for genetics education in the future?

  • NYMAC website and YouTube channel will remain with all the resources
  • NCC resource repository: https://nccrcg.org/
  • Other RGNs will also keep certain programs going
  • Professional orgs (NSGC, ACMG, etc)
  • State genetics orgs (NYS taskforce, etc)
  • Other genetics groups (NHGRI, NORD, Global Genes, etc)
  • Family organizations incorporating some (Family Voices): https://familyvoices.org/

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What's available for facilitating access in the future?

  • Genetic Navigators in VA
  • Community Health Workers
  • EI staff
  • F2F and Family Organization staff: https://familyvoices.org/

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NYMAC’S IMPACT: TELEGENETICS

Sitios

Telegenética Teleconsulta

Año 4

Año 4

Año 5

Año 5

Año 6

Año 6

Año 7

Año 7

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What's available for telegenetics in the future?

  • NSGC and ACMG work in TG
    • Flannery D, Alverson D, Greene C, Krupsinksi E, Mann S, Terry A, Thomas J, Lyon M, Singh R, Dean LW; NCC Telegenetics Workgroup. Delivering Telegenetics Services: Review and Synthesis of Best Practices. Telemed J E Health. 2024 Aug;30(8):e2232-e2239. PMID: 38916873.
    • Green S, Hartzfeld D, Terry AB, Fissell K, Friedman S, Paolino N, Principe K, Sandbach J, Trzupek K, Winheld S, Malinowski J. An evidence-based practice guideline of the National Society of Genetic Counselors for telehealth genetic counseling. J Genet Couns. 2023 Feb;32(1):4-17. PMID: 36054686.
  • Family Voices work on telehealth
  • Telehealth Resource Centers
  • American Telemedicine Association
  • Institutional Telehealth Offices

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�¿PREGUNTAS?

QUESTIONS?

Este trabajo cuenta con el apoyo de la Administración de Servicios y Recursos de Salud (HRSA) del Departamento de Salud y Servicios Humanos (HHS) de Estados Unidos como parte de un subsidio por un total de $1,029,941.00 con un 0% financiado con fuentes no gubernamentales. El contenido es del autor y no representa necesariamente la opinión oficial ni el respaldo de HRSA, HHS o el gobierno de Estados Unidos. Para obtener más información, visita HRSA.gov.

This work is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) as part an award totaling 1,029,941.00 with 0 percent financed with non-governmental sources. The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement, by HRSA, HHS, or the U.S. Government. For more information, please visit HRSA.gov.