Review Bundle 09 2023

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Instruction
2 Learning Modules &
Many Mock Counseling Samples

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Time
1.75 Hours

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Tasks
2 Quizzes


Ethical, Legal, and Social Issues in Cancer Genetics

  • Recognize ethical, legal and social issues relevant to cancer genetics counseling and testing.
  • Apply bioethical principles to counseling challenges.
  • Identify emerging legislation protecting against genetic discrimination.

Psycho-social and Family Dynamics of Hereditary Cancers 

  • Recognize key psychological principles and how they generalize across hereditary cancer syndromes.
  • Discuss  how psychological factors may interact with specific features of hereditary risk.
  • Review how these processes may effect emotional adjustment, decision-making, quality of life.
  • Identify family- and individual-level challenges commonly encountered in working with familial risk patients.
  • Review brief assessments and tools that can be incorporated into cancer risk consultations.
  • Identify red flags that indicate consideration of referral for psychological support.

Mock Counseling Session, Mock Counseling Case Vignettes

  • Observe the application of cancer risk assessment and counseling skills in the setting of mock initial and follow up genetic cancer risk assessment (GCRA) consultation sessions.
  • Recognize the key elements of a comprehensive GCRA counseling process.
  • Review the essential components of the informed consent process for genetic testing.
  • Identify how to address ethical, legal and social issues with patients and families.
  • Recognize key issues related to genetic test results interpretation, disclosure and communication of personalized risk management recommendations.

The modules in this bundle will discuss possible barriers and biases which may impact patient care (i.e., race, ethnicity, language, gender identity/orientation, age, socioeconomic status, attitudes, feelings, or other characteristics).


TARGET AUDIENCE: Physicians, Physician Assistants, Genetic Counselors, Master's or PhD in Genetics or Advanced Practice Nurses, and  Geneticists.

ACCREDITATION STATEMENT: City of Hope is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

CREDIT DESIGNATION: City of Hope designates this enduring material for a maximum of 1.75 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. 

The following credit type(s) are being offered for this course:

•  AMA PRA Category 1 Credit™  1.75 

The following may apply AMA PRA Category 1 Credit™ for license renewal:

Registered Nurses: Nurses may report up to 1.75 credit hours toward the continuing education requirements for license renewal by their state Board of Registered Nurses (BRN). AMA PRA Category 1 Credit™ may be noted on the license renewal application in lieu of a BRN provider number.

Physician Assistants: The National Commission on Certification of Physicians Assistants states that AMA PRA Category 1 Credit™ accredited courses are acceptable for CME requirements for recertification.

Ilana Solomon, ScM, MA, CGC

Manager, Precision Medicine Program, Genetic Counselor

City of Hope

Ilana Solomon, ScM, MA, is a Manager of the Precision Medicine Program and a licensed board-certified genetic counselor specializing in cancer genetics. She received her Master’s degree Genetic Counseling from the Johns Hopkins/National Human Genome Research Institute. Ilana joined the City of Hope Division of Clinical Cancer Genomics in 2013, where she has provided cancer genetics services for patients and families suspected to have a hereditary predisposition to cancer. Since 2019 she also manages and develops City of Hope’s Precision Medicine Program, with the goal of providing all City of Hope patients with genomic-driven care. She has research interests in healthcare communication and implementation, genetic literacy, and ELSI in genomics. She helped co-develop Helping Oncology Patients Explore (HOPE) Genomics: a patient-directed IT platform for cancer genome sequencing education and return of results. She is faculty for the City of Hope Intensive Course in Genetic Cancer Risk Assessment. She is an active member of the National Society of Genetic Counselors and Southern California Genetic Counselors.

Karen Hurley, PhD

Licensed Clinical Psychologist

Cleveland Clinic

Karen E. Hurley, Ph.D. is a licensed clinical psychologist at the Cleveland Clinic specializing in hereditary cancer risk and a Clinical Member of the Cancer Prevention, Control and Population Research Program at the Case Comprehensive Cancer Center. She received her A.B. in psychology from Bryn Mawr College in 1983, and her Ph.D. in clinical psychology from Temple University in 1998. Before joining the Cleveland Clinic staff, she spent eight years on faculty at Memorial Sloan-Kettering Cancer Center conducting NCI-funded research on patient decision-making about cancer genetic risk management and other psychosocial issues relevant to high risk patients. She has provided psychotherapy and consultation to nearly 500 individuals, families and couples with a variety of inherited cancer susceptibility syndromes, including breast/ovarian (BRCA1/2), Lynch syndrome, familial adenomatous polyposis (FAP), Li-Fraumeni syndrome, and diffuse gastric cancer syndrome (CDH1). Dr. Hurley has conducted numerous professional education seminars and patient workshops for organizations such as American Psycho-Oncology Society, the National Society of Genetic Counselors, and FORCE (Facing Our Risk of Cancer Empowered). She is a past or current member of several national advisory boards for high risk individuals, including FORCE, Bright Pink, Sharsheret, The Cancer Support Community’s Breast & Gastric Cancer Registries, the City of Hope National Medical Center’s Cancer Genetics Career Development Program, and the National Cancer Institute’s PDQ Cancer Genetics Editorial Advisory Board. In 2014 she received the Spirit of Empowerment-Individual Commitment award at the 8th Annual FORCE conference, in recognition of her work on behalf of the hereditary cancer community.

Susan Shehayeb, MS, CGC

Senior Genetic Counselor

City of Hope

SUSAN SHEHAYEB, MS, CGC,  is a licensed board-certified genetic counselor specializing in cancer genetics. She has a Master’s of Science degree in genetic counseling from University of California Irvine. Previous to completing her master’s degree, Ms. Shehayeb earned her bachelor’s degree in molecular, cell and developmental biology from University of California Los Angeles. Ms. Shehayeb joined the City of Hope Division of Clinical Cancer Genomics in 2017, having previously undergone clinical training at City of Hope. She is fluent in Arabic and is in the process of achieving fluency in Spanish.

Ms. Shehayeb's clinical role has centered on widening patient access to genetic counseling and testing throughout the City of Hope clinical network and on genetics representation and expertise in the setting of gynecologic oncology. She co-leads the curriculum development for educational initiatives within the City of Hope Clinical Division of Cancer Genomics. Her research work and special interests focus on hereditary breast and ovarian cancers, hereditary genodermatoses, precision medicine in hereditary cancer care, and Justice, Equity, Diversity, and Inclusion (JEDI) in cancer genetics training. She is a member of the National Society of Genetic Counselors and the Southern California Genetic Counselors.

Lauren Gima, MS, CGC

Senior Genetic Counselor

City of Hope

LAUREN GIMA, MS, CGC is a board-certified, licensed genetic counselor at City of Hope in Duarte, CA, where she specializes in clinical cancer genomics. She earned her MS degree in Genetic Counseling from Northwestern University and BS degree in Human Biology from University of California San Diego. Her primary clinical responsibilities include providing cancer genetic counseling services for City of Hope’s patient population and her primary research interest is in hereditary GI cancer syndromes. Ms. Gima is a faculty member of the City of Hope Intensive Course and Clinical Cancer Genomics Community of Practice, and an adjunct faculty member for the Keck Graduate Institute Genetic Counseling and Genomic Data Analytics masters’ programs. She serves as a clinical rotation supervisor for genetic counseling students and as a mentor for the KGI Genetic Counseling program, providing ongoing support and guidance for new genetic counseling students. Lauren is a member of the National Society of Genetic Counselors, the Collaborative Group of the Americas on Inherited Gastrointestinal Cancers, the Southern California Genetic Counselors, the Minority Genetics Professionals Network, and the Alliance for Genomic Justice.

Elyssa Zukin, MS, CGC

Genetic Counselor

City of Hope

ELYSSA ZUKIN, MS, CGC is a licensed, board-certified genetic counselor specializing in cancer genetics at City of Hope National Medical Center. She has a Master of Science degree in genetic counseling from the University of California, Irvine, and a bachelor’s degree from the University of California, Los Angeles. Zukin joined City of Hope in 2020 as part of the Center for Precision Medicine. Her past research investigated the implications on clinical care when patients are found to carry genetic variants in genes associated with hereditary cancer syndromes that have conflicting interpretations by different genetics laboratories. She is a faculty member of the City of Hope Intensive Course and Clinical Cancer Genomics Community of Practice, and a member of the National Society of Genetic Counselors and the Southern California Genetic Counselors.

Elise Sobotka, MS, MPH, CGC

Genetic Counselor

City of Hope

ELISE SOBOTKA, MS, MPH, CGC is a licensed, board-certified genetic counselor specializing in cancer genetics at the City of Hope National Medical Center in Duarte, CA. She has a Master of Science in genetic counseling and a Master of Public Health in health management and policy from the University of Michigan. Elise joined the Division of Clinical Cancer Genomics in 2020 and is affiliated with City of Hope's Duarte location. Her current research projects are focused on understanding cancer risks, penetrance, prevalence, and clinical outcomes in unselected populations undergoing genetic testing, and leveraging the electronic health record to improve genomic care.  She is currently a faculty member of the City of Hope Intensive Course in Genetic Cancer Risk Assessment, chair of the National Society of Genetic Counselors Position Statement Committee, and an active member of the National Society of Genetic Counselors and Southern California Genetic Counselors.

Jasmine Alcantara, BS

Clinical Genetics Assistant

City of Hope

Jasmine Alcantara, BS has been at City of Hope since February, 2021and has recently graduated from the University of California, Los Angeles with her BS in Microbiology, Immunology, and Molecular Genetics and a minor in Environmental Systems and Society. She has had experience working as a counselor and program coordinator for one of UCLA’s student retention programs, as an undergraduate researcher in environmental science and microbial genomics, and most recently, as a COVID-19 Case Investigator for Orange County. In her role at City of Hope, she supports clinical operations and patient communication for both Clinical Genetics and the Precision Medicine Program.

John Luna, MS

Education Assistant

City of Hope

John Luna, MS is an Education Assistant for the Cancer Genetics Education Program at City of Hope. He earned his Master of Science in Biomedical Sciences from Rosalind Franklin University and his Bachelor of Science in Biochemistry from the University of Southern California. He has experience as a volunteer in STEM education outreach, a research assistant in an inorganic chemistry laboratory, and a medical scribe in an urgent care. At City of Hope, John assists with developing the CCGCoP Portal and administering the Intensive and Self Paced courses.

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