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.

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.

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.

Key:

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Cancer Risk Assessment Counseling Strategies (Mock Counseling Session): Initial Visit
Open to view video.  |  52 minutes
Open to view video.  |  52 minutes Observe the application of cancer risk assessment and counseling skills in the setting of mock initial and follow up 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.
Cancer Risk Assessment Counseling Strategies (Mock Counseling Session): Results Disclosure
Open to view video.  |  36 minutes
Open to view video.  |  36 minutes ~36 minutes. Observe the application of cancer risk assessment and counseling skills in the setting of mock initial and follow up 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.
Week 13 Distance Learning Evaluation
8 Questions
8 Questions Complete AFTER you have viewed the week's modules and attended the Friday web session. Please respond to the statements in this evaluation as they relate to your experiences with this week's Distance Learning Modules and Friday Web Conference Review session. This survey will take less than 3 minutes to complete.
IC 2025 Week 13 Web Session Slide Set
Open to download resource.
Open to download resource.
Week 13 Web Session Recording
Open to view video.  |   Closed captions available  |  93 minutes
Open to view video.  |   Closed captions available  |  93 minutes Friday, February 14, 2025. This recording is provided for review purposes only and viewing does not substitute attendance. DO NOT share, download, or save this recording. Recordings of future web sessions will be uploaded at the discretion of the Education team. Thank you.
Mock Counseling Case Vignettes
Mock Counseling: Scenario 1
Open to view video.  |  4 minutes
Open to view video.  |  4 minutes Strategies to verify or ascertain cancer diagnoses while collecting a family history
Mock Counseling: Scenario 2
Open to view video.  |  3 minutes
Open to view video.  |  3 minutes Discussion about additional recommended genetic testing when a patient has previously been tested
Mock Counseling: Scenario 3
Open to view video.  |  3 minutes
Open to view video.  |  3 minutes An explanation of the difference between germline and somatic testing, and how somatic results could indicate a need for germline testing
Mock Counseling: Scenario 4
Open to view video.  |  4 minutes
Open to view video.  |  4 minutes Discussion of the benefits and limitations of broad vs. focused panel testing
Mock Counseling: Scenario 5
Open to view video.  |  3 minutes
Open to view video.  |  3 minutes Explanation of the possibility of identifying a variant of uncertain significance (VUS) and the implications of this result for the patient and their family
Mock Counseling: Scenario 6
Open to view video.  |  3 minutes
Open to view video.  |  3 minutes A walkthrough of the different elements of a genetic test report.
Mock Counseling: Scenario 7
Open to view video.  |  4 minutes
Open to view video.  |  4 minutes Discussion of a positive test result with an affected patient.
Mock Counseling: Scenario 8
Open to view video.  |  4 minutes
Open to view video.  |  4 minutes Discussion of the implications of a positive test result for family members.
Mock Counseling: Scenario 9
Open to view video.  |  4 minutes
Open to view video.  |  4 minutes Explanation of the implications of an uninformative test result for family members.
Mock Counseling: Scenario 10
Open to view video.  |  3 minutes
Open to view video.  |  3 minutes Explanation of the implications of an uninformative genetic test result for an unaffected patient who has residual empiric risk.
Mock Counseling: Case Scenario 11
Open to view video.  |  3 minutes
Open to view video.  |  3 minutes Discussion of a low-level pathogenic variant and possible explanations and next steps for the patient
Mock Counseling: Scenario 12
Open to view video.  |  4 minutes
Open to view video.  |  4 minutes Demonstrate a discussion of an incidental pathogenic variant on genetic testing