Massachusetts General Hospital is a large 900 bed tertiary urban hospital. Training in genetics at MGH was established in 1968. Although based in the Department of Pediatrics, trainees have always evaluated children and adults. Clinical training at MGH is based in several clinics which have both children and adults as patients. The emphasis in the subspecialty clinics is on learning, not on being a care provider. The affected individuals or patients receiving care are the vehicle for residents to learn about that disorder including diagnosis, management and related basic science.

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