Graham Fowler

Genetics & Personalized Cancer Prevention Program

Michelle Primiano MS, CGC

Amanda Laterza Ozarowski MS, CGC

• Longitudinal genetics and high-risk Breast Cancer Surveillance Program serving Upper East Side of Manhattan, NY
• Patient population enriched for Ashkenazi Jewish Ancestry (34% of total cases)

Total Participatory Cases: 50

• Breast & Ovarian Cancer: 29

Family History 24

Personal History 5

• Colon Cancer/Colon Polyps: 5
• Miscellaneous Cancer: 6
• Results Discussion: 10

3 Positive (APC, BRCA, CHEK2)

3 Negative

4 VUS

Emily Couric Clinical Cancer Center

Martha Thomas, MS, LCGC

Katelyn Bohanan, MS, LCGC

• Regional cancer genetic counseling program serving urban and rural populations across southern Virginia
• Patient population included, underserved rural patients, incarcerated patients, pre-surgical breast cancer patients, and rare cancer patients

Total Participatory Cases: 49

• Breast & Ovarian Cancer: 19

10 Pre-Surgical

6 Family History

3 Personal History

• Colon Cancer: 15

5 Family History

7 Lynch Syndrome

3 Colon Polyps (1 FAP)

• Pancreatic Cancer: 4

3 Family History

1 Personal History

• Positive Result Discussion: 3 (PMS2, MSH2, MSH6)
• Miscellaneous: 5
• Rare Cancers: 4

Synovial Sarcoma (1) Li Fraumeni Syndrome (1), DICER1 Syndrome (1), Birt-Hogg-Dobe Syndrome (1)

• Conducted pre-appointment phone calls to collect detailed personal and family histories, generating approximately 576 patient pedigrees for cancer genetic counseling.
• Educated patients on genetic counseling processes, referral criteria, testing options, and clinic logistics, enhancing understanding and providing emotional support.
• Coordinated retrieval of external medical records and genetic test results through outreach to patients and providers; ensured accurate documentation in EPIC.
• Maintained family history data in Progeny to create pedigrees and prepared cases for upcoming clinics; assisted with workflows through Invitae portal.
• Executed post-result outreach for negative and VUS results, efficiently distributing result letters authored by genetic counselors and facilitating variant reclassification notifications.
• Updated EPIC smart notes to reflect NCCN guideline changes, coordinated GC student shadowing, clinical rotations, and documented departmental meetings bi-monthly.

• Independently managed a longitudinal ~3,000-patient melanoma outcomes database supporting clinical research in surgical oncology.
• Conducted detailed chart review to extract surgical, pathology, and clinical data, entering validated information into REDCap and maintaining structured datasets for analysis.
• Prepared customized data subsets and cohorts to support investigator-initiated studies and manuscript development with national and international cancer center collaborators.
• Independently prepared and maintained IRB submissions for ongoing database collection and project-specific studies, ensuring regulatory compliance and data integrity.