1. Suggested Teaching Approaches for
Newborn Screening
Format 1: Point of Care (~ 5 min)
Overview Resources available at time of patient contact, to help learner care for patient and advance own knowledge of the topic.

Suggested GeneticTools “At-A-Glance” on newborn screening, www.genetictools.org/[link here]
educational material
 GeneticTools overview of newborn screening and public health, http://www.genetests.org/servlet/access?
id=8888892&key=t0jmQ19e2e1jp&fcn=y&fw=pqY8&filename=/tools/concepts/screening.html
 GeneTests overview of newborn screening, http://genetests.org/servlet/access?
id=8888891&key=rQfGzSggrmqxI&fcn=y&fw=3MwK&filename=/concepts/primer/primerusesof.html#newborn
o Click on the “Clinical Example” links for short cases
 Next steps after a positive newborn screening test – Fact Sheets on specific conditions - American Academy of Pediatrics [4-22-06 -
should be posted on the AAP web site, http://www.aap.org within a month].
 Fact sheets for professionals and parents about metabolic conditions detected using tandem mass spectrometry –
http://www.newbornscreening.info
Mini- topics [Case requiring immendiate follow-up]
Addressing common [Clinical suspician of condition detected by NBS in a bay or child who had NBS]
questions in clinical
precepting.
Suggested approach Have connection to Internet available. Choose a condition detectable by newborn screening. Use resources above to identify an information
source about that condition that can be read or skimmed in 5 minutes or less. unified access point with direct links to web-based resources
available in the clinic precepting environment.
ACGME/RRC Do these apply to topics covered in precepting?
requirements
Format 2: Morning Report (~ 20 min.)
Overview Brief informal discussion of case-based materials presenting major points regarding newborn screening. Could be led by faculty or chief/senior
resident. Would a program ever bring in a CGC or a medical geneticist to do this?
Suggested GeneticTools (www.genetictools.org) teaching cases. Each case includes key points, learning objectives, red flags, and descriptions of clinical care
educational material issues; risk assessment; genetic counseling and testing; interventions; ethical, legal, social, and cultural issues; and resources.
 Cases about responding to positive newborn screening results:
o Case 10: Not passing a newborn hearing screen, http://www.genetests.org/servlet/access?
id=8888892&key=ZDwdXBfuvv8tu&fcn=y&fw=2XNz&filename=/tools/cases/hearingLoss-10/index.html
o Case 34: Sickle cell disease detected by newborn screening, http://www.genetests.org/servlet/access?
id=8888892&key=ZDwdXBfuvv8tu&fcn=y&fw=X9TK&filename=/tools/cases/sickle-34/index.html
o Case 35: Sickle cell trait detected by newborn screening. http://www.genetests.org/servlet/access?
id=8888892&key=ZDwdXBfuvv8tu&fcn=y&fw=hDo-&filename=/tools/cases/sickle-35/index.html
Revised 3/31/20064/24/2006 Page 1 of 4
Kerry Silvey, MA, CGC
Children’s Development & Rehabilitation Center, OHSU

2. Suggested Teaching Approaches for
Newborn Screening
 Cases about other newborn screening issues:
o Case 11: Older sibling of a baby diagnosed with hearing loss by newborn screening subsequently diagnosed with hearing loss,
http://www.genetests.org/servlet/access?
id=8888892&key=ZDwdXBfuvv8tu&fcn=y&fw=6lvI&filename=/tools/cases/hearingLoss-11/index.html
o Case 20: Family asked to participate in a research study about detecting Type 1 diabetes mellitus by newborn screening, http://
www.genetests.org/servlet/access?
id=8888892&key=ZDwdXBfuvv8tu&fcn=y&fw=LRCv&filename=/tools/cases/diabetesType2-20/index.html
 Fact sheets on next steps after a positive newborn screening test - American Academy of Pediatrics [4-22-06 - should be posted on the
AAP web site, http://www.aap.org within a month].
 Fact sheets for professionals and parents about metabolic conditions detected using tandem mass spectrometry –
http://www.newbornscreening.info
Suggested pre- All attendees: Review your state’s newborn screening and Early Hearing Loss Detected and Intervention (EHDI) websites. Familiarize yourself with
reading your state’s resources for health care providers, parents, and who you can contact with questions about a patient’s newborn screening results.
Links to each states’ NBS program are on http://genes-r-us.uthscsa.edu.
Discussion leader: Same as for participants.
Suggested approach Informal discussion of case-based materials presenting major points regarding newborn screening. Could be led by faculty, chief/senior resident,
or in-house metabolic geneticist, pediatric endocrinologist, or pediatric hematologist. Some of the 5-minute mini-topics suggested for Point of Care
teaching (above) can be expanded, modified, or combined to work in a 20-minute teaching discussion. Add a 1 or 2-sentence case at the start to
introduce the topic, and spend more time asking questions and discussing each point. Examples below:

ACMG/RRC ??
requirements
Evaluation ??
Format 3: Noon Conference (~ 1 hour)
Overview Formal lecture-style presentation of information on newborn screening.
Suggested educational material [Still looking for the perfect resource]
Suggested pre- reading ?? Review your state’s newborn screening website. Familiarize yourself with your state’s resources for health care providers,
parents, and who you can contact with questions about a patient’s newborn screening results. Links to each states’ NBS program
are on http://genes-r-us.uthscsa.edu.
Suggested approach Formal lecture-style presentation of information on newborn screening. Your state’s newborn screening program follow-up
contact should be able to connect you with metabolic geneticists, pediatric endocrinologists, pediatric hematologists, and/or
Revised 3/31/20064/24/2006 Page 2 of 4
Kerry Silvey, MA, CGC
Children’s Development & Rehabilitation Center, OHSU

3. Suggested Teaching Approaches for
Newborn Screening
genetic counselors to speaker at a noon conference. Links to each states’ NBS programs are on http://genes-r-us.uthscsa.edu.
ACGME/RRC requirements ??
Evaluation ??
Revised 3/31/20064/24/2006 Page 3 of 4
Kerry Silvey, MA, CGC
Children’s Development & Rehabilitation Center, OHSU

4. Suggested Teaching Approaches for
Newborn Screening
Format 4: Self- Directed Learning
Overview Material available for learner self-study, via the Internet.

Suggested educational material AAFP 2005 Annual Clinical Focus: Genomics—video on newborn screening, http://www.aafp.org/x37667.xml
o CME series produced by the American Academy of Family Physicians
o 45-minute video viewed directly from the Internet (NB: requires high-speed Internet access)
o Uses a case example of a newborn diagnosed with cystic fibrosis through newborn screening.
o Discusses implications of using tandem mass spectrometry for newborn screening.
 March of Dimes Website, www.marchofdimes.com
o Website has a separate section for Professionals & Researchers; also patient education pages
o Use Search function to find content of interest
o Includes pages on “What Providers Can Do,” links to each state’s newborn screening program
Suggested pre- reading ??
Suggested approach ??Material available for learner self-study, via the Internet.
ACGME/RRC requirements ??
Evaluation ??
Other Resources (more detail)
National Newborn Screening & Genetics Resource Center, http://genes- r-us.uthscsa.edu/index.htm
Revised 3/31/20064/24/2006 Page 4 of 4
Kerry Silvey, MA, CGC
Children’s Development & Rehabilitation Center, OHSU