Establishing a mentorship program for prospective genetic counseling graduate students: Two cycles of program experience.

Mentorship has been a long-standing and important piece of healthcare training, but few formal, structured mentorship programs exist in the genetic counseling field. Our report describes the creation and evaluation of the Genetic Counseling Assistant Mentorship Program (GCAMP) after two cycles of the program. Genetic counseling assistant (GCA) mentees were paired with genetic counselor mentors for support and advice primarily surrounding graduate school applications and professional development. Pairs were encouraged to meet at regular intervals, but the specific meeting patterns were determined by the pair based on the needs of the mentee. The GCAMP also involved electronic and interactive resources for mentees, which were continually developed. Many of the electronic resources were created and maintained by past and current GCAs, such as a list of local shadowing and advocacy opportunities and a list of factors to consider when evaluating graduate programs. Interactive resources included workshops, mock graduate school interviews, reviews of graduate school application materials, and social events. Mentors were also provided with resources about mentorship. Surveys were conducted to evaluate the program. Overall satisfaction with the program and the mentoring relationship was high among both mentees and mentors. In aggregate, results revealed that mentees felt strongly supported by the mentorship program and were highly satisfied with their mentorship experience. Results also showed that mentors enjoyed a high level of fulfillment and professional development themselves by participating in the program.

Perfluoroalkyl and Polyfluoroalkyl Substances in Groundwater Used as a Source of Drinking Water in the Eastern United States.

In 2019, 254 samples were collected from five aquifer systems to evaluate perfluoroalkyl and polyfluoroalkyl substance (PFAS) occurrence in groundwater used as a source of drinking water in the eastern United States. The samples were analyzed for 24 PFAS, major ions, nutrients, trace elements, dissolved organic carbon (DOC), volatile organic compounds (VOCs), pharmaceuticals, and tritium. Fourteen of the 24 PFAS were detected in groundwater, with 60 and 20% of public-supply and domestic wells, respectively, containing at least one PFAS detection. Concentrations of tritium, chloride, sulfate, DOC, and manganese + iron; percent urban land use within 500 m of the wells; and VOC and pharmaceutical detection frequencies were significantly higher in samples containing PFAS detections than in samples with no detections. Boosted regression tree models that consider 57 chemical and land-use variables show that tritium concentration, distance to the nearest fire-training area, percentage of urban land use, and DOC and VOC concentrations are the top five predictors of PFAS detections, consistent with the hydrologic position, geochemistry, and land use being important controls on PFAS occurrence in groundwater. Model results indicate that it may be possible to predict PFAS detections in groundwater using existing data sources.

Populations using public-supply groundwater in the conterminous U.S. 2010; Identifying the wells, hydrogeologic regions, and hydrogeologic mapping units.

Most Americans receive their drinking water from publicly supplied sources, a large portion of it from groundwater. Mapping these populations consistently and at a high resolution is important for understanding where the resource is used and needs to be protected. The results show that 269 million people are supplied by public supply, 107 million are supplied by groundwater and 162 million are supplied by surface water. The population using public supply drinking water was mapped in two ways: the census enhanced method (CEM) evenly distributes the population across populated census blocks, and the urban land-use enhanced method (ULUEM) distributes the population only to certain urban land use designations. In addition, a two-dimensional polygon dataset was created for the conterminous U.S. that identifies 177 unique Hydrogeologic Mapping Units (HMUs) with similar hydrogeologic characteristics. The HMUs do not overlap, but they can delineate areas where stacked hydrogeologic regions (HRs) contribute drinking water from below the surface. HRs are waterbearing geologic regions identified as either a principal aquifers (PA) or secondary hydrogeologic regions (SHR). Within each HMU, the wells were used to determine the proportion of each HR that is providing groundwater to the HMU. In 63% of the HMUs, a single HR is providing water to the public supply wells located within it, while the rest of the HMUs show that the wells are tapping up to a maximum of four stacked HRs. In total, groundwater from 108 HRs provide drinking water for public supply, six of which provide more than 50% of the groundwater used for public supply drinking water. The aquifer serving the largest number of equivalent people (>17 million) is the glacial aquifer. The HR providing the greatest number of people per km2 is the Biscayne aquifer in Florida at nearly 453 people per km2.

Adapting genetic counseling operations amidst the COVID-19 pandemic.

The COVID-19 pandemic caused significant disruptions to the delivery of genetic counseling services and clinical operations. Understanding how these pivots in practice affected patient care across both a county hospital system and academic medical center can help provide models of clinical operations for other genetic counselors. Programmatic data were analyzed between March 18, 2020 and September 18, 2020, including visit completion rates and genetic testing completion outcomes for genetic counseling services during the COVID-19 pandemic. In addition to analyzing the effects on patient care, we provide commentary on technological adaptations that aided our operations, billing practices, onboarding and engaging new and existing staff, and coordination of education and outreach opportunities. Through this work, we highlight barriers encountered and successful adaptations that will influence future clinical practices and may guide other providers in the development of strategies to meet their clinical and operational needs.

Secondary Hydrogeologic Regions of the Conterminous United States.

The U.S. Geological Survey (USGS) previously identified and mapped 62 Principal Aquifers (PAs) in the U.S., with 57 located in the conterminous states. Areas outside of PAs, which account for about 40% of the conterminous U.S., were collectively identified as "other rocks." This paper, for the first time, subdivides this large area into internally-consistent features, defined here as Secondary Hydrogeologic Regions (SHRs). SHRs are areas of other rock within which the rocks or deposits are of comparable age, lithology, geologic or physiographic setting, and relationship to the presence or absence of underling PAs or overlying glacial deposits. A total of 69 SHRs were identified. The number and size of SHRs identified in this paper are comparable to the number and size of PAs previously identified by the USGS. From a two-dimensional perspective, SHRs are complementary to PAs, mapped only where the PAs were not identified on the USGS PA map and not mapped where the PAs were identified. SHRs generally consist of low permeability rocks or deposits, but can include locally productive aquifers. The two maps, taken together, provide a comprehensive, national-scale hydrogeologic framework for assessing and understanding groundwater systems.