Clinical, 15 to 20 hours; discussion, one hour. Enforced requisite: course 431D. Limited to Genetic Counseling students. Students utilize progressive genetic counseling skills with direct patient contact in different clinical settings. Students are supervised by certified genetic counselors and medical geneticists. Students see complex cases, and activities include follow-up activities on genetic test orders, referrals, resources, explaining genetic test results to patients, presenting cases at relevant case conferences, follow-up of action items from case conference, and exploring and addressing psychosocial aspects of patient encounters. Responsibility for conducting genetic counseling session from beginning to end. In group discussion setting, students present cases along with relevant psychosocial, ethical, and professional issues to engage in active reflection of clinical supervision experiences, understand dynamics and responsibilities of supervisor/supervisee relationship, and identify personal growth opportunities and limitations in scope of patient practice. S/U grading.