When I began applying for jobs, I imagined myself working alongside a group of experienced genetic counselors. That is, until I was offered my current job. I was to join another new graduate in restructuring a cancer genetics program. I eagerly joined, energized by the prospect of being able to shape a new genetics program.
At the same time, I had lingering doubts about what my future would look like. My four graduate school clinical rotations had all taken place in settings with a robust, established genetic counseling team. Could I grow as a clinician without the presence of experienced genetic counselors to guide me? Did I have sufficient expertise to develop a new genetics practice?
It’s been six months since I accepted the position. Although I have only been here a short while, I am very glad I took a chance on this unique opportunity for growth and development. For other new graduates considering joining a small practice, below are some of the opportunities that working in a small setting can offer.
- Greater independence: When I rotated at bigger hospitals, finding answers to my questions was as easy as knocking on a door. Being largely independent means I’ve now become much more adept at conducting my own research and trusting my expertise. Additionally, I’ve learned a lot about where to go when I do need help. The Hereditary Cancer Special Interest Group has been an incredible resource for questions, as have the wonderful genetic counselors who practice in my area.
- New skill building: Working with a small team can mean having the opportunity to explore new skillsets outside of patient care. I’m learning to write patient-facing materials, create training guides, and lead initiatives. These activities have expanded my understanding of my strengths and interests.
- Creativity: Because I’m a key stakeholder in how the genetics program is run, exploring program ideas is possible in a way that may be more difficult in a bigger practice. To my surprise, that process has involved a lot of creative problem solving. There is ample opportunity to brainstorm, create, and design, and I’m very fortunate that my leadership team encourages me to share my ideas.
- Speaking up: In the past, verbalizing my thoughts with others—especially in front of a group—was quite challenging. But in a small practice, sharing your insights with those outside of the genetics department is crucial. Now that I am doing it more often, I am better able to communicate needs, advocate for myself and my patients, and establish expectations.
It can be scary to consider joining a small practice as a new graduate. Despite my initial concerns, I’m grateful that I decided to try something a little different, and I hope this article will help others appreciate what an amazing opportunity it can be.
Hitashi Bansal, MS, CGC is a cancer genetic counselor at Virginia Mason Franciscan Health. She graduated from the California State University, Stanislaus Genetic Counseling Program in 2020.