The Gustave L. and Janet W. Levy Library

Core Clinical Genetics Resources

The development of knowledge in genetic medicine is exceptionally rapid. Health practitioners in all specialties increasingly require ready access to regularly updated, authoritative information to facilitate predictive testing, screening and diagnosis of inherited diseases. Disease specific information is also needed to optimize the care of patients who have or who are at risk of developing genetic disorders.

We have identified the following five databases and books as resources most likely to address the needs of the clinician. Only regularly updated, online materials are included. All are either free or are licensed for Mount Sinai users.

Resources
GeneTests

GeneTests

GeneTests provides current, authoritative information on genetic testing and its use in diagnosis, management, and genetic counseling. It was developed for physicians and other clinicians to address needs that arise in both general practice and genetic medicine specialties.

Information and Resources

  • GeneReviews
    Over 350 expert-authored, peer reviewed, disease specific reviews focused on the application of molecular genetic testing in patient diagnosis, management, and genetic counseling. GeneReviews also provide links to related patient resources, genomic databases, and MEDLINE citations. Topics are updated at least every two years. Note: GeneReviews was previously known as GeneClinics.
  • Laboratory Directory
    The GeneTests Laboratory Directory lists U.S. and international laboratories offering in-house molecular genetic testing, specialized cytogenetic testing, and biochemical testing for inherited disorders. Listings are divided into Clinical Laboratories and Research Laboratories. The directory also provides links (when available) to related GeneReviews, registries, consumer health resources, laboratory Web sites, and OMIM. Updated at least yearly.
  • Clinic Directory
    The Clinic Directory lists U.S. and international clinics providing genetic evaluation and genetic counseling. It includes services provided (adult genetics, cancer genetic counseling/risk assessment, pediatric genetics, preimplantation genetic diagnosis, prenatal diagnosis, and/or telemedicine). It also provides contact information for appointments, links to clinic Web sites (if available) and information about clinic staff certifications and credentials.
  • Educational Materials
    An illustrated glossary and three educational modules review the terminology of genetic testing and the appropriate use of genetic counseling and testing.

Search Tips

  • Search GeneReviews
    Click the GeneReviews tab at the top of the GeneTests home page. Enter a disease name or select another search option (e.g., gene, protein name, OMIM number). The ability to browse by clinical disease feature or title is especially useful.
  • Locate a Laboratory
    Click the Laboratory Directory tab at the top of the GeneTests home page. Enter a disease name or select another search option (e.g., gene, OMIM number, services, location, laboratory name). It is also possible to browse by disease feature or services.
  • Locate a Clinic
    Click the Clinic Directory tab at the top of the GeneTests home page. Select a State and service, or link to an International Clinic Directory or to Directories of Genetics Professionals.

GeneTests is funded by the National Library of Medicine, and the National Human Genome Research Institute of the National Institutes of Health (NIH) It was developed at and is sponsored by the University of Washington, Seattle, Washington.

GeneTests is freely available on the Web at http://www.genetests.org

OMIM: Online Mendelian Inheritance in Man

Online Mendelian Inheritance in Man (OMIM) is a catalog of inherited, or heritable, human genetic diseases, traits, and disorders. OMIM provides summaries of genetic disorders, and it can be searched by clinical symptoms, making it a valuable reference and diagnostic aid for clinicians. It is updated daily.

Information and Resources
The amount of information included in each OMIM entry varies depending on how much is known about a particular gene or condition. Information and services in OMIM records that are useful to the clinician include:

  • Over 4600 clinical synopses of what is known about a particular gene, trait, or disorder
  • Descriptions of genetic conditions and how they are inherited
  • Links to GeneTests
  • The functions of genes and the proteins they encode
  • Copious reference material, including links to literature citations in MEDLINE
  • Links to related OMIM entries

Note that most conditions that are due to a chromosomal aberration, such as monosomy or trisomy, do not have entries in OMIM.

OMIM is also considered to be a phenotypic companion to the human genome project. It is tightly integrated with other databases at the National Center for Biotechnology Information (NCBI), such as gene sequence databases. These features are particularly useful to genetics researchers and advanced students in science and medicine.

Search Tips:
OMIM offers several search options; generally, clinicians will prefer to search for information about specific genes, traits, or disorders using the default Search page.

  • Basic OMIM Search:
    Enter a disease name, the disease features to be considered in a diagnosis, a chromosome number, or a gene symbol into the search box at the top of OMIM's Search page and click GO. Then click the 6 digit MIM number to see the clinical synopsis, when available.
    • Many diseases are known by several synonyms; OMIM will automatically map search terms to cover multiple ways of referring to the same anomaly.
    • It is not usually necessary to use the word "AND" to connect search words.
  • Limit to Clinical Synopsis
    A clinical synopsis is not available for every disease-related OMIM record. To retrieve OMIM records that have a clinical synopsis:
    • Click the LIMITS tab under the search box at the top of the OMIM Search page
    • Under the 'Only Records with' header, check the box for Clinical Synopsis. Then click the Go button at the top of the Limits page.

Note: Each OMIM entry is given a unique six-digit number. The MIM number (also known as the OMIM number) is a standard used by many researchers and organizations to identify genes and genetic conditions. The first digit indicates the mode of inheritance of the gene involved. See OMIM FAQ's to learn more about the OMIM numbering system.

OMIM is based upon the print text Mendelian Inheritance in Man: McKusick, V.A. Mendelian Inheritance in Man. 12th ed., Baltimore: Johns Hopkins University Press, 1998.

OMIM is provided free on the Web by NCBI, the National Center for Biotechnology Information, at http://www.ncbi.nlm.nih.gov/omim. Mount Sinai users should access OMIM from the Levy Library Databases page. Accessing OMIM through the Library allows you to connect directly from OMIM to many of the Library's licensed online resources.

OMMBID: The Metabolic and Molecular Bases of Inherited Disease

OMMBID is a comprehensive treatise on genetic disorders and information from the field of genetics. It is updated at least quarterly.

Information and Resources

  • This text focuses on molecular and metabolic anomalies and the resulting pathophysiology of genetic diseases
  • Information on diagnosis, testing and screening, genetic counseling, clinical management and gene therapy is available for many disorders
  • Includes chromosomal anomalies as well as inherited genetic disorders
  • Extensive coverage of cancer genetics
  • Multimedia tools include full color figures and 3D representations
  • Chapters may be printed in PDF format
  • Links to OMIM, PubMed and GeneReviews are available from the text
  • OMMBID Supplements, available only online, are original articles that summarize discoveries in medical genetics that impact the practice of clinical medicine or advance the understanding of human malformation.

Search Tips

  • OMMBID uses the Google search engine. Clinicians will probably prefer to search by disease or disorder rather browse the book by chapter.
  • Link from the search results to open a section of a chapter. Then click View Contents in a Separate Window (available in the left sidebar). A menu will open, providing links to diagnosis and management, if available.

The Online Metabolic & Molecular Basis of Inherited Disease is based on the four volume print text: The Metabolic & Molecular Bases of Inherited Disease, 2001, 8th edition, edited by Charles R. Scriver et. al. and published in New York by McGraw-Hill.

OMMBID is a licensed resource. Mount Sinai users may access it through the Levy Library Databases or E-Books pages.

PubMed Clinical Queries: Medical Genetics Searches

Medical Genetics Searches in PubMed's Clinical Queries service allows you to quickly search MEDLINE with built-in filters to find the latest journals articles on various clinical topics in genetics.

Information and Resources: Clinicians may find filters for clinical topics such as Differential Diagnosis, Genetic Counseling, and Genetic Testing especially helpful.

Search Tips

  • Link to Clinical Queries from PubMed's left sidebar under "PubMed Services". Then scroll down or click the link to Medical Genetics Searches.
  • Leave the Categories check boxes filled in to retrieve information on all study categories. Or, click in the boxes to narrow to one or more search categories.
  • Enter your search terms into the Medical Genetics search box and click Go.

The filters for Medical Genetics Searches were developed in conjunction with the staff of GeneReviews at at GeneTests, University of Washington, Seattle.

PubMed is freely available at http://www.pubmed.gov. Mount Sinai users should access PubMed from the from the the Levy Library Databases page. Accessing PubMed through the Library allows you to connect directly from PubMed to many of the Library's licensed online articles.

Genetics Home Reference

Genetics Home Reference is the National Library of Medicine's Web site for consumer information about genetic conditions and the genes or chromosomes responsible for those conditions. Genetics Home Reference offers a user-friendly search interface and straightforward summaries of genetic disorders. It is excellent resource for patient education and counseling. Links from summaries to related entries in professional resources such as OMIM, GeneReviews, PubMed and Clinical Trials.gov may also make Genetics Home Reference useful to clinicians. Content is reviewed by experts and updated at least annually.

Information and Resources

  • More than 175 Condition Summaries explain the condition's genetic cause and pattern of inheritance. Condition Summaries link directly to related Gene Summaries or Chromosome Summaries and to more detailed information about the condition.
  • Over 275 Gene Summaries provide the official name and symbol of a gene, its chromosomal location, and an explanation of its normal function and how mutations in the gene cause particular genetic conditions.
  • Chromosome Summaries are available for each of the 23 pairs of human chromosomes. They provide an estimate of the amount of DNA and the number of genes for each chromosome.
  • Help Me Understand Genetics Handbook is an illustrated, basic explanation of how genes work and how mutations cause disorders. It also includes current information about genetic testing, gene therapy, and the Human Genome Project.

Search Tips

  • Enter keywords into the search box and click Go. Genetics Home Reference automatically searches for synonyms for search terms. Boolean searching is also available.
  • It is also possible to browse a directory of genetic conditions, genes and chromosomes.

Genetics Home Reference is freely available on the Web at http://ghr.nlm.nih.gov.

Please read the library's statement concerning licensing restrictions.

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Last updated September, 2006