When Holly Zimmerman was a student at the University of Southern Mississippi, she took a genetics class during her sophomore year. Little did she know she’d eventually lead UNMC’s master’s in genetic counseling program and serve as its founding director.
Q. What sparked your interest in genetics and genetics counseling?
A. I have always loved math and science. I discovered genetics in college, and it just made sense. My professor said I could explore a career in research or consider the field of genetic counseling.
Q. You were once the only genetic counselor in Mississippi. How does Nebraska compare?
A. As the only genetic counselor in Mississippi for four years, it was an exciting time to define the field through interprofessional collaborations and patient care. I recognized my love for building programs and teaching. Nebraska has been fantastic in that the number of genetic counseling colleagues immediately doubled. (In 2017, I went from four genetic counselors in Mississippi to eight at UNMC.) Today, there are 24 at UNMC (and growing) and three more in Lincoln. I also find the people similar in that Nebraskans are kind and work hard.
Q. Genetic counseling is a fast-growing field. Why?
A. We better understand how genetics can impact health. Our field started in pediatrics; now, we are in prenatal, cancer, adult as well as specialty clinics like neurology, ophthalmology and cardiology. Beyond the clinic, genetic counselors work in education, public policy, research, insurance and genetic testing companies.
Q. UNMC launched the state’s first and only accredited genetic education program in 2019. How do you measure the program’s success?
A. We celebrate milestones along the way – our initial accreditation application acceptance, our first match day, our first orientation, our first graduating class and our first site visit. Housed in the UNMC College of Allied Health Professions and in partnership with the Munroe-Meyer Institute, the program will graduate its fifth class in May and top 38 alumni – how incredible!
Q. Like doctors, genetic counselors may have to deliver life-changing or devastating news to people. How do you prepare future genetic counselors to handle these situations?
A. I previously worked in pediatrics, and it can be incredibly difficult to give unexpected news to a parent or guardian. I teach students to provide the information in a clear and kind way while supporting the family as they process the information. We talk through how to deliver the information and how the family may respond. We self-reflect after practicing these skills and consider what went well and where we want to grow. Overall, we support our patients.
Q. What should people know about genetic testing?
A. Not all genetic testing is created equal, and there may not be a genetic test to offer. If there is something in your medical or family history, make sure you are getting the right information to answer the question you have.
Q. Do you have a saying that students repeat back?
A. “Stay flexible and curious.” I say it to encourage students to not only be prepared, but also to be okay with not knowing everything.