{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T08:15:11Z","timestamp":1788336911467,"version":"build-2803163510"},"reference-count":57,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T00:00:00Z","timestamp":1788307200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T00:00:00Z","timestamp":1788307200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Genetic Counseling"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>\n                    As the genetic counseling profession works to diversify its predominantly white workforce, understanding the experiences of Black, Indigenous, and People of Color (BIPOC) students is central to equity efforts. While BIPOC students bring invaluable cultural and linguistic diversity that improves patient care, they often navigate clinical training environments that lack diversity and psychological safety. This article draws on data from a longitudinal constructivist qualitative study to examine how racial and ethnic concordance (or lack thereof) with patients and clinical supervisors influenced the clinical training, professional development, and well\u2010being of BIPOC genetic counseling students. Semi\u2010structured interviews were conducted with 25 BIPOC genetic counseling students in the United States and Canada. Interviews were recorded using Zoom.us, transcribed using Rev.com, and analyzed in NVivo using reflexive thematic analysis. The analysis led to the construction of three themes: (1)\n                    <jats:italic>Shared identity with patients is a clinical advantage<\/jats:italic>\n                    : Participants leveraged their cultural and linguistic intuition to establish trust and rapport with patients; (2)\n                    <jats:italic>Identity navigation involves cognitive and emotional labor<\/jats:italic>\n                    : Participants shouldered an unacknowledged burden in managing stereotype threat, overcoming feelings of exclusion, and educating supervisors; and (3)\n                    <jats:italic>Racial\/ethnic identity shapes supervisory dynamics<\/jats:italic>\n                    : Participants described BIPOC supervisors as providing identity\u2010affirming support, while some white supervisors avoided discussions about identity or committed microaggressions. These results suggest that BIPOC genetic counseling students have clinical assets rooted in biculturalism, yet carry a burden that often goes unacknowledged of managing power imbalances and pressure to assimilate in predominantly white clinical supervision spaces. To promote equitable training, programs should implement supervisor training on culturally responsive identity broaching, establish independent, transparent mechanisms for students to report biases they encounter in clinic, and expand mentorship networks to provide additional support.\n                  <\/jats:p>","DOI":"10.1002\/jgc4.70283","type":"journal-article","created":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T07:30:01Z","timestamp":1788334201000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Unacknowledged Burdens and Clinical Assets of\n                    <scp>BIPOC<\/scp>\n                    Genetic Counseling Students: Qualitative Evidence to Inform Supervision"],"prefix":"10.1002","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-1976-4069","authenticated-orcid":false,"given":"Yeabsira","family":"Tufa","sequence":"first","affiliation":[{"name":"Master's Program in Genetic Counseling Boston University Chobanian &amp; Avedisian School of Medicine  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1712-6403","authenticated-orcid":false,"given":"Kimberly","family":"Zayhowski","sequence":"additional","affiliation":[{"name":"Medical Sciences and Education Boston University Chobanian &amp; Avedisian School of Medicine  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3685-1224","authenticated-orcid":false,"given":"Joselyn","family":"Saenz Diaz","sequence":"additional","affiliation":[{"name":"Department of Cancer Genetics and Genomics Stanford Health Care  Stanford California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2999-8279","authenticated-orcid":false,"given":"Nikkola","family":"Carmichael","sequence":"additional","affiliation":[{"name":"Medical Sciences and Education Boston University Chobanian &amp; Avedisian School of Medicine  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,2]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/jmft.12749"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1093\/pm\/pnaa258"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11606\u2010024\u201008915\u20103"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1191\/1478088706qp063oa"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1080\/2159676X.2019.1628806"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1037\/qup0000196"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1080\/17437199.2022.2161594"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/02692163241234800"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10897\u2010018\u20100263\u20103"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/jgc4.1381"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/jgc4.1506"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/jgc4.1877"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1002\/jgc4.1895"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1002\/jgc4.2004"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1002\/jgc4.70188"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1002\/jgc4.70204"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.1177\/1077800414545235"},{"key":"e_1_2_12_19_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12552\u2010026\u201009502\u20103"},{"key":"e_1_2_12_20_1","doi-asserted-by":"publisher","DOI":"10.1177\/0146167299258011"},{"key":"e_1_2_12_21_1","volume-title":"Qualitative Inquiry & Research Design: Choosing Among Five Approaches","author":"Creswell J. W.","year":"2007"},{"key":"e_1_2_12_22_1","doi-asserted-by":"publisher","DOI":"10.1002\/ceas.12025"},{"key":"e_1_2_12_23_1","doi-asserted-by":"publisher","DOI":"10.1002\/jgc4.1521"},{"key":"e_1_2_12_24_1","doi-asserted-by":"publisher","DOI":"10.1177\/00110000231159316"},{"key":"e_1_2_12_25_1","volume-title":"Racially Minoritized Patients can Benefit From Racially Concordant Providers but Struggle to Find Them","author":"Gonzalez D.","year":"2025"},{"key":"e_1_2_12_26_1","doi-asserted-by":"publisher","DOI":"10.1037\/0022\u20103514.74.3.622"},{"key":"e_1_2_12_27_1","doi-asserted-by":"publisher","DOI":"10.1080\/00461520.2023.2170377"},{"key":"e_1_2_12_28_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0028110"},{"key":"e_1_2_12_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gimo.2025.102405"},{"key":"e_1_2_12_30_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2021.114523"},{"key":"e_1_2_12_31_1","doi-asserted-by":"publisher","DOI":"10.1300\/J001v23n02_07"},{"key":"e_1_2_12_32_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40670\u2010024\u201002044\u20106"},{"key":"e_1_2_12_33_1","doi-asserted-by":"publisher","DOI":"10.1002\/jgc4.1849"},{"key":"e_1_2_12_34_1","unstructured":"Jang H. N. M.Bang J. A.Byrd andC. K.Smith.2019.\u201cCross\u2010Cultural Supervision: Racial\/Ethnic Minority Supervisees' Perspectives.\u201dhttps:\/\/hdl.handle.net\/1805\/27625."},{"key":"e_1_2_12_35_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40615\u2010019\u201000602\u2010y"},{"key":"e_1_2_12_36_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10897\u2010016\u20109953\u2010x"},{"key":"e_1_2_12_37_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40615\u2010022\u201001435\u2010y"},{"key":"e_1_2_12_38_1","unstructured":"National Matching Services Inc.2022.\u201cGC Admissions Match Statistics.\u201dhttps:\/\/natmatch.com\/gcadmissions\/statistics.html."},{"key":"e_1_2_12_39_1","unstructured":"National Matching Services Inc.2024.\u201cGC Admissions Match Statistics.\u201dhttps:\/\/natmatch.com\/gcadmissions\/statistics.html."},{"key":"e_1_2_12_40_1","unstructured":"National Society of Genetic Counselors.2022.\u201cNSGC Professional Status Survey.\u201d National Society of Genetic Counselors.https:\/\/www.nsgc.org\/Portals\/0\/Executive%20Summary%20Final%2005\u201003\u201022.pdf."},{"key":"e_1_2_12_41_1","unstructured":"National Society of Genetic Counselors.2024.\u201c2024 Professional Status Survey.\u201dhttps:\/\/www.nsgc.org\/Policy\u2010Research\u2010and\u2010Publications\/Professional\u2010Status\u2010Survey."},{"key":"e_1_2_12_42_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1751\u20109004.2007.00029.x"},{"key":"e_1_2_12_43_1","doi-asserted-by":"publisher","DOI":"10.1002\/jgc4.70062"},{"key":"e_1_2_12_44_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2022.08.059"},{"key":"e_1_2_12_45_1","doi-asserted-by":"publisher","DOI":"10.1002\/jgc4.1838"},{"key":"e_1_2_12_46_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ssmqr.2023.100312"},{"key":"e_1_2_12_47_1","doi-asserted-by":"publisher","DOI":"10.1002\/jgc4.70171"},{"key":"e_1_2_12_48_1","doi-asserted-by":"publisher","DOI":"10.1002\/jgc4.1854"},{"key":"e_1_2_12_49_1","doi-asserted-by":"publisher","DOI":"10.3390\/nursrep14020061"},{"key":"e_1_2_12_50_1","doi-asserted-by":"publisher","DOI":"10.1002\/jgc4.1057"},{"key":"e_1_2_12_51_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11606\u2010010\u20101424\u20108"},{"key":"e_1_2_12_52_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc09\u20100760"},{"key":"e_1_2_12_53_1","unstructured":"U.S. Census Bureau.2024.\u201cRace and Ethnicity Data Table.\u201d U.S. Department of Commerce.https:\/\/data.census.gov\/table?q=race+2024&t=002:Race+and+Ethnicity."},{"key":"e_1_2_12_54_1","doi-asserted-by":"publisher","DOI":"10.1037\/tep0000370"},{"key":"e_1_2_12_55_1","doi-asserted-by":"publisher","DOI":"10.53841\/bpscpf.2023.1.371.66"},{"key":"e_1_2_12_56_1","doi-asserted-by":"publisher","DOI":"10.1177\/0022022117709533"},{"key":"e_1_2_12_57_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10897\u2010015\u20109837\u20105"},{"key":"e_1_2_12_58_1","doi-asserted-by":"crossref","first-page":"39","DOI":"10.1037\/10472-005","volume-title":"Acculturation: Advances in Theory, Measurement, and Applied Research","author":"Zane N.","year":"2003"}],"container-title":["Journal of Genetic Counseling"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jgc4.70283","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/jgc4.70283","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jgc4.70283","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T07:30:06Z","timestamp":1788334206000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/jgc4.70283"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,2]]},"references-count":57,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026,10]]}},"alternative-id":["10.1002\/jgc4.70283"],"URL":"https:\/\/doi.org\/10.1002\/jgc4.70283","archive":["Portico"],"relation":{},"ISSN":["1059-7700","1573-3599"],"issn-type":[{"value":"1059-7700","type":"print"},{"value":"1573-3599","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,2]]},"assertion":[{"value":"2026-05-12","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-21","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-02","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70283"}}