Frequently Asked Questions

GMCE has launched the CCSS program to assist medical and dietary nutritional providers in the care of patients with inborn errors of metabolism.  We have built a team of experienced metabolic clinicians and dieticians to offer clinical consultative and educational advising in support of those who directly serve this patient population.

Why is this service needed?

The shortage of clinicians who are trained in biochemical genetics is significant.  It is estimated that as many as 50% of the clinics in North America that follow metabolic patients are staffed by physicians and/or dietitians who lack thorough training or certification in this area of genetic metabolic disease.  It can be challenging to stay current with advances in this area of medicine on many fronts, such as the latest management protocols developed for patients identified through expanding newborn screening programs.

How do clinical consultations help patients?

Due to evolving symptoms, patients often take diagnostic journeys among several specialists before they encounter a metabolic clinician.  Our staff of physicians and dietitians are experts in the diagnosis and treatment of metabolic diseases.  These Clinician and Dietician Educators provide the practical information and advanced insight to equip health care providers with the confidence and knowledge needed to give optimal care to their patients.  For patients who have an established treatment plan for their metabolic disorder, this advice may lead to information on the latest advancements in, or recommended changes to, existing treatment protocols.  For patients with a recent or suspected diagnosis, metabolic insight will help identify the disorder, broaden the differential diagnosis, and/or focus the investigative plan, leading to a timely initiation of treatment.

Who should consider these services?

The CCSS is geared to providing ongoing consultative and educational support by an experienced metabolic physician/dietitian team of educators for:

  • Providers who assess patients referred by a newborn screening program regarding concerns for a possible metabolic diagnosis
  • Physicians who manage patients with metabolic disorders, including diet-treated metabolic diseases
  • Clinicians who consider metabolic disease regularly in the evaluation of patients who have not yet been diagnosed
  • Dietitians who manage the nutritional needs of patients with metabolic disorders

What is the engagement process?

The CCSS provides a flexible consultation structure, initiated through the following steps:

Submit a query through the website, by email, or phone call that includes contact information, brief (non-patient identifying) description of the nature of services requested, and the best time to be reached.

A GMCE Clinical Liaison functions both as an intake coordinator and an account manager. The Liaison will be your first point of contact and will gauge your advisory needs as a potential client. This information will be used to develop a Service Plan Proposal as a framework for discussion of your cases with our Educators.

The Service Plan Proposal will include parameters for engagement, including:

  • Assignment of a Clinician Educator and Dietician Educator team to meet your specific needs
  • Scope of the relationship — schedule, hours, and suggested timeframe needed in consideration of your clinical requirements
  • Financial considerations and payment structure (financial aid will be available)
  • Technical feasibility for mode of interaction (i.e. HIPAA Compliant Video-conferencing if available), including technical set-up and support as needed
  • Exchange of signed privacy acknowledgement, terms of service, and documentation of patient consent are required prior to any clinical interaction with a Clinician or Dietician Educator

The client determines the cases to be discussed. If appropriate, we encourage you to send relevant patient material in advance of the consultation session to the Clinical Liaison. Please ensure patient consent has been submitted prior to/along with these documents.

The Clinician and/or Dietician Educator will discuss each case with the client, provide an assessment, and then develop and present recommendations.

A brief written summary will follow each consultation, sent by HIPAA-secure email.

Your Clinical Liaison will be available during business hours to service your account needs leading up to, in between, and as a follow up to your consultation sessions.  Our goal is ensure that you are satisfied with the level of service provided, and to consistently improve our relationship and ability to help you.



Part of our mission is to encourage proper and time-sensitive management of patients with genetic metabolic disorders.  We understand that consultations involving emergency situations are sometimes necessary.  Our 24/7 support line is designed to support you in these difficult moments, regardless of whether the clinic or physician requesting our aid is a pre-existing or first-time client.  Given the circumstances, an assessment followed by recommendations will be provided by a GMCE Clinician and/or Dietician Educator at the time services are requested.  For new clients this service may be engaged in advance of Service Plan Proposal; however, patient consent, our privacy policy, and terms of service protocols must still be followed prior to any dissemination of advice.  Thank you for your understanding.

A Clinical Liaison will follow up any emergency consultation to complete registration information for new clients, and an additional fee may be assessed (if appropriate) for off-hours engagement of all clients.  Off-hour/emergency fees may be waived for current client relationships, those who are determined financially unable to pay, and for new clients who subsequently sign-up for a longer-term engagement.

Following an emergency consultation, treatment recommendations intended to address the immediate needs of the patient will be confirmed by HIPAA-secure email to the client.

For more information on CCSS, please contact us.


Note on Interstate Medical Considerations: The Genetic Metabolic Center for Education recognizes that each state has different regulations around the issue of out-of-state medical consultations.  When necessary, medical licensure in a particular state will be obtained for long-term engagements.