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I sit down with Dr Sid Yadav, Gynecological Oncologist in Women’s Cancer Program who does research in DNA damage repair deficiencies & familial cancers.  Dr Yadav talks about a protocol for anyone who has surgery for colon and/or endometrial cancer to have tumor sequencing as well as germline testing.  We talk about basket clinical trials that may have taken place before people were being tested for lynch syndrome and how the field of oncology is evolving.  I of course want to know once a person has cancer the first time, where is the next one going to take pace - same location or elsewhere in the body?  Truly appreciate how a community oncology setting can have a similar model as a major academic setting when it comes to having resources to handle 1000 or more patients with a hereditary cancer syndrome.  It's a cost-effective solution.  We discussed the differences in utilization internationally and the work that can and should be done.