RT Journal Article SR Electronic T1 Stay at home: implementation and impact of virtualising cancer genetic services during COVID-19 JF Journal of Medical Genetics JO J Med Genet FD BMJ Publishing Group Ltd SP 23 OP 27 DO 10.1136/jmedgenet-2020-107418 VO 59 IS 1 A1 Norman, Maia Leigh A1 Malcolmson, Janet A1 Randall Armel, Susan A1 Gillies, Brittany A1 Ou, Brian A1 Thain, Emily A1 McCuaig, Jeanna Marie A1 Kim, Raymond H YR 2022 UL http://jmg.bmj.com/content/59/1/23.abstract AB The COVID-19 pandemic has led to the rapid adoption of virtual clinic processes and healthcare delivery. Herein, we examine the impact of virtualising genetics services at Canada’s largest cancer centre. A retrospective review was conducted to evaluate relevant metrics during the 12 weeks prior to and during virtual care, including referral and clinic volumes, patient wait times and genetic testing uptake. The number of appointments and new patients seen were maintained during virtual care. Likewise, there was a significant increase in the number of patients offered testing during virtual care who did not provide a blood sample (176/180 (97.7%) vs 180/243 (74.1%); p<0.001), and a longer median time from the date of pretest genetic counselling to the date a sample was given (0 vs 11 days; p<0.001). Referral volumes significantly decreased during virtual care (35 vs 22; p<0.001), which was accompanied by a decreased median wait time for first appointment (55 days vs 30 days; p<0.001). The rapid virtualisation of cancer genetic services allowed the genetics clinic to navigate the COVID-19 pandemic without compromising clinical volumes or access to genetic testing. There was a decrease in referral volumes and uptake of genetic testing, which may be attributable to pandemic-related clinical restrictions.