[Infrastructure Required for Implementing Genomic Medicine and Expert Panel]

In 2018, a total of 11 institutions was selected as the leading hospitals to promote genomic cancer medicine in Japan. In April 2019, a multiplex gene panel test will be approved by government and establishment of infrastructures is now urgently needed in hospitals which implement genomic medicine. Following infrastructures and human resources are relevant to genomic medicine; (1) Education of medical staffs who will be involved in genomic medicine, (2) Medical staffs of pathology department who can properly handle the pathology samples for sequencing tests, (3) Coordinators who assist physicians with gene test application, sample shipping, and appointments of outpatient clinic, (4) Molecular tumor board comprising a variety of medical experts(medical oncologists, pathologists, medical geneticists, bioinformaticians etc), (5) Genetic counseling system for secondary findings. In this section, I would like to introduce how those infrastructures are established in our institution.