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Purpose: There is a demand for improved care delivery surrounding genomic testing and clinical trial enrollment among patients with metastatic breast cancer (MBC). We sought to improve the current process via real-time informal consultation and prescreening assessment for patients with MBC treated by community and academic medical oncologists by implementing a virtual molecular and precision medicine (vMAP) clinic., Methods: The vMAP program used a virtual referral system directed to a multidisciplinary team with precision medicine expertise. Providers contacted vMAP regarding patients with MBC, and on receipt of referral, the vMAP team engaged in discussion to identify if further diagnostics were needed (including genomic testing) and to identify potential clinical trials or standard treatment options. Recommendations were then sent to the referring provider within 72 hours. Pre-/postsurveys were issued to network physicians to assess for barriers, clinical trial access, and vMAP referral experience. Program implementation was evaluated with the Squire 2.0 reporting guidelines for quality improvement in health care as a framework., Results: Eighty-one cases from 22 providers were referred to vMAP over a 26-month period. The average response time to the referring provider with a finalized recommendation was 1.90 ± 1.82 days. A total of 86.4% of cases had clinical trial options on vMAP prescreen, with 40.7% initiating formal screening assessments and 27 patients (33.3%) ultimately enrolling on trials. On resurvey, 92% of survey responses across community oncology referring providers said that they were very likely to use vMAP again., Conclusion: In the initial 2-year period, vMAP demonstrated an efficient means to offer real-time interpretation of genomic testing and identification of clinical trials for patients with MBC, with effective clinical trial enrollment and high rates of referring provider satisfaction.

The onset of the COVID-19 pandemic prompted human services education programs to rapidly rethink the structure of their fieldwork offerings. Mandated social restrictions led to the creation of alternative options to in-person internships. Some of these options included assignment-based tasks, online workshops and trainings, work-based experiences, limited in-person contact at fieldwork sites, and remote internships. For many programs, remote internships were a novel idea that needed to be quickly developed and implemented. The rise of telehealth services and the unknowns of a post-COVID world leave open the possibility of an increase in remote human services internships for the future. This qualitative study takes a first look at what the field of human services has learned about remote internships, including strengths, challenges, and recommendations, and discusses the role that remote internships might play in the future of human services education. [ABSTRACT FROM AUTHOR]