Professor David Ashley and Dr Kortnye Smith open From Roadmap to Realisation, outlining the urgent need to implement cancer genomics and precision medicine across Australia. They introduce the forum's focus on equitable access, stronger patient pathways, coordinated investment and improved cancer outcomes.

Runtime 9:13.

This session brings together lived-experience, policy, clinical and research perspectives on integrating genomics into cancer care across Australia. Speakers examine consumer awareness and access to tumour genomic profiling, national policy and implementation initiatives, Omico's work to expand equitable access to precision oncology, and the clinical potential of whole-genome sequencing and liquid biopsy.

Runtime 1:26:30.

In Strengthening Patient Pathways, the session examines clinician- and patient-level barriers to effectively integrating genomic testing into cancer care, including gaps in clinician knowledge and confidence, complex consent discussions, inconsistent reporting and patients' limited understanding of results. It explores practical responses including ongoing case-based education, co-designed decision-support resources, molecular tumour boards, clearer communication, and careful management of germline findings and genomic data.

Runtime 26:00.

Focused on equity in genomics, this session examines access to genomic profiling and precision oncology for people living in regional and rural Australia. It combines Omico data, Amelia James's lived experience of genomics-informed treatment, and clinical perspectives on overcoming barriers to matched therapies through local champions, decentralised trials and collaborative trial networks.

Runtime 51:45.

This session looks at understanding and addressing equity in genomics, including current barriers and opportunities for Aboriginal and Torres Strait Islander people. It covers underrepresentation in cancer clinical trials, financial toxicity, clinician bias, endemic racism in health and research systems, cultural safety, Indigenous data sovereignty, and culturally informed practices, governance and research.

Runtime 22:14.

This session discusses accelerating precision oncology through technology, focusing on the implementation gap, sustainable and adequate funding, data connectivity, workforce education, equitable access and the use of artificial intelligence to support decision-making at scale.

Runtime 42:13.

Closing reflections on the need to work as a team to move genomics forward, followed by thanks to everyone who contributed to the symposium.

Runtime 1:39.