Endeavor Health is proving that precision medicine isn’t just for academic centers or rare-disease clinics. it can be In this episode, Rome talks with Justin Brueck, Vice President of Innovation and Research at Endeavor Health, about how their system has hardwired population genetics into everyday primary care for hundreds of thousands of patients.

Justin walks through the evolution of Endeavor’s genomics program from its roots in a 1980s vision for medical genetics to today’s scaled “Genetic and Wellness Assessment” embedded in Epic. He explains how they designed guideline-based workflows that allow primary care clinicians—not geneticists—to safely order testing, and how new roles like Genetic Counseling Assistants and dedicated consult clinics keep the system from getting clogged while ensuring patients get appropriate follow-up.

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