When Kathryn graduated from Northwestern University’s Graduate Program in Genetic Counseling in 2009, high-risk programs related to GI Cancer were new, as was universal tumor testing. Kathryn shares how she worked with GIs to build cancer/high-risk GI programs in multiple locations. She discusses the strength of a multidisciplinary approach to patient care and how she has seen the shift from tiered, step-wise testing to panels impact patient’s experience with genetic testing.