
Episode Description
In this episode of scientifica sessions, we sit down with Rome Madison—founder of the Genetics for Healthcare podcast and a leading voice in genomic sales enablement and clinician education. With more than two decades of experience helping life-science organizations adopt precision medicine, Rome focuses on translating complex genomic science into practical, real-world clinical action.
He shares how a family health crisis sparked his career at the dawn of the post–Human Genome Project era. We trace the evolution of precision medicine—from early fresh-tissue assays to comprehensive genomic profiling to today’s world of real-world data and AI-supported decision making. Across each phase, one theme remains constant: education—not technology—is the bottleneck to adoption.
We explore why clinicians, payers, and patients still struggle to navigate genomic information, and why medical affairs must serve as the connective tissue between emerging science, commercial priorities, and patient access. Rome also recounts how medical affairs helped challenge restrictive BRCA testing guidelines, expanding access for millions and highlighting what it will take to accelerate similar changes moving forward.
Finally, we look ahead to a healthcare landscape defined by integrated genomic, clinical, wearable, and claims data—one where empowered patients increasingly shape their own care.
The Evolution of Precision Medicine
• From early assays to comprehensive genomic profiling
• How tumor complexity reshaped oncology workflows
• What AI and real-world data add to decision making
Education as the Core Barrier
• Why genomic literacy remains low
• How payer confusion limits testing
• The widening gap between community and academic care
The Role of Medical Affairs (MA)
• How scientific exchange accelerates adoption
• Why MA is essential for explaining clinical utility
• How updated BRCA guidelines expanded equitable access
Industry Enablement Challenges
• Why sales teams struggle with genomic complexity
• The need for aligned scientific and commercial messaging
• How MA + sales partnerships build clinician trust
The Future of Personalized Care
• Integrated genomic, wearable, and EMR data
• AI-driven tools at the point of care
• The rise of informed, empowered patients
If you want to understand what’s holding precision medicine back—and what it will take to finally unlock its full potential—this is a conversation you don’t want to miss.
If this discussion raised new questions about how your teams educate clinicians, enable sales, or expand access to genomic testing, share it with your organization—and subscribe to scientifica sessions. We deliver unfiltered conversations with the innovators pushing biotech, pharma, and medtech forward.
📧 romemadison@gmail.com
🌐 geneticsforhealthcare.com
🔗 LinkedIn: Rome Madison
📩 Connect with the show: podcast@kronosscientifica.com
Episode recorded July 16, 2025. All information current as of recording.