As genetic testing rapidly expands — from large-scale newborn screening programs to proactive gene panels and pharmacogenomics — health systems are racing to redesign how expertise is delivered. This fireside chat brings together two physician leaders who are pushing the boundaries of digital genetics in both the U.S. and the Middle East. They will explore how innovations such as chatbots for pre-test education and consent, AI-supported phenotyping tools, and virtual genetics consults are reshaping access to specialty care at scale. The discussion will also tackle the complex ethical, cultural, and regulatory challenges that arise when genetic data crosses borders, from national newborn screening initiatives in Abu Dhabi to remote monitoring and cross-country licensure and malpractice considerations. Attendees will gain a practical, real-world look at what it takes to implement digital genetics programs, the trade-offs for health systems and families, and how to responsibly design the next generation of technology-enabled genetic services.