Through the The Caroline Pryce Walker Conquer Childhood Cancer Act of 2008 (3R01CA133229-4S1), the National Cancer Institute has funded purchase and installation of Video Teleconferencing equipment at two community-based pediatric practices that refer the greatest number of pediatric sarcoma and other childhood cancer patients to OHSU. These practices are Providence Alaska Medical Center (Anchorage, AK) and Medford MD (Medford, OR). The new equipment allows two way video conferencing but has also camera capability to use for face to face patient consultation as well. The Alaska site routinely participates in tumor board and a bi-weekly teleconference to review shared patients, and the Medford site uses this resource for general education as well as participating in tumor board and care conferences. Since the implementation of videoconferencing this year, twelve new pediatric cancer patients from Alaska have been referred for coordinated care or consultation by the OHSU multi-disciplinary physician team.