8142 Background: Provision of hematology/oncology and palliative care to inmates in correctional facilities is challenging for oncologists, facility healthcare providers and patients. Necessary consultation may not be readily available to the inmate population due to multiple barriers, including distance, expense, safety and inability of inmates to travel due to illness. Methods: Using real-time videoconferencing, with clear audio and video connections, we are making symptom management, surveillance and chemotherapy follow-up visits by telemedicine, reducing the expense of security personnel and travel to tertiary care centers from correctional facilities. Most importantly, we are able to minimize discomfort for the inmate with cancer, who must endure long distance travel, wear shackles for prolonged periods and undergo possible embarrassment of being seen in public in shackles and prison garb. So far, we have seen patients with acute leukemia, lung cancer and deep venous thrombosis secondary to a hypercoagulable state. Results: We are able to examine the patient, evaluate symptoms, answer questions, and discuss management with the facility providers. Our interventions have resulted in closer and more frequent evaluation than if the patient were being seen in the clinic. The patients are appreciative of the telemedicine visits, and it appears that their needs and concerns receive more consideration because of heightened visibility. Facility providers are also appreciative of the chance to discuss the patients' case and ask questions of specialists in real time. Communication and staff education, especially in issues of palliative care are enhanced, as well as education of oncology fellows in this special form of care delivery. Laboratory and radiographic studies may be done locally and reviewed at the time of the visit. Conclusions: Telemedicine provides safe, timely, cost-conscious, and comfortable evaluation and management when the patient does not need to be seen in person or receive therapy in the clinic. We next plan to survey inmates, guards and providers, as well as evaluate cost in personnel and travel time to quantify our findings. No significant financial relationships to disclose.