Geriatrics fellowship training and the role of geriatricians in older adult cancer care: A survey of geriatrics fellowship directors

Gerontol Geriatr Educ. 2018 Apr-Jun;39(2):170-182. doi: 10.1080/02701960.2016.1247070. Epub 2016 Dec 18.

Abstract

The number of older adults with cancer is growing, necessitating more collaborative training in geriatric principles and cancer care. The authors administered a web-based survey to U.S. geriatrics program directors (PDs) addressing cancer-specific training and perspectives on optimal training content and roles for geriatricians in cancer care. Of 140 PDs contacted, 67 (48%) responded. Topics considered very important in training included cancer screening (79%) and cancer-related pain management (70%). Respondents strongly agreed that some of the geriatrician's roles in cancer care included assessing functional status (64%) and assessing physical/cognitive function for goals of care (64%). About one half (54%) agreed that having a standardized geriatric oncology curriculum overall was important. The presence of a geriatric oncologist, requiring cancer-based rotations, being affiliated with a cancer center, or being internal versus family medicine-based did not affect this response. Despite this high level of support, cancer-related skills and knowledge warrant better definition and integration into current geriatrics training. This survey establishes potential areas for future educational collaborations between geriatrics and oncology training programs.

Keywords: Cancer education; geriatric fellowship; geriatric oncology; program directors; training.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Curriculum
  • Education / methods
  • Fellowships and Scholarships / methods*
  • Geriatricians*
  • Geriatrics / education*
  • Humans
  • Interdisciplinary Communication
  • Medical Oncology* / education
  • Medical Oncology* / methods
  • Oncology Service, Hospital / organization & administration
  • Patient Care Management*
  • Physician's Role*