Educational initiatives in geriatric oncology – Who, why, and how?

Published:August 24, 2016DOI:


      The population is aging accounting for a large increase in anticipated cancer cases. Specialty training for trainees interested in geriatric oncology have been established in many countries and is growing globally. However, the number of clinicians with a particular interest in geriatric oncology and who complete training in both specialties is low. There are insufficient geriatric oncologists and geriatricians to address the unique needs of this population of patients. The majority of older adults with cancer are, and will continue to be, treated by oncologists. Currently clinicians caring for patients with cancer receive little to no formal training in caring for older adults, resulting in gaps in knowledge as well as a lack of confidence when treating older adults with cancers. Key strategies to accelerate the uptake and impact of educational initiatives to address this gap include the use of effective educational strategies, broad dissemination of educational material that is freely available, and the integration of geriatric oncology topics into teaching, curriculum, assessments and exams.
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        • United Nations
        Department of Economic and Social Affairs. Population Division. World population ageing, 1950-2050.
        United Nations, New York2002
        • Lichtman S.M.
        • Hurria A.
        • Jacobsen P.B.
        Geriatric oncology: an overview.
        J Clin Oncol. 2014; 32: 2521-2522
        • Statistics, Canadian Cancer Society's Advisory Committee on Cancer
        Canadian Cancer Statistics, 2015.
        Canadian Cancer Society, Toronto2015
        • Woods R.R.
        • Coppes M.J.
        • Coldman A.J.
        Cancer incidence in British Columbia expected to grow by 57% from 2012 to 2030.
        B C Med J. 2015; 57: 190-196
        • Erikson C.
        • Salsberg E.
        • Forte G.
        • Bruinooge S.
        • Goldstein M.
        Future supply and demand for oncologists: challenges to assuring access to oncology services.
        J Oncol Pract. 2007; 3: 79-86
        • Smith B.D.
        • Smith G.L.
        • Hurria A.
        • Hortobagyi G.N.
        • Buchholz T.A.
        Future of cancer incidence in the United States: burdens upon an aging, changing nation.
        J Clin Oncol. 2009; 27: 2758-2765
        • Howlader N.
        • Noone A.
        • Krapcho M.
        • Garshell J.
        • Miller D.
        • Altekruse S.F.
        • et al.
        SEER Cancer Statistics Review, 1975–2012.
        National Cancer Institute, Bethesda, MD2014
        • Yancik R.
        • Carbone P.P.
        National Cancer Institute (U.S.), National Institute on Aging. Perspectives on prevention and treatment of cancer in the elderly.
        Raven Press, New York1983
        • Kennedy B.J.
        Aging and cancer.
        J Clin Oncol. 1988; 6: 1903-1911
        • Cohen H.J.
        The oncology geriatric education retreat: commentary and conclusions.
        Cancer. 1997; 80: 1354-1356
        • Bennett J.M.
        • Sahasrabudhe D.M.
        • Hall W.J.
        Medical oncology and geriatric medicine: is it time for fellowship integration?.
        Cancer. 1997; 80: 1351-1353
        • Bennett J.M.
        • Hall W.J.
        • Sahasrabudhe D.
        • Balducci L.
        Enhancing geriatric oncology training to care for elders: a clinical initiative with long term follow-up.
        J Geriatr Oncol. 2010; 1: 4-12
        • Terret C.
        • Zulian G.
        • Droz J.-P.
        Statements on the interdependence between the oncologist and the geriatrician in geriatric oncology.
        Crit Rev Oncol Hematol. 2004; 52: 127-133
        • Khattak M.A.
        Training opportunities in geriatric oncology.
        Asia Pac J Clin Oncol. 2011; 7: 401-402
      1. Geriatric Oncology Fellowship.
        McGill University, 2015 (Accessed 2015, December 21, at
        • Hogan D.B.
        • Borrie M.
        • Basran J.F.
        • Chung A.M.
        • Jarrett P.G.
        • Morais J.A.
        • et al.
        Specialist physicians in geriatrics-report of the Canadian geriatrics society physician resource work group.
        Can Geriatr J. 2012; 15: 68-79
        • Madden K.M.
        • Wong R.Y.
        The health of geriatrics in Canada — more than meets the eye.
        Can Geriatr J. 2013; 16: 1-2
        • ABMS Board Certification Report 2013-2014
        American Board of Medical Specialties.
        Date: 2013
        (Accessed Jan. 9, 2016, at
        • Colby S.L.
        • Ortman J.M.
        Projections of the Size and Composition of the U.S. Population: 2014 to 2060.
        in: US Department of Commerce. U.S. Census Bureau, 2015: 25-1143 (ed.)
        • Moy B.
        • Flaig T.W.
        • Muss H.B.
        • Clark B.
        • Tse W.
        • Windham T.C.
        Geriatric oncology for the 21st century: a call for action.
        J Oncol Pract. 2014; 10: 241-243
        • Kalsi T.
        • Payne S.
        • Brodie H.
        • Mansi J.
        • Wang Y.
        • Harari D.
        Are the UK oncology trainees adequately informed about the needs of older people with cancer?.
        Br J Cancer. 2013; 108: 1936-1941
        • Rao A.V.
        • Hurria A.
        • Kimmick G.
        • Pinheiro S.
        • Seo P.H.
        Geriatric oncology: past, present, future.
        J Oncol Pract/Am Soc Clin Oncol. 2008; 4: 190-192
        • Kennedy B.J.
        • Calabresi P.
        • Carbone P.P.
        • Frei 3rd, E.
        • Holland J.F.
        • Owens Jr., A.H.
        • et al.
        Training program in medical oncology.
        Ann Intern Med. 1973; 78: 127-130
        • Kovner C.T.
        • Mezey M.
        • Harrington C.
        Who cares for older adults? Workforce implications of an aging society.
        Health Aff (Millwood). 2002; 21: 78-89
        • Institute of Medicine (U.S.)
        Committee on the Future Health Care Workforce for Older Americans. Retooling for an aging America: building the health care workforce.
        National Academies Press, Washington, D.C.2008
        • Bond S.M.
        • Bryant A.L.
        • Puts M.
        The evolution of gero-oncology nursing.
        Semin Oncol Nurs. 2016; 32: 3-15
        • Levit L.A.
        • Balogh E.
        • Nass S.J.
        • Ganz P.
        • Institute of Medicine (U.S.)
        Committee on Improving the Quality of Cancer Care: Addressing the Challenges of an Aging Population. Delivering high-quality cancer care: charting a new course for a system in crisis.
        National Academies Press, Washington, D.C.2013
        • Hurria A.
        • Naylor M.
        • Cohen H.J.
        Improving the quality of cancer care in an aging population: recommendations from an IOM report.
        JAMA. 2013; 310: 1795-1796
        • The SIOG 10 Priorities Initiative
        International Society of Geriatric Oncology.
        Date: 2010
        (Accessed 2015, October 15, at
        • Muss H.B.
        • Von Roenn J.
        • Damon L.E.
        • Deangelis L.M.
        • Flaherty L.E.
        • Harari P.M.
        • et al.
        ACCO: ASCO core curriculum outline.
        J Clin Oncol. 2005; 23: 2049-2077
      2. ESMO/ASCO Recommendations for a Global Curriculum in Medical Oncology: 2010 Update.
        ESMO/ASCO, 2010 (Accessed Oct. 25, 2015, at
        • EONS Curriculum for Cancer in Older People 2006
        European Oncology Nursing Society (EONS).
        Date: 2006
        (Accessed April 12, 2016, at
        • Maggiore R.J.
        • Gorawara-Bhat R.
        • Levine S.K.
        • Dale W.
        Perceptions, attitudes, and experiences of hematology/oncology fellows toward incorporating geriatrics in their training.
        J Geriatr Oncol. 2014; 5: 106-115
        • Maggiore R.J.
        • Dale W.
        • Buss M.K.
        • Hurria A.
        • Chapman A.E.
        • Dotan E.
        • et al.
        Survey of geriatric oncology (geri onc) training among hematology/oncology (hem/onc) fellows.
        in: American Society of Clinical Oncology Annual Meeting. Chicago, IL. 32(15). 2014: e20519
        • Naeim A.
        • Hurria A.
        • Rao A.
        • Cohen H.
        • Heflin M.
        • Seo P.
        The need for an aging and cancer curriculum for hematology/oncology trainees.
        J Geriatr Oncol. 2010; 1: 109-113
        • Eid A.
        • Hughes C.
        • Karuturi M.
        • Reyes C.
        • Yorio J.
        • Holmes H.
        An interprofessionally developed geriatric oncology curriculum for hematology-oncology fellows.
        J Geriatr Oncol. 2015; 6: 165-173
        • Maggiore R.J.
        • Callahan K.
        • Parker I.
        • Tooze J.
        • Hsu T.
        • Klepin H.
        Cancer Care Training Content of U.S. Geriatric Medicine Fellowship Programs: A Survey of Geriatrics Fellowship Program Directors.
        in: American Geriatrics Society 2015 Annual Meeting. National Harbor, MD2015: A107
        • Kern D.E.
        • Thomas P.A.
        • Hughes M.T.
        Curriculum Development for Medical Education: A Six-step Approach.
        2nd ed. Johns Hopkins University Press, Baltimore, Md.2009
        • Kagan S.H.
        The future of gero-oncology nursing.
        Semin Oncol Nurs. 2016; 32: 65-76
        • Crawford J.
        • Lilenbaum R.
        Seeing Beyond Age in the Management of Lung Cancer.
        Medscape, 2013 (Accessed Jan. 13, 2016, at
        • Ramalingam S.S.
        • Crawford J.
        Adjuvant Therapy: Should It Be Considered in Older Patients With Non–Small Cell Lung Cancer.
        Medscape, 2012 (Accessed Jan. 13, 2016, at
        • Ramalingam S.S.
        • Weiss J.
        Treating the Older Patient with Advanced NSCLC.
        Medscape, 2012 (Accessed Jan. 13, 2016, at
      3. Management of Prostate Cancer in Older Patients.
        e-cancer, 2015 (Accessed Jan. 13, 2016, at
        • Gridelli C.
        Treatment of Advanced NSCLC in the Elderly.
        ESMO, 2015 (Accessed Jan. 13, 2016, at
      4. Nursing Care of the Older Adult with Cancer. Nurses Improving Care for Healthsystem Elders (NICHE). (Accessed April 12, 2016, at

        • Jocaille L.
        SIOG Science and Education Committee Meeting [online].
        (Email to Tina Hsu)Nov. 17 2014
        • Prideaux D.
        ABC of learning and teaching in medicine. Curriculum design.
        BMJ. 2003; 326: 268-270
        • Knowles M.S.
        • Holton E.F.
        • Swanson R.A.
        The adult learner: the definitive classic in adult education and human resource development.
        8th edition. Routledge, Milton Park, Abingdon, Oxon; New York, NY2015
        • Kirkpatrick D.L.
        • Kirkpatrick J.D.
        Evaluating training programs: the four levels.
        3rd ed. Berrett-Koehler, San Francisco, CA2006
        • Morrison J.
        ABC of learning and teaching in medicine: evaluation.
        BMJ. 2003; 326: 385-387
        • Nickson C.P.
        • Cadogan M.D.
        Free Open Access Medical education (FOAM) for the emergency physician.
        Emerg Med Australas. 2014; 26: 76-83