Geriatric Oncology as an Unmet Workforce Training Need in the United Kingdom—A Narrative Review by the British Oncology Network for Undergraduate Societies (BONUS) and the International Society of Geriatric Oncology (SIOG) UK Country Group

Author:

Khoury Emma G.1ORCID,Nuamek Thitikorn2,Heritage Sophie3,Fulton-Ward Taylor4ORCID,Kucharczak Joanna5ORCID,Ng Cassandra6,Kalsi Tania78,Gomes Fabio2,Lind Michael J.910ORCID,Battisti Nicolò M. L.11ORCID,Cheung Kwok-Leung12ORCID,Parks Ruth12ORCID,Pearce Jessica13,Baxter Mark A.1415ORCID

Affiliation:

1. Academic Cancer Sciences Unit, University of Southampton, Southampton SO16 6YD, UK

2. Medical Oncology, The Christie NHS Foundation Trust, Manchester M20 4BX, UK

3. Cambridge University Hospitals, Cambridge CB2 0QQ, UK

4. Institute of Immunology and Immunotherapy, College of Medical and Dental Sciences, University of Birmingham, Birmingham B15 2TT, UK

5. School of Clinical Medicine, University of Cambridge, Cambridge CB2 OSP, UK

6. Wythenshawe Hospital, Manchester University NHS Foundation Trust, Manchester M23 9LT, UK

7. Department of Ageing of Health, Guy’s Hospital, Guy’s and St Thomas’ NHS Foundation Trust, London SE1 7EH, UK

8. School of Life Course and Population Sciences, King’s College London, London WC2R 2LS, UK

9. Queens Centre for Oncology and Haematology, Hull and East Yorkshire NHS Trust, Hull HU16 5JQ, UK

10. Cancer Research Group, Hull York Medical School, University of Hull, Hull HU6 7RX, UK

11. Breast Unit, Department of Medicine, The Royal Marsden NHS Foundation Trust, London SW3 6JJ, UK

12. School of Medicine, University of Nottingham, Nottingham NG7 2UH, UK

13. Leeds Institute of Medical Research at St James’, University of Leeds, Leeds LS2 9JT, UK

14. Division of Molecular and Clinical Medicine, Ninewells Hospital and Medical School, University of Dundee, Dundee DD2 1SY, UK

15. Tayside Cancer Centre, Ninewells Hospital and Medical School, NHS Tayside, Dundee DD2 1SG, UK

Abstract

Cancer is a disease associated with ageing. Managing cancer in older adults may prove challenging owing to pre-existing frailty, comorbidity, and wider holistic needs, as well as the unclear benefits and harms of standard treatment options. With the ongoing advances in oncology and the increasing complexity of treating older adults with cancer, the geriatric oncology field must be a priority for healthcare systems in education, research, and clinical practice. However, geriatric oncology is currently not formally taught in undergraduate education or postgraduate training programmes in the United Kingdom (UK). In this commentary, we outline the landscape of geriatric oncology undergraduate education and postgraduate training for UK doctors. We highlight current challenges and opportunities and provide practical recommendations for better preparing the medical workforce to meet the needs of the growing population of older adults with cancer. This includes key outcomes to be considered for inclusion within undergraduate and postgraduate curricula.

Publisher

MDPI AG

Subject

Cancer Research,Oncology

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