The current and future role of the medical oncologist in the professional care for cancer patients: a position paper by the European Society for Medical Oncology (ESMO)

Popescu, Răzvan; Schäfer, Reinhold; Califano, Raffaele; Eckert, R.; Coleman, Robert E.; Jy, Douillard; Cervantes, Andrés; Casali, Paolo G.; Sessa, Cristiana; Cutsem, Éric Van; Vries, Elisabeth G.E. de; Pavlidis, Nicholas; Fumasoli, K.; Wörmann, Bernhard; Samonigg, Hellmut; Cascinu, Stefano; Hernández, Juan Jesús Cruz; Howard, Anthony; Ciardiello, Fortunato; Stahel, Rolf A.; Piccart, Martine

doi:10.1093/annonc/mdt522

Cited by 56 publications

(44 citation statements)

References 10 publications

(8 reference statements)

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“…A recent position paper by the European Society for Medical Oncology (ESMO) emphasized the role of medical oncologists in the care of cancer patients in clinical and translational research, and it described the active political involvement of medical oncologists [1,2]. …”

Section: Introductionmentioning

confidence: 99%

Survey of Medical Oncology Status in Korea (SOMOS-K): A National Survey of Medical Oncologists in the Korean Association for Clinical Oncology (KACO)

2017

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PurposeThis study was conducted to investigate the current role of medical oncologists in cancer care with a focus on increasing the recognition of medical oncology as an independent specialty.Materials and MethodsQuestionnaires modified from the Medical Oncology Status in Europe Survey dealing with oncology structure, resources, research, and patterns of care given by medical oncologists were selected. Several modifications were made to the questionnaire after feedback from the insurance and policy committee of the Korean Association for Clinical Oncology (KACO). The online survey was then sent to KACO members.ResultsA total of 214 medical oncologists (45.8% of the total inquiries), including 71 directors of medical oncology institutions, took the survey. Most institutions had various resources, including a medical oncology department (94.1%) and a department of radiation oncology (82.4%). There was an average of four medical oncologists at each institution. Medical oncologists were involved in various treatments from diagnosis to end-of-life care. They were also chemotherapy providers from a wide range of institutions that treated many types of solid cancers. In addition, 86.2% of the institutions conducted research.ConclusionThis is the first national survey in Korea to show that medical oncologists are involved in a wide range of cancer treatments and care. This survey emphasizes the contributions and proper roles of medical oncologists in the evolving health care environment in Korea.

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Section: Introductionmentioning

confidence: 99%

Survey of Medical Oncology Status in Korea (SOMOS-K): A National Survey of Medical Oncologists in the Korean Association for Clinical Oncology (KACO)

2017

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“…[1][2][3] Thus, a continuous effort to optimize medical education and update skills and knowledge is strongly demanded. National and international congresses represent a helpful possibility, but they are often time and resource consuming.…”

Section: Introductionmentioning

confidence: 99%

The Pocketable Electronic Devices in Radiation Oncology (PEDRO) Project

Bari

Franco

Niyazi³

et al. 2015

Technol Cancer Res Treat

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Purpose: To analyze the impact of mobile electronic devices (MEDs) and apps in the daily clinical activity of young radiation or clinical oncologists in 5 Western European countries (Italy, Germany, Spain, Portugal, and Denmark). Methods: A web-based questionnaire was sent to 462 young (40 years) members of the national radiation or clinical oncology associations of the countries involved in the study. The 15 items investigated diffusion of MEDs (smartphones and/or tablets), their impact on daily clinical activity, and the differences perceived by participants along time. Results: A total of 386 (83.5%) of the 462 correctly filled questionnaires were statistically evaluated. Up to 65% of respondents declared to use an electronic device during their clinical activity. Conversely, 72% considered low to moderate impact of smartphones/tables on their daily practice. The daily use significantly increased from 2009 to 2012: users reporting a use 6 times/d raised from 5% to 39.9%. Professional needs fulfillment was declared by less than 68% of respondents and compliance to apps indications by 66%. Significant differences were seen among the countries, in particular concerning the feeling of usefulness of MEDs in the daily clinical life. This survey showed a large diffusion of MEDs in young professionals working in radiation oncology. Looking at these data, it is important to verify the consistency of information found within apps, in order to avoid potential errors eventually detrimental for patients. ''Quality assurance'' criteria should be specifically developed for medical apps and a comprehensive Web site gathering all reliable applications and tools might be useful for daily clinical practice.

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“…Over the subsequent thirty plus years, there have been notable changes in the expectations and demands of the medical oncology workforce itself. For example, medical oncologists have assumed a central role in multidisciplinary cancer care, often serving as the ‘patient interface’ between other oncology healthcare professionals and patients [3], and are crucial in meeting the demand for, and the delivery of, quality clinical cancer care as well as psychosocial care for their patients. It is therefore unsurprising that medical oncology is, like many other areas of medicine, steadily evolving in terms of the character of the work and the structural pressures on the profession as a whole (see also [4, 5]).…”

Section: Introductionmentioning

confidence: 99%

A Qualitative Study of Medical Oncologists’ Experiences of Their Profession and Workforce Sustainability

et al. 2016

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BackgroundMedical oncology is a steadily evolving field of medical practice and professional pathway for doctors, offering value, opportunity and challenge to those who chose this medical specialty. This study examines the experiences of a group of Australian medical oncologists, with an emphasis on their professional practice, career experiences, and existing and emerging challenges across career stages.MethodsIn-depth qualitative interviews were conducted with 22 medical oncologists, including advanced trainees, early-career consultants and senior consultants, focusing on: professional values and experiences; career prospects and pathways; and, the nexus of the characteristics of the profession and delivery of care.ResultsThe following themes were emergent from the interviews: the need for professional reinvention and the pressure to perform; the importance, and often absence, of mentoring and feedback loops; the emotional labour of oncology; and, the impact of cascading workload volume on practice sustainability.ConclusionsUnderstanding professional experiences, career trajectories and challenges at the workforce level are crucial for understanding what drives the oncological care day-to-day. The results indicate that there are considerable potential tensions between the realities of professional, workforce demands and expectations for patient care. Such tensions have real and significant consequences on individual medical oncologists with respect to their futures, aspirations, satisfaction with work, caring practices, interactions with patients and potentially therapeutic outcomes.

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The current and future role of the medical oncologist in the professional care for cancer patients: a position paper by the European Society for Medical Oncology (ESMO)

Cited by 56 publications

References 10 publications

Survey of Medical Oncology Status in Korea (SOMOS-K): A National Survey of Medical Oncologists in the Korean Association for Clinical Oncology (KACO)

Survey of Medical Oncology Status in Korea (SOMOS-K): A National Survey of Medical Oncologists in the Korean Association for Clinical Oncology (KACO)

The Pocketable Electronic Devices in Radiation Oncology (PEDRO) Project

A Qualitative Study of Medical Oncologists’ Experiences of Their Profession and Workforce Sustainability

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