title: Cardiac disease and heart failure in cancer patients: is our training adequate to provide optimal care?
abstract: The care of patients with cancer who have cardiac disease is dispersed both sequentially and concurrently across multiple providers, and an important goal of education is communication among the providers regarding change of therapy, toxicity of therapy, and symptom assessments. Changes must be made to improve the delivery of cardiac care in patients with cancer and cancer survivors. Therefore, the authors propose a multilevel approach that includes short, targeted curriculum for housestaff training programs in internal medicine, family medicine, pediatrics, cardiology and oncology; increasing presence at national meetings of internists, oncologists and cardiologists; and an Internet-based repository of core information.
authors.affiliation: Cardiology Division, Memorial Sloan-Kettering Cancer Center, 1275 York Avenue, Howard-809, New York, NY 10065, USA. chenc@mskcc.org
authors.forename: Carol L
authors.initials: CL
authors.lastname: Chen
authors.forename: Richard
authors.initials: R
authors.lastname: Steingart
mesh_terms: D000367:Age Factors; D000970:Antineoplastic Agents / Q000009:adverse effects*; D054715:Cardiotoxins; D002318:Cardiovascular Diseases / Q000209:etiology / Q000628:therapy; D002648:Child; D003191:Comprehensive Health Care; D019468:Disease Management; D018450:Disease Progression; D018572:Disease-Free Survival; D004502:Education, Medical, Continuing / Q000379:methods*; D004509:Education, Nursing, Continuing / Q000379:methods; D006801:Humans; D009369:Neoplasms / Q000150:complications / Q000401:mortality / Q000628:therapy; D018579:Patient Selection; D020379:Risk Adjustment; D013192:Staff Development / Q000458:organization & administration*
chemical_list: D000970:Antineoplastic Agents; D054715:Cardiotoxins