title: Are the UK oncology trainees adequately informed about the needs of older people with cancer?
abstract: BACKGROUND
  Outcomes for older people with cancer are poorer in the United Kingdom compared with that in other countries. Despite this, the UK oncology curricula do not have dedicated geriatric oncology learning objectives. This cross-sectional study of UK medical oncology trainees investigates the training, confidence level and attitudes towards treating older people with cancer.
  
  
  METHODS
  A web-based survey link was sent to the delegates of a national medical oncology trainee meeting. Responses were collected in October 2011.
  
  
  RESULTS
  The response rate was 93% (64 out of 69). The mean age of the respondents was 32.3 years (range 27-42 years) and 64.1% were female. A total of 66.1% of the respondents reported never receiving training on the particular needs of older people with cancer, 19.4% reported to have received this training only once. Only 27.1% of the trainees were confident in assessing risk to make treatment recommendations for older patients compared with 81.4% being confident to treat younger patients. Even fewer were confident with older patients with dementia (10.2%).
  
  
  CONCLUSIONS
  This first study of the UK medical oncology trainees highlights the urgent need for change in curricula to address the complex needs of older people with cancer.
authors: POPS-GOLD, Older Person's Assessment Unit, Department of Ageing of Health, Guys Hospital, Guys and St Thomas' NHS Foundation Trust, London SE1 9RT, UK. tania.kalsi@gstt.nhs.uk
authors: T
authors: T
authors: Kalsi
authors: S
authors: S
authors: Payne
authors: H
authors: H
authors: Brodie
authors: J
authors: J
authors: Mansi
authors: Y
authors: Y
authors: Wang
authors: D
authors: D
authors: Harari
mesh_terms: D000328:Adult; D000367:Age Factors; D000368:Aged; D004501:Education, Medical / Q000592:standards; D005260:Female; D015577:Geriatric Assessment / Q000379:methods; D007722:Health Knowledge, Attitudes, Practice; D006301:Health Services Needs and Demand; D006801:Humans; D008297:Male; D008495:Medical Oncology / Q000193:education*; D009369:Neoplasms / Q000453:epidemiology / Q000628:therapy*; D010817:Physician-Patient Relations; D013337:Students, Medical / Q000706:statistics & numerical data; D011795:Surveys and Questionnaires; D006113:United Kingdom / Q000453:epidemiology; D000078329:Workforce
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