title: [Multidisciplinarity, education, and training in pediatric oncology-hematology].
abstract: BACKGROUND
  According to the European Society of Pediatric Oncology (SIOPE) standard of care guidelines, high-quality care of children and adolescents with cancer needs to be delivered by well-trained multidisciplinary teams in specialist centers working with designated shared-care local centers in a so-called hub-and-spoke model. The Diplôme Inter-Universitaire d'Oncologie Pédiatrique (DIUOP) is the only European training program in pediatric oncology in French for all physicians involved in care of patients with pediatric malignancies. In agreement with the SIOPE syllabus, the DIUOP is composed of training courses (120h), on-site practical training in a specialist center, and a research project to be defended before an examining board.
  
  
  METHODS
  All graduates received a questionnaire to describe their current professional position. A comprehensive PubMed analysis retrieved all papers published form DIUOP research projects.
  
  
  RESULTS
  From 2000 to 2011, 290 physicians were trained: 242 pediatricians, 21 surgeons, and 19 radiation therapists. Eight had another specialty including imaging, hematology, and pathology. Ninety-two were initially trained outside of France: 50% in Europe (mainly in Italy, Belgium, and Switzerland), 42% in Africa and the Middle East, and 8% in South America. Of the 266 graduates, 74% answered the questionnaire, and 90% of them take care of children and adolescents with cancer. Sixty-nine articles, i.e., one out of four research projects, were published in 34 journals with a median impact factor of 3.5 (0-22.6), 85% in English.
  
  
  CONCLUSIONS
  DIUOP is the only French-speaking European education program providing a high-quality, professionalizing, and comprehensive multidisciplinary training program for French and international specialists taking care of children and adolescents with cancer.
authors.affiliation: Direction de la recherche clinique, institut Gustave-Roussy, université Paris-Sud, 114, rue Édouard-Vaillant, 94805 Villejuif cedex, France. Electronic address: gillesvassal@gustaveroussy.fr.
authors.forename: G
authors.initials: G
authors.lastname: Vassal
authors.affiliation: Service d'hématologie et d'oncologie pédiatrique, AP-HP, hôpital Armand-Trousseau, université Pierre-et-Marie-Curie Paris 06, 26, avenue du Dr-Arnold-Netter, 75012 Paris, France.
authors.forename: J
authors.initials: J
authors.lastname: Landman-Parker
authors.affiliation: Service d'hématologie pédiatrique, hôpital Robert-Debré, université Paris VII, 48, boulevard Sérurier, 75019 Paris, France.
authors.forename: A
authors.initials: A
authors.lastname: Baruchel
authors.affiliation: Institut d'hématologie-oncologie pédiatrique, 1, place Professeur-Joseph-Renaut, 69008 Lyon, France.
authors.forename: C
authors.initials: C
authors.lastname: Bergeron
authors.affiliation: Unité d'hémato-oncologie, centre hospitalier universitaire Purpan, pôle IUC oncopole, 1, avenue Irène-Joliot-Curie, 31059 Toulouse cedex 9, France.
authors.forename: H
authors.initials: H
authors.lastname: Rubie
authors.affiliation: Service d'hématologie-oncologie pédiatrique, hôpital d'enfants de La Timone, Aix-Marseille université, Assistance publique des Hôpitaux de Marseille, 264, rue Saint-Pierre, 13385 Marseille, France.
authors.forename: C
authors.initials: C
authors.lastname: Coze
authors.affiliation: Service d'oncologie pédiatrique, hôpital d'enfants, université de Lorraine, rue du Morvan, 54511 Vandœuvre-lès-Nancy, France.
authors.forename: P
authors.initials: P
authors.lastname: Chastagner
authors.affiliation: Service d'hématologie et d'oncologie pédiatrique, AP-HP, hôpital Armand-Trousseau, université Pierre-et-Marie-Curie Paris 06, 26, avenue du Dr-Arnold-Netter, 75012 Paris, France.
authors.forename: G
authors.initials: G
authors.lastname: Leverger
authors.affiliation: Institut d'hématologie-oncologie pédiatrique, 1, place Professeur-Joseph-Renaut, 69008 Lyon, France.
authors.forename: Y
authors.initials: Y
authors.lastname: Bertrand
authors.affiliation: Département de cancérologie de l'enfant et de l'adolescent, Gustave-Roussy, 114, rue Édouard-Vaillant, 94805 Villejuif cedex, France.
authors.forename: D
authors.initials: D
authors.lastname: Valteau-Couanet
authors.affiliation: Département d'oncologie pédiatrique, adolescents, jeunes adultes (DOPAJA), institut Curie, 26, rue d'ULM, 75005 Paris, France.
authors.forename: J
authors.initials: J
authors.lastname: Michon
authors.affiliation: Département d'imagerie, Gustave-Roussy, 114, rue Édouard-Vaillant, 94805 Villejuif cedex, France.
authors.forename: D
authors.initials: D
authors.lastname: Couanet
authors.affiliation: École des sciences du cancer, Gustave-Roussy, université Paris-Sud, 114, rue Édouard-Vaillant, 94805 Villejuif cedex, France.
authors.forename: A-M
authors.initials: AM
authors.lastname: Rivière
authors.affiliation: École des sciences du cancer, Gustave-Roussy, université Paris-Sud, 114, rue Édouard-Vaillant, 94805 Villejuif cedex, France.
authors.forename: D
authors.initials: D
authors.lastname: Avenell
authors.affiliation: Unité d'hématologie et oncologie pédiatrique, centre hospitalier universitaire de Bordeaux, université de Bordeaux, place Amélie-Raba-Léon, 33000 Bordeaux, France.
authors.forename: Y
authors.initials: Y
authors.lastname: Pérel
authors.affiliation: Département d'oncologie pédiatrique, adolescents, jeunes adultes (DOPAJA), institut Curie, université Paris Descartes, 26, rue d'ULM, 75005 Paris, France.
authors.forename: F
authors.initials: F
authors.lastname: Doz
mesh_terms: D000293:Adolescent; D002648:Child; D005602:France; D006405:Hematology / Q000193:education*; D006801:Humans; D033183:Interdisciplinary Communication; D008495:Medical Oncology / Q000193:education*; D009369:Neoplasms / Q000628:therapy; D010372:Pediatrics / Q000193:education*; D011795:Surveys and Questionnaires