title: Medical oncology future plan of the Spanish Society of Medical Oncology: challenges and future needs of the Spanish oncologists.
abstract: OBJECTIVE
  The SEOM Future Plan is aimed at identifying the main challenges, trends and needs of the medical oncology speciality over the next years, including potential oncologist workforce shortages, and proposing recommendations to overcome them.
  
  
  METHODS
  The estimations of the required medical oncologists workforce are based on an updated Medical Oncologist Register in Spain, Medical Oncology Departments activity data, dedication times and projected cancer incidence. Challenges, needs and future recommendations were drawn from an opinion survey and an advisory board.
  
  
  RESULTS
  A shortage of 211 FTE medical oncologist specialists has been established. To maintain an optimal ratio of 158 new cases/FTE, medical oncology workforce should reach 1881 FTE by 2035.
  
  
  CONCLUSIONS
  Main recommendations to face the growing demand and complexity of oncology services include a yearly growth of 2.5% of medical oncologist's workforce until 2035, and development and application of more accurate quality indicators for cancer care and health outcomes measure.
authors.affiliation: Medical Oncology Department, Hospital Universitario Marqués de Valdecilla, Santander, Spain. oncrhf@humv.es.|Sociedad Española de Oncología Médica (SEOM), C/ Velázquez, 7-3º planta, 28001, Madrid, Spain. oncrhf@humv.es.|2013-2015 SEOM Executive Board, C/ Velázquez, 7-3º planta, 28001, Madrid, Spain. oncrhf@humv.es.
authors.forename: F
authors.identifier: http://orcid.org/0000-0002-7185-0534
authors.initials: F
authors.lastname: Rivera
authors.affiliation: Medical Oncology Department, Hospital Clínico Lozano Blesa, Zaragoza, Spain.|SEOM Future Plan Advisory Board, C/ Velázquez, 7-3º planta, 28001, Madrid, Spain.
authors.forename: R
authors.initials: R
authors.lastname: Andres
authors.affiliation: Institut d'Oncologia, Vall d'Hebron University Hospital, Barcelona, Spain.|SEOM Future Plan Advisory Board, C/ Velázquez, 7-3º planta, 28001, Madrid, Spain.
authors.forename: E
authors.initials: E
authors.lastname: Felip
authors.affiliation: Medical Oncology Department, Complejo Hospitalario Universitario A Coruña, Coruña, Spain.|2015-2017 SEOM Executive Board, C/ Velázquez, 7-3º planta, 28001, Madrid, Spain.
authors.forename: R
authors.initials: R
authors.lastname: Garcia-Campelo
authors.affiliation: Medical Oncology Department, Hospital de Mataró, Mataró, Barcelona, Spain.|2013-2015 SEOM Executive Board, C/ Velázquez, 7-3º planta, 28001, Madrid, Spain.
authors.forename: P
authors.initials: P
authors.lastname: Lianes
authors.affiliation: Medical Oncology Department, Hospital Universitàri Arnau de Vilanova, Lleida, Spain.|2013-2015 SEOM Executive Board, C/ Velázquez, 7-3º planta, 28001, Madrid, Spain.
authors.forename: A
authors.initials: A
authors.lastname: Llombart
authors.affiliation: Medical Oncology Department, University Hospital Donostia, Donostia/San Sebastián, Spain.|SEOM Future Plan Advisory Board, C/ Velázquez, 7-3º planta, 28001, Madrid, Spain.
authors.forename: J M
authors.initials: JM
authors.lastname: Piera
authors.affiliation: Medical Oncology Department, Hospital Clínico Universitario San Carlos, Madrid, Spain.|SEOM Future Plan Advisory Board, C/ Velázquez, 7-3º planta, 28001, Madrid, Spain.
authors.forename: J
authors.initials: J
authors.lastname: Puente
authors.affiliation: Medical Oncology Department, Hospital Clínico Universitario, Salamanca, Spain.|2015-2017 SEOM Executive Board, C/ Velázquez, 7-3º planta, 28001, Madrid, Spain.
authors.forename: C A
authors.initials: CA
authors.lastname: Rodriguez
authors.affiliation: Medical Oncology Department, Complejo Hospitalario de Navarra, Pamplona, Spain.|2015-2017 SEOM Executive Board, C/ Velázquez, 7-3º planta, 28001, Madrid, Spain.
authors.forename: R
authors.initials: R
authors.lastname: Vera
authors.affiliation: Medical Oncology Department, Complejo Hospitalario Regional Virgen Macarena, Sevilla, Spain.|2015-2017 SEOM Executive Board, C/ Velázquez, 7-3º planta, 28001, Madrid, Spain.
authors.forename: J A
authors.initials: JA
authors.lastname: Virizuela
authors.affiliation: Department of Medical Oncology, Instituto de Investigación Sanitaria Gregorio Marañón, Hospital General Universitario Gregorio Marañón, Madrid, Spain.|2015-2017 SEOM Executive Board, C/ Velázquez, 7-3º planta, 28001, Madrid, Spain.
authors.forename: M
authors.initials: M
authors.lastname: Martin
authors.affiliation: Department of Medical Oncology, IRYCIS, Hospital Universitario Ramón y Cajal, Madrid, Spain.|2013-2015 SEOM Executive Board, C/ Velázquez, 7-3º planta, 28001, Madrid, Spain.
authors.forename: P
authors.initials: P
authors.lastname: Garrido
mesh_terms: D006301:Health Services Needs and Demand; D006801:Humans; D008495:Medical Oncology; D009369:Neoplasms / Q000517:prevention & control*; D000072103:Oncologists; D010347:Patient Care Planning / Q000592:standards*; D013030:Spain
keywords: Future; Medical Oncology; Recommendations; SEOM; Spain; Workforce