Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
BCM-MD Anderson onco-medicine track: a novel internal medicine residency pathway to strengthen the supportive cancer care workforce.
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Manzullo Ellen F, Faiz Saadia A, Hamill Richard J, Tweardy David J, Sembera Charity A, Lahoti Amit, Odaro Orhue
Аннотация
PURPOSE: As cancer incidence increases, internal medicine (IM) physicians play a growing role in managing the complex medical needs of cancer patients and survivors across the care continuum. However, few residency programs offer structured training in supportive oncology care. We developed a combined Baylor College of Medicine (BCM) and The University of Texas MD Anderson Cancer Center (MDACC) Onco-Medicine Track to equip IM residents with skills in cancer prevention, survivorship, symptom management, and interdisciplinary care.
METHODS: This 3-year residency track launched in 2015 through a partnership between BCM and MDACC. Residents complete approximately one-third of their training in cancer-focused IM rotations, including onco-hospital medicine, palliative care, supportive care, and subspecialty experiences. Program development was informed by a feasibility assessment and modeled in part on career pathways at the University of California, San Francisco.
RESULTS: As of 2024, the program has trained 35 graduates, 57% of whom pursued oncology-related careers. Board pass rates and in-training exam scores for track residents were comparable to peers. Resident evaluations emphasized the educational value of rotations focused on cancer screening, managing treatment-related complications, and improving communication skills as well as survivorship-focused competencies. Graduates have received national recognition through awards, presentations, and leadership roles. Demand remains strong, with consistent NRMP match fills and high applicant volumes.
CONCLUSIONS: The BCM-MDACC Onco-Medicine Track demonstrates a sustainable and scalable model for preparing internists in supportive cancer care and survivorship. Its integrated structure may inform similar efforts at other institutions, even those without access to a comprehensive cancer center.
METHODS: This 3-year residency track launched in 2015 through a partnership between BCM and MDACC. Residents complete approximately one-third of their training in cancer-focused IM rotations, including onco-hospital medicine, palliative care, supportive care, and subspecialty experiences. Program development was informed by a feasibility assessment and modeled in part on career pathways at the University of California, San Francisco.
RESULTS: As of 2024, the program has trained 35 graduates, 57% of whom pursued oncology-related careers. Board pass rates and in-training exam scores for track residents were comparable to peers. Resident evaluations emphasized the educational value of rotations focused on cancer screening, managing treatment-related complications, and improving communication skills as well as survivorship-focused competencies. Graduates have received national recognition through awards, presentations, and leadership roles. Demand remains strong, with consistent NRMP match fills and high applicant volumes.
CONCLUSIONS: The BCM-MDACC Onco-Medicine Track demonstrates a sustainable and scalable model for preparing internists in supportive cancer care and survivorship. Its integrated structure may inform similar efforts at other institutions, even those without access to a comprehensive cancer center.