Integration of geriatrics in oncology training--the relationship between the academic center and the community

The aging of the population and the ensuing large increase in the number of older cancer patients require that the subspeciality of Medical Oncology respond quickly and effectively to this need. Sixty percent of all cancer occurs in persons aged 65 years or older and there is an unprecedented growth of this segment of the population. Their treatment is further complicated by the preexisting medical conditions and their unique social and economic needs. The response of both the academic and private practice communities will greatly effect the future of cancer care for the elderly. There is an immediate need for physicians and other health care providers to better understand the influence of advancing age on diagnosis and treatment of cancer. Integration of geriatric and medical oncology training would be an important step in this process. This paper discusses various aspects of a combined educational proposal.