PO-1263: What every radiation oncologist should know about geriatric oncology: A global expert consensus

Abstract

Purpose or Objective To establish a dedicated Radiation Oncology- Geriatric Oncology global curriculum for radiation and clinical oncology trainees worldwide Material and Methods An international Delphi Expert Consensus was undertaken in order to define the ideal geriatric oncology competency set for radiation and clinical oncology trainees worldwide. Two Delphi rounds were conducted via the SurveyMonkey online platform. An Expert Reference Panel (comprised of inter-professional world experts in radiation oncology, geriatric oncology and education) was formed with the purpose of compiling, reviewing and refining all potential curriculum points and competencies between rounds. Participants invited to partake in the Delphi Consensus rounds included Radiation Oncologists, Radiation Oncology trainees, Radiation Therapists, Geriatric Oncologists, Geriatricians, and Palliative care physicians, Surgical Oncologists, Medical Oncologists, specialist nurses and consumers. Invited participants met pre-defined criteria that identified them as having expertise in geriatric oncology and/or radiation oncology and/or education. Geographic spread of participants was sought to ensure the global relevance of the final competency set. Results An Expert Reference Panel comprised of 9 inter- professional experts in geriatric and radiation oncology was formed. A potential candidate competency set was developed via comprehensive review of geriatric oncology literature, related international guidelines and consultation with international experts. 70 potential knowledge & skill-based ‘candidate’ competencies across 12 domains were identified. In the Delphi Round 1 there were 94 respondents (66% response rate) from 18 countries and in Round 2 there were 38 respondents (52% response rate) from 12 countries. 39 items reached consensus for inclusion in the final curriculum. 31 items did not reach consensus and will not be included from the final curriculum. Concepts included in the final curriculum range from the epidemiology of ageing and cancer, general geriatric medicine, geriatric assessment in oncology, approaches to planning and delivery of radiation therapy in the older adult with cancer and special considerations regarding palliative care in older adults. Skills in communication, research, education and health advocacy are also included. Final Expert Reference Panel review is pending and will be presented. Conclusion The first international dedicated Radiation Oncology- Geriatric Oncology curriculum has been established. This educational framework will support radiation oncology training bodies around the world in ensuring future radiation and clinical oncologists are able to provide high quality and appropriate care to the rapidly increasing numbers of older adults with cancer.