Medical oncology workload, workforce census, and needs in Spain: two nationwide studies by the Spanish Society of medical oncology

Other authors

Institut Català de la Salut

[Fernandez Montes A] Department of Medical Oncology, University Hospital Complex of Ourense (CHUO), Ourense, Galicia, Spain. [Elez E] Servei d’Oncologia Mèdica, Vall d’Hebron Hospital Universitari, Barcelona, Spain. Vall d’Hebron Institute of Oncology (VHIO), Barcelona, Spain. Universitat Autònoma de Barcelona, Bellaterra, Spain. [de la Haba Rodriguez J] Medical Oncology Department, Reina Sofa University Hospital, Maimonides Institute for Biomedical Research in Cordoba, Córdoba, Spain. [Paez D] Department of Medical Oncology, Santa Creu I Sant Pau University Hospital, U705, ISCIII Centro de Investigación Biomédica en Red de Enfermedades Raras (CIBERER), Barcelona, Catalunya, Spain. [Mendez Vidal MJ] Medical Oncology Department, Maimonides Institute for Biomedical Research in Cordoba, Reina Sofa University Hospital, Córdoba, Spain. [Felip E] Servei d’Oncologia Mèdica, Vall d’Hebron Hospital Universitari, Barcelona, Spain. Vall d’Hebron Institute of Oncology (VHIO), Barcelona, Spain

Vall d'Hebron Barcelona Hospital Campus

Publication date

2024-01-29T07:59:55Z

2024-01-29T07:59:55Z

2024-01



Abstract

Medical oncologist; Spain; Workload


Médico oncólogo; España; Carga de trabajo


Metge oncòleg; Espanya; Càrrega de treball


Purpose Growing complexity and demand for cancer care entail increased challenges for Medical Oncology (MO). The Spanish Society of Medical Oncology (SEOM) has promoted studies to provide updated data to estimate the need for medical oncologists in 2040 and to analyse current professional standing of young medical oncologists. Methods Two national, online surveys were conducted. The first (2021) targeted 146 Heads of MO Departments, and the second (2022), 775 young medical oncologists who had completed their MO residency between 2014 and 2021. Participants were contacted individually, and data were processed anonymously. Results Participation rates reached 78.8% and 48.8%, respectively. The updated data suggest that 87–110 new medical oncologist full-time equivalents (FTEs) should be recruited each year to achieve an optimal ratio of 110–130 new cases per medical oncologist FTE by 2040. The professional standing analysis reveals that 9.1% of medical oncologists trained in Spain do not work in clinical care in the country, with tremendous employment instability (only 15.2% have a permanent contract). A high percentage of young medical oncologists have contemplated career paths other than clinical care (64.5%) or working in other countries (51.7%). Conclusions Optimal ratios of medical oncologists must be achieved to tackle the evolution of MO workloads and challenges in comprehensive cancer care. However, the incorporation and permanence of medical oncologists in the national healthcare system in Spain could be compromised by their current sub-optimal professional standing.


This study was funded by Janssen Pharmaceuticals.

Document Type

Article


Published version

Language

English

Publisher

Springer

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Attribution 4.0 International

http://creativecommons.org/licenses/by/4.0/

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