ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2025
BCM-MD Anderson onco-medicine track: a novel internal medicine residency pathway to strengthen the supportive cancer care workforce.
Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
purposeAs 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.
methodsThis 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.
resultsAs 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.
conclusionsThe 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.
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