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Peer-reviewedCC BY-NC-NDEuropean heart journal open

Educational needs in cardio-oncology: an international survey by the COOL group of the ESC council of cardio-oncology.

3 more authors
17 affiliations
  1. 1Department of Cardiovascular Sciences-CUORE, Fondazione Policlinico Universitario A. Gemelli IRCCS, Largo Agostino Gemelli, 800168 Rome, Italy.
  2. 2Department of Cardiovascular Sciences-CUORE, Catholic University of the Sacred Heart, Largo Francesco Vito, 100168 Rome, Italy.
  3. 3Cardio-Oncology Centre of Excellence, Royal Brompton Hospital, Sydney Street, London SW3 6NP, UK.
  4. 4Department of Cardiology, Dr. Muhammad Hoesin General Hospital, Jl. Jenderal Sudirman Km. 3.5, Palembang, South Sumatra 30126, Indonesia.
  5. 5Université Paris Cité, Inserm MASCOT, 2 rue Ambroise Paré, 75010 Paris, France.
  6. 6Service de Cardiologie A, Hôpital Ibn-Sina, CHU de Rabat-Salé, Avenue Abderrahim Bouabid, Rabat 10000, Morocco.
  7. 7Department of Cardiology, Akershus University Hospital, Sykehusveien 25, 1478 Lørenskog, Norway.
  8. 8Department of Cardio-Oncology, Chair of Hematology and Transfusion Medicine, Centre of Postgraduate Medical Education, Marymoncka 99/10301-813 Warsaw, Poland.
  9. 9Department of Cardiology, Skåne University Hospital in Malmö, Jan Waldenströms gata 15, SE-205 02 Malmö, Sweden.
  10. 10Thorax Center, Department of Cardiology, Erasmus MC, Cardiovascular Institute, Dr. Molewaterplein 40, 3015 GD Rotterdam, The Netherlands.
  11. 11Cardiovascular Translational Unit, AOM IRCCS Ospedale Policlinico San Martino, Genova, Italy Largo Rosanna Benzi, 1016132 Genoa (Genova), Italy.
  12. 12Department of Internal Medicine, University of Genova, Viale Benedetto XV, 616132 Genova, Italy.
  13. 13Department of Cardiology, Athens University Hospital Attikon, National and Kapodistrian University of Athens School of Medicine, 1 Rimini Street, 124 62 Chaidari (Athens), Greece.
  14. 14Experimental Cardiology University Medical Center Groningen, PO Box 30.001, 9700 RB Groningen, The Netherlands.
  15. 15Department of Cardiology, La Paz University Hospital, IdiPAZ Research Institute, Paseo de la Castellana, 26128046 Madrid, Spain.
  16. 16Department of Cardiology, University Hospital Quirόnsalud, Calle Diego de Velázquez, 128223 Pozuelo de Alarcón, Madrid, Spain.
  17. 17Department of Cardiology, Institut Médico-Chirurgical Montsouris, 42 Boulevard Jourdan, 75014 Paris, France.

Abstract

Aims

Cardio-oncology has emerged as a rapidly growing discipline of cardiology. Despite its clinical relevance, structured education remains limited across medical curricula. The Cardio-Oncologists Of tomorrow Leaders (COOL) group of the European Society of Cardiology (ESC) Council of Cardio-Oncology conducted an international survey to assess the current state of cardio-oncology training opportunities and perceived needs among healthcare professionals.Methods and results

An anonymized, web-based survey was distributed to cardiologists, cardiology residents and other healthcare professionals treating patients with cancer. A total of 398 respondents completed this survey (mean age 44 ± 12 years; 60% female; 73% board-certified cardiologists). Only 10% reported exposure to cardio-oncology during medical school, and 17% during residency. The majority (>70%) indicated no structured cardio-oncology training opportunities at their institution, with national cardio-oncology programmes available to only 19% of them. Respondents identified the ESC and national cardiac societies (72%) as main stakeholders responsible for developing educational initiatives. Most participants preferred fellowships at centres of excellence (56%), webinars (53%) and university certifications (51%) as learning formats. A strong consensus (over 85%) emerged that all general cardiologists should be familiar with key cardio-oncology principles, including diagnosis and risk-stratification of cardiotoxicity. Responses differed across respondents' training status, work setting (academic vs. non-academic) and country.Conclusion

In parallel with the general growth of the field, there is increasing need of structured and harmonized training in cardio-oncology, including during medical education. Interpretation of results is however, limited by possible selection bias and the absence of a defined denominator, which precluded calculation of response rate.

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BibTeX
@article{camilli2026educational,
  title = {{Educational needs in cardio-oncology: an international survey by the COOL group of the ESC council of cardio-oncology.}},
  author = {Massimiliano Camilli and Maria Clara Llamedo and Novi Yanti Sari and Trecy Gonçalves and Hasnaa Belghiti and Albulena Mecinaj and Jarosław Kępski and Madeleine Johansson and Wouter C Meijers and Pietro Ameri and Dimitrios Farmakis and Alexander R Lyon and Peter Van Der Meer and Teresa Lopez Fernandez and Mariana Mirabel},
  journal = {European heart journal open},
  year = {2026},
  month = sep,
  doi = {10.1093/ehjopen/oeag158},
  url = {https://europepmc.org/article/MED/42927265},
  note = {CC BY-NC-ND},
}
RIS
TY  - JOUR
TI  - Educational needs in cardio-oncology: an international survey by the COOL group of the ESC council of cardio-oncology.
AU  - Massimiliano Camilli
AU  - Maria Clara Llamedo
AU  - Novi Yanti Sari
AU  - Trecy Gonçalves
AU  - Hasnaa Belghiti
AU  - Albulena Mecinaj
AU  - Jarosław Kępski
AU  - Madeleine Johansson
AU  - Wouter C Meijers
AU  - Pietro Ameri
AU  - Dimitrios Farmakis
AU  - Alexander R Lyon
AU  - Peter Van Der Meer
AU  - Teresa Lopez Fernandez
AU  - Mariana Mirabel
PY  - 2026
DA  - 2026/09/24
JO  - European heart journal open
DO  - 10.1093/ehjopen/oeag158
UR  - https://europepmc.org/article/MED/42927265
AB  - Aims  Cardio-oncology has emerged as a rapidly growing discipline of cardiology. Despite its clinical relevance, structured education remains limited across medical curricula. The Cardio-Oncologists Of tomorrow Leaders (COOL) group of the European Society of Cardiology (ESC) Council of Cardio-Oncology conducted an international survey to assess the current state of cardio-oncology training opportunities and perceived needs among healthcare professionals.Methods and results  An anonymized, web-based survey was distributed to cardiologists, cardiology residents and other healthcare professionals treating patients with cancer. A total of 398 respondents completed this survey (mean age 44 ± 12 years; 60% female; 73% board-certified cardiologists). Only 10% reported exposure to cardio-oncology during medical school, and 17% during residency. The majority (>70%) indicated no structured cardio-oncology training opportunities at their institution, with national cardio-oncology programmes available to only 19% of them. Respondents identified the ESC and national cardiac societies (72%) as main stakeholders responsible for developing educational initiatives. Most participants preferred fellowships at centres of excellence (56%), webinars (53%) and university certifications (51%) as learning formats. A strong consensus (over 85%) emerged that all general cardiologists should be familiar with key cardio-oncology principles, including diagnosis and risk-stratification of cardiotoxicity. Responses differed across respondents' training status, work setting (academic vs. non-academic) and country.Conclusion  In parallel with the general growth of the field, there is increasing need of structured and harmonized training in cardio-oncology, including during medical education. Interpretation of results is however, limited by possible selection bias and the absence of a defined denominator, which precluded calculation of response rate.
SN  - 2752-4191
ER  -