Geriatric oncology advanced practice provider fellowship subspecialty track: Development and implementation.

BACKGROUND: Older adults represent a substantial proportion of the population living with cancer in the United States (U.S.). As APPs assume an increasingly prominent role in oncology care delivery, specialized knowledge and skills are essential to address the complex needs of older adults with cancer; however, formal training for these providers in geriatric oncology remains limited. PURPOSE: To identify knowledge gaps in geriatric oncology among APPs and develop a structured educational intervention to address these learning needs. METHODS: An institutional needs assessment was conducted using a modified Geriatrics and Gerontology Knowledge and Skills Survey distributed electronically to APPs. Findings informed the development of a geriatric oncology subspecialty track within an existing APP Oncology Fellowship program. INTERVENTIONS: A 12-month, competency-based fellowship track integrating geriatrics and oncology was implemented, incorporating clinical rotations, didactic education, dedicated mentorship, interprofessional collaboration, and structured evaluations. RESULTS: The needs assessment revealed significant knowledge gaps in atypical disease presentation, polypharmacy, comprehensive geriatric assessment, and treatment-related risk evaluation. A standardized curriculum and competency framework were subsequently developed and implemented. CONCLUSIONS: A geriatric oncology fellowship subspecialty training track provides a feasible, structured approach to addressing APP educational needs and supporting high-quality, patient-centered care for older adults with cancer.