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Most oncology professionals lack prior training in integrative medicine despite emerging curriculum needsMost cancer doctors lack training in integrative medicine

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Key Takeaway
Note that 85.4% of oncology professionals lack prior training in integrative medicine.

This narrative review maps the current educational infrastructure for integrative oncology among the oncology workforce in the United States. The scope includes an examination of competency frameworks, identification of barriers to workforce development, and the identification of emerging needs for curriculum standards.

The review highlights a significant gap in professional training, noting that 85.4% of oncology physicians, fellows, and program directors had little or no prior training in integrative medicine in 2022. Furthermore, the review identifies only 2 board eligible physician fellowship programs currently available: the Integrative Medicine in Hematology Oncology fellowship and the Integrative Oncology Scholars Program.

The findings suggest a substantial need for standardized curriculum and expanded training resources. While the review does not test a specific intervention, it identifies the current infrastructure and barriers to workforce development. These findings may inform the development of educational programs to address the identified lack of training among oncology professionals.

How this fits prior evidence

This narrative review addresses a gap in the current evidence base regarding the professional training of the oncology workforce. While prior coverage has explored digital interventions for genetic service uptake and machine learning for symptom prediction, this review focuses on the educational infrastructure for integrative oncology. It identifies that 85.4% of oncology professionals lack prior training in integrative medicine, highlighting a specific need for workforce development not addressed in previous reports.

If you have cancer, you might be curious about acupuncture for pain, yoga for fatigue, or supplements to help you feel better. But when you ask your oncologist, they may not have much to offer. A new review of cancer care in the United States found that most oncology professionals have little or no training in these complementary approaches.

The review, which looked at the current state of integrative oncology education, found that 85.4% of oncology physicians, fellows, and program directors had little or no prior training in integrative medicine in 2022. Integrative oncology combines standard cancer treatments with evidence-based complementary therapies like nutrition, mind-body practices, and acupuncture.

Right now, there are only two board-eligible physician fellowship programs in this area: the Integrative Medicine in Hematology Oncology fellowship and the Integrative Oncology Scholars Program. That's a very small pipeline for training the next generation of cancer doctors.

This review is a snapshot, not a test of a new treatment. It maps the current educational landscape and highlights a clear gap. The authors also examined competency frameworks and identified barriers to workforce development, pointing to an urgent need for curriculum standards. If you're a patient, this means your doctor may not be equipped to guide you on integrative therapies, even if they're open to them. It's a call to action for medical training, not a study of what works best for patients.

What this means for you:
Most cancer doctors lack training in integrative medicine, leaving patients without guidance on complementary therapies.

Common questions

What is integrative oncology?

Integrative oncology combines standard cancer treatments like chemotherapy and radiation with evidence-based complementary therapies. These can include things like acupuncture, massage, nutrition counseling, and mind-body practices such as yoga or meditation. The goal is to support the whole person, not just treat the tumor, and to help manage side effects and improve quality of life.

Why do cancer doctors need training in integrative medicine?

Many people with cancer use complementary therapies on their own, but without proper training, doctors may not know which ones are safe or effective. This review found that 85.4% of oncology professionals had little or no prior training in integrative medicine in 2022. Training would help doctors guide patients on evidence-based options and avoid harmful interactions with cancer treatments.

How many integrative oncology fellowship programs exist?

According to the review, there are currently two board-eligible physician fellowship programs in the United States: the Integrative Medicine in Hematology Oncology fellowship and the Integrative Oncology Scholars Program. This is a very small number compared to the need, which is why the review highlights a gap in workforce development.

Study Details

Study typeSystematic review
EvidenceLevel 1
PublishedSep 2026
View Original Abstract ↓
Integrative oncology (IO), an evidence informed field that uses mind-body practices, natural products, and lifestyle modification alongside conventional cancer care, has entered a new phase of educational development. The Society for Integrative Oncology–American Society of Clinical Oncology joint clinical practice guidelines on pain, anxiety/depression, and fatigue have sharpened the need for an oncology workforce prepared to counsel patients on evidence-based integrative therapies. Historically, formal integrative oncology-specific training has been sparse, as seen in a published national needs assessment citing that 85.4% of oncology physicians, fellows, and program directors had little or no prior training in integrative medicine in 2022. However, this educational landscape has begun to change rapidly. The Academic Consortium for Integrative Medicine and Health now recognize oncology-specific fellowships, with two board eligible physician fellowship programs now available in the US: the Integrative Medicine in Hematology Oncology fellowship and the Integrative Oncology Scholars Program. Additionally, the (IOS) program offers a multi-disciplinary certificate track. Multiple continuing IO medical education programs have been launched across leading cancer centers, and a comprehensive IO textbook has recently been published. This narrative review maps the current IO educational infrastructure in the United States for physicians, examines competency frameworks and emerging need for curriculum standards for multiple professions, catalogues available resources, identifies persistent barriers to workforce development, and proposes priorities for the field’s next phase.
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