"Coming through the fog, coming over the moors": the impact on pediatric oncologists of caring for seriously ill children

BACKGROUND: Pediatric palliative care has made substantial strides in the past decade; less attention has focused on providing emotional support to the pediatric oncologist. METHODS: I interviewed a total of 30 pediatric oncologists throughout the United States using a semistructured interview guide; anxiety and depression scales were administered. Major themes were identified. RESULTS: Most (57%) had experienced serious illnesses during their own childhood or adolescence; 77% had experienced significant medical events in their parents or siblings prior to adulthood. CONCLUSIONS: Pediatric oncologists need help mastering their own healing so they can be helpful to patients and families.