Table 1.

Description of the Memorial Sloan Kettering Cancer Center Cancer and Fertility Program

Core Element	Implementation
Resources for patients	Written educational material for male and female patients on fertility risks, FP options, and family-building options; provided to interested patients
	Internet site with written and videotaped information and links to additional resources
	Access to financial assistance programs
Resources for clinicians	Network of local reproductive specialists for referral
	Clearly defined referral process with electronic resources
	Referral to outside reproductive specialist
	Males: provided with a list of local sperm banks and instructed to select one and call to schedule an appointment
	Females: provided with a list of fertility centers and instructed to select one and call to schedule an appointment; referral may be initiated by the oncology clinician
	Referral to the MSK FCNS for more detailed information and to coordinate referrals
	Intranet site with information and links to additional resources accessible at all MSK locations as needed
Education of clinicians	Annual didactic presentations incorporated into orientation for all incoming medical oncology, breast surgical, neuro-oncology, and pediatric oncology fellows
	Ongoing presentations to nurses and other health care providers throughout the year
Consult service	FCNS available for patient consultations before, during, or after treatment to provide education and counseling and to facilitate referrals and coordinate care as needed
Clinical research and quality improvement	Multiple collaborative research studies among clinicians of various disciplines
	Service-specific initiatives to improve practice

Abbreviations: FCNS, fertility clinical nurse specialist; FP, fertility preservation; MSK, Memorial Sloan Kettering Cancer Center.