According to recent data, 78 percent of hospice social workers' direct prac
tice hours are spent with patients and families diagnosed with terminal can
cer A national sample of 108 hospice social workers participated in an expl
oratory study investigating the influence of their formal academic training
, informal on-the-job training and related professional and personal experi
ences on their preparation for oncology social work. Findings suggest that
social workers view both the generalist or core courses as well as the spec
ialist and elective courses as important in preparing them for oncology soc
ial work. In addition, on-the-job training focusing on medical terminology
interdisciplinary collaboration, death and dying, and the integration of pe
rsonal experiences are important for continuing growth and success in this
work. Implications for social work practice, research, and formal and infor
mal educational opportunities are discussed.