While everybody is talking about translational research, Europe is just ignoring the issue of training translational researchers. Oversea, despite a climate of economic uncertainty, United States are carrying on a huge effort in order to train physician-scientists feeding a brilliant new generation of researchers who will have the responsibility to lead translational projects and radically change our approach to cancer. They are training as MD/PhD, during residencies of surgery, hemato/oncology, radiation oncology, and then with research fellowships in competitive labs all over the country. Some of them will move into bio tech companies, some will remain into the academia or comprehensive cancer centers and a few will be in community hospital ready to improve the standard of care for most cancer patients. Where is Europe?