scholarly journals The impact of Clinical Nurse Specialists on the decision making process in cancer multidisciplinary team meetings: A qualitative study

2019 ◽  
Vol 43 ◽  
pp. 101674 ◽  
Author(s):  
Isla Wallace ◽  
Helen Barratt ◽  
Sarah Harvey ◽  
Rosalind Raine
Keyword(s):  
Decision Making ◽  
Qualitative Study ◽  
Multidisciplinary Team ◽  
Decision Making Process ◽  
Clinical Nurse ◽  
Clinical Nurse Specialists ◽  
Team Meetings ◽  
The Impact ◽  
Multidisciplinary Team Meetings

scholarly journals Impact of the COVID-19 pandemic urology trainees in the West of Scotland

2021 ◽  
pp. 205141582098767
Author(s):  
Ashley Carrera ◽  
Je Song Shin ◽  
Holly Bekarma
Keyword(s):  
Multidisciplinary Team ◽  
Online Teaching ◽  
The West ◽  
Level Of Evidence ◽  
Team Meetings ◽  
Educational Benefit ◽  
Teaching Modules ◽  
The Impact ◽  
Training Opportunities ◽  
Multidisciplinary Team Meetings

Hospitals worldwide have taken unprecedented steps to cope with the coronavirus disease 2019 (COVID-19) pandemic. Changes to services created challenges for delivering training in urology. Statutory education bodies implemented processes addressing trainee progression, but the extent of training disruption has not been quantified. To establish the impact on urology trainees in the West of Scotland, online questionnaires were sent to trainees and educational supervisors. Twenty-five trainees working at six hospitals across four health boards responded. Elective operating was significantly reduced, with 64% of trainees having no weekly sessions. Before the pandemic, the majority of trainees (92%) had one or two clinic sessions or more per week, but with new measures, 76% of trainees did not attend clinics. Trainee attendance at multidisciplinary team meetings halved during the pandemic. Sixteen per cent ( n=4) of trainees were redeployed, with 50% ( n=2) reporting no educational benefit. Commonly used alternative educational resources included webinars (52%) and online teaching modules (28%). Thirty-two per cent ( n=8) of trainees had examinations postponed. COVID-19 has impacted urology training in the West of Scotland, with a significant reduction in training opportunities across elective theatre, clinic exposure and education. However, trainees will be more adaptable, learn to work remotely, have opportunities to develop leadership and may help redesign services for the future of urology. Level of evidence: Not applicable.

The Impact of Community on Curriculum Decision-Making in a North American Jewish Day School

2009 ◽  
pp. 255-269
Author(s):  
Eli Kohn
Keyword(s):  
High School ◽  
Decision Making ◽  
Qualitative Study ◽  
Curriculum Development ◽  
Day School ◽  
Decision Making Process ◽  
Jewish Day School ◽  
Partnership Model ◽  
Curriculum Decision Making ◽  
The Impact

This chapter presents the first tentative results of a qualitative study of a curriculum development process undertaken with the Herzliah High School in Montreal. This is the largest community Jewish day school in that city, with two campuses in different locations. The results are tentative because the project is continuing, allowing for further refinement and enhancement of the curriculum and materials produced. The research focuses on the ‘partnership model’ of curriculum development in which administrators, teachers, parents, students, and curriculum experts create curriculum in a collaborative forum. The chapter examines how decisions are reached in this process, focusing on two central questions. The first considers who ultimately makes the decisions among those involved in the kind of partnership model described here. The chapter then turns to the impact of ‘the community’ in the curriculum decision-making process.

scholarly journals Cancer Multidisciplinary Team Meetings: Evidence, Challenges, and the Role of Clinical Decision Support Technology

2011 ◽  
Vol 2011 ◽  
pp. 1-7 ◽  
Author(s):  
Vivek Patkar ◽  
Dionisio Acosta ◽  
Tim Davidson ◽  
Alison Jones ◽  
John Fox ◽  
...  
Keyword(s):  
Decision Making ◽  
Decision Support ◽  
Clinical Decision Support ◽  
Multidisciplinary Team ◽  
Care Delivery ◽  
Clinical Decision ◽  
Full Potential ◽  
Team Meetings ◽  
The Status ◽  
The Impact

Multidisciplinary team (MDT) model in cancer care was introduced and endorsed to ensure that care delivery is consistent with the best available evidence. Over the last few years, regular MDT meetings have become a standard practice in oncology and gained the status of the key decision-making forum for patient management. Despite the fact that cancer MDT meetings are well accepted by clinicians, concerns are raised over the paucity of good-quality evidence on their overall impact. There are also concerns over lack of the appropriate support for this important but overburdened decision-making platform. The growing acceptance by clinical community of the health information technology in recent years has created new opportunities and possibilities of using advanced clinical decision support (CDS) systems to realise full potential of cancer MDT meetings. In this paper, we present targeted summary of the available evidence on the impact of cancer MDT meetings, discuss the reported challenges, and explore the role that a CDS technology could play in addressing some of these challenges.

scholarly journals Multidisciplinary team meetings: are all patients presented and does it impact quality of care and survival – a registry-based study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Quentin Rollet ◽  
Véronique Bouvier ◽  
Grégoire Moutel ◽  
Ludivine Launay ◽  
Anne-Laure Bignon ◽  
...  
Keyword(s):  
Colon Cancer ◽  
Quality Of Care ◽  
Multidisciplinary Team ◽  
Poor Prognosis ◽  
Metastatic Cancer ◽  
Factors Associated ◽  
Team Meetings ◽  
The Impact ◽  
Multidisciplinary Team Meetings

Abstract Background Multidisciplinary team meetings (MDTMs) are part of the standard cancer care process in many European countries. In France, they are a mandatory condition in the authorization system for cancer care administration, with the goal to ensure that all new patients diagnosed with cancer are presented in MDTMs. Aim Identify the factors associated with non-presentation or unknown presentation in MDTMs, and study the impact of presentation in MDTMs on quality of care and survival in patients diagnosed with colorectal cancer (CRC). Methods 3999 CRC patients diagnosed between 2005 and 2014 in the area covered by the “Calvados Registry of Digestive Tumours” were included. Multivariate multinomial logistic regression was used to assess the factors associated with presentation in MDTMs. Univariate analyses were performed to study the impact of MDTMs on quality of care. Multivariate Cox model and the Log-Rank test were used to assess the impact of MDTMs on survival. Results Non-presentation or unknown presentation in MDTMs were associated with higher age at diagnosis, dying within 3 months after diagnosis, unknown metastatic status, non-metastatic cancer and colon cancer. Non-presentation was associated with a diagnosis after 2010. Unknown presentation was associated with a diagnosis before 2007 and a longer travel time to the reference care centres. Presentation in MDTMs was associated with more chemotherapy administration for patients with metastatic cancer and more adjuvant chemotherapy for patients with stage III colon cancer. After excluding poor prognosis patients, lower survival was significantly associated with higher age at diagnosis, unknown metastatic status or metastatic cancer, presence of comorbidities, rectal cancer and non-presentation in MDTMs (HR = 1.5 [1.1–2.0], p < 0.001). Conclusions Elderly and poor prognosis patients were less presented in MDTMs. Geriatric assessments before presentation in MDTMs were shown to improve care plan establishment. The 100% objective is not coherent if MDTMs are only to discuss diagnosis and curative cares. They could also be a place to discuss therapeutic limitations. MDTMs were associated with better treatment and longer survival. We must ensure that there is no inequity in presentation in MDTMs that could lead to a loss of chance for patients.

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