Multidisciplinary team working: is it both holistic and effective?

2004 ◽  
Vol 14 (2) ◽  
pp. 210-211 ◽  
Author(s):  
H. Jefferies ◽  
K. K. Chan
Keyword(s):  
Multidisciplinary Team ◽  
Clinical Management ◽  
Tertiary Care ◽  
Medical Model ◽  
Holistic Care ◽  
Disease Trajectory ◽  
Team Working ◽  
Cancer Services ◽  
The Uk ◽  
Seamless Service

Multidisciplinary team (MDT) working has been endorsed as the main mechanism to ensure truly holistic care for patients and a seamless service for patients throughout their disease trajectory and across the boundaries of primary, secondary, and tertiary care. However the effectiveness of each team needs to be continually evaluated to ensure that all the relevant disciplines are able to participate in the clinical management of patients. This article describes the work of the Cancer Services Collaborative at the Birmingham Women's hospital in the UK in promoting the development of a holistic MDT in parallel with the medical model.

scholarly journals Establishing a video Multidisciplinary Team meeting between Cameroon, Central Africa, and Leeds, UK, childhood cancer services

2021 ◽  
Author(s):  
Bernard Wirndzem Njodzeka ◽  
Glenn Afungchwi ◽  
Francine Kouya ◽  
Susan Picton ◽  
Roly Squire ◽  
...  
Keyword(s):  
Decision Making ◽  
Professional Education ◽  
Multidisciplinary Team ◽  
Team Building ◽  
Central Africa ◽  
Team Members ◽  
Geographically Dispersed ◽  
Cancer Services ◽  
Relapsed Disease ◽  
The Uk

Abstract Background and aims Multidisciplinary team (MDT) meetings provide a regular, structured meeting of a core group of professionals to provide expert decision-making in individual patient care. We describe our experiences in establishing a virtual pediatric oncology MDT between twinning partners in Cameroon (4 hospitals) and the UK. Methods Monthly video conferencing MDT meetings were established in March 2019, initially using Google meet then using Zoom platforms. Case details were circulated using formal proformas. Standard operating procedures were outlined for the MDT conduct. Results There have been 269 discussions of 201 patients in 21 meetings. Patients have been varied in age (up to 24 years). Eighty-seven (43.3%) patients had NHL, 16 (8.0%) had Wilms tumour, 20 (10.0%) had Acute Lymphoblastic Leukaemia, 19 (9.5%) had Retinoblastoma and 59 (29.4%) had other malignancies. Four of the patients did not have a malignancy. The majority of patients had stage 3 (51, 45.1%) or stage 4 (59, 52.2%). Nine patients had relapsed disease. Core team members reported positive benefits from the MDT, including defining goals of care, shared decision making, professional education and team-building. Conclusions Virtual MDT meetings between geographically dispersed teams are possible and have proved particularly valuable during the COVID-19 pandemic when in-person visits are not permitted. Cancer treatment cannot be done in isolation; the regular MDT meetings have paved the way for informed care through regular consultancy.

scholarly journals Multidisciplinary team working in an adult male prison establishment in the UK

BDJ ◽  
2014 ◽  
Vol 217 (3) ◽  
pp. 117-121 ◽  
Author(s):  
E. Heidari ◽  
C. Dickinson ◽  
T. Newton
Keyword(s):  
Adult Male ◽  
Multidisciplinary Team ◽  
Team Working ◽  
The Uk

Cancer treatment and causation

Clinical Risk ◽  
2007 ◽  
Vol 13 (4) ◽  
pp. 151-153
Author(s):  
Victor Barley
Keyword(s):  
Cancer Treatment ◽  
Histological Examination ◽  
Multidisciplinary Team ◽  
Basic Knowledge ◽  
Delay In Diagnosis ◽  
Patients With Cancer ◽  
Cancer Services ◽  
Diagnosis Of Cancer ◽  
The Uk ◽  
Medicolegal Issues

A series of three articles exploring medicolegal issues arising out of the detection and treatment of cancer. The treatment of cancer involves several different specialists and, in the majority of cancer services in the UK, patients with cancer are seen by a multidisciplinary team. After the diagnosis of cancer has been confirmed by histological examination which shows the type and grade of the cancer, further tests are usually needed to determine the extent and spread of the tumour, i.e. the stage. Many cancers have already spread before the diagnosis can be made, even if the metastases cannot be detected at the time of the initial diagnosis. Many cancers are therefore not curable even though there is no indication of spread from the initial tests. Therefore, an unwarranted delay in diagnosis may not result in a poorer prognosis, although it is clearly important to give treatment at the earliest opportunity to reduce the possibility of spread. This article outlines the basic knowledge required by a clinical negligence practitioner when considering a potential oncology claim.

scholarly journals Hot beds of general psychiatry

1997 ◽  
Vol 21 (3) ◽  
pp. 142-144 ◽  
Author(s):  
M. Dominic Beer ◽  
Carol Paton ◽  
Stephen Pereira
Keyword(s):  
Intensive Care ◽  
Multidisciplinary Team ◽  
Special Interest ◽  
Postal Survey ◽  
Support Network ◽  
General Psychiatry ◽  
Team Working ◽  
Local Support ◽  
The Uk ◽  
Very High

Little is known of the facilities available nationally to treat the most disturbed patients. A postal survey sent to all pharmacists in the UK known to have a special interest in psychiatry identified 110 psychiatric intensive care units. They varied in size from four to 30 beds, with the small units having low and the larger units very high occupancy levels. Many units accepted a mixture of informal patients directly from the community, detained patients and referrals from the prison service. Medical cover was variable, multidisciplinary team-working poor, and the existence of written policies unsatisfactory. Staff often felt undervalued with little control over admissions and discharges. There is currently no national or local support network for these units.

Multidisciplinary Team-Working Indicators of Good Practice in the Clinical Management of EGFR-Inhibitor Dermatologic Toxicities

2009 ◽  
Vol 16 (1) ◽  
pp. 224-225 ◽  
Author(s):  
Ausilia Maria Manganoni ◽  
Camillo Farisoglio ◽  
Vittorio Ferrari ◽  
Alberto Zaniboni ◽  
Giordano Beretta ◽  
...  
Keyword(s):  
Multidisciplinary Team ◽  
Clinical Management ◽  
Good Practice ◽  
Egfr Inhibitor ◽  
Team Working

scholarly journals 17 Interprofessional mentoring: the key towards a better multidisciplinary team working model?

2020 ◽  
Author(s):  
Baguiasri Mandane ◽  
Shivanee Nakum ◽  
Jagraj Thandi ◽  
Jekaterina Jasina
Keyword(s):  
Multidisciplinary Team ◽  
Working Model ◽  
Team Working

scholarly journals Perceptions of Peer Support for Victim-Survivors of Sexual Violence and Abuse: An Exploratory Study With Key Stakeholders

2021 ◽  
pp. 088626052110079
Author(s):  
Alison Gregory ◽  
Emma Johnson ◽  
Gene Feder ◽  
John Campbell ◽  
Judit Konya ◽  
...  
Keyword(s):  
Sexual Violence ◽  
Peer Support ◽  
Service Provision ◽  
Exploratory Study ◽  
Good Practice ◽  
Medical Model ◽  
Service Improvement ◽  
Physical And Mental Health ◽  
Safety Considerations ◽  
The Uk

Experiences of sexual violence, childhood sexual abuse, and sexual assault are common across all societies. These experiences damage physical and mental health, coping ability, and relationships with others. Given the breadth and magnitude of impacts, it is imperative that there are effective, accessible services to support victim-survivors, ease suffering, and empower people to cope, recover and thrive. Service provision for this population in the United Kingdom is complex and has been hit substantially by austerity. Since positive social support can buffer against negative impacts, peer support may be an effective approach. The aim of this exploratory study was to capture the views and perspectives of professional stakeholders concerning service provision for victim-survivors, particularly perceptions of peer support. In-depth semistructured interviews were conducted in the UK during 2018 with six professional stakeholders, highly experienced in the field of service provision for victim-survivors of sexual violence and abuse. An abductive approach to analysis was used, applying principles from thematic analysis. Our sample comprised four females and two males, and their roles included psychiatrist, general practitioner, service improvement facilitator, and senior positions within victim-survivor organizations. Interviews highlighted models of peer support for this population, good practice and safety considerations, and a lack of uniformity regarding quality and governance standards across the sector. Findings indicated that current funding models impact negatively on victim-survivor services, and that provision is fragmented and insufficient across statutory and not-for-profit sectors. The influence of the medical model upon service provision was evident, which resulted in apprehension around support delivered in less-usual forms—including peer support. Further research is needed to explore the potential of peer support for victim-survivors of sexual violence and abuse.

scholarly journals An audit of UK audiological practice in specialist paediatric oncology centres regarding hearing assessment of children at risk of ototoxicity due to chemotherapy

2021 ◽  
Vol 135 (1) ◽  
pp. 14-20
Author(s):  
E C M Brown ◽  
C Caimino ◽  
C L Benton ◽  
D M Baguley
Keyword(s):  
High Frequency ◽  
Good Practice ◽  
Paediatric Oncology ◽  
Chemotherapy Drugs ◽  
Team Working ◽  
Platinum Based Chemotherapy ◽  
Hearing Assessment ◽  
Self Test ◽  
The Uk ◽  
Monitoring Service

AbstractObjectivePlatinum-based chemotherapy drugs are associated with substantial ototoxicity. The hearing of children treated with these drugs should be closely monitored.MethodA questionnaire was sent out to the 19 audiology departments associated with national paediatric cancer specialist centres in the UK looking at current practice in ototoxicity monitoring.ResultsResponses were received from 17 of 19 centres (89 per cent). All offered some form of audiometric monitoring service. Extended high-frequency testing (9–20 kHz) was only utilised by 7 services (29 per cent). A majority of respondents were reluctant to consider self-test devices in paediatric ototoxicity monitoring (n = 9; 53 per cent). Provision of long-term audiological follow up is sporadic with only 4 (23 per cent) respondents keeping all children with normal hearing under review once treatment is completed.ConclusionWhile some good practice in paediatric ototoxicity was identified, opportunities exist to improve clinical practice and protocols, promote multidisciplinary team working and to utilise technologies such as extended high frequency and self-test audiometry.

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