scholarly journals S2611 When FNH Is Not FNH: The Value of the Multidisciplinary Conference for Management of Hepatic Masses

2021 ◽  
Vol 116 (1) ◽  
pp. S1097-S1097
Author(s):  
Rachel Hirshorn ◽  
Kenneth Rothstein ◽  
Evan Siegelman ◽  
Emma Furth ◽  
Robin Collingwood ◽  
...  
Keyword(s):  
Multidisciplinary Conference

scholarly journals The effects of a preoperative multidisciplinary conference on outcomes for high-risk patients with challenging surgical treatment options: a retrospective study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Masayoshi Koike ◽  
Mie Yoshimura ◽  
Yasushi Mio ◽  
Shoichi Uezono
Keyword(s):  
Patient Safety ◽  
Retrospective Study ◽  
High Risk ◽  
Treatment Plan ◽  
Treatment Options ◽  
High Risk Patients ◽  
Appropriate Treatment ◽  
Risk Patients ◽  
Treatment Plans ◽  
Multidisciplinary Conference

Abstract Background Surgical options for patients vary with age and comorbidities, advances in medical technology and patients’ wishes. This complexity can make it difficult for surgeons to determine appropriate treatment plans independently. At our institution, final decisions regarding treatment for patients are made at multidisciplinary meetings, termed High-Risk Conferences, led by the Patient Safety Committee. Methods In this retrospective study, we assessed the reasons for convening High-Risk Conferences, the final decisions made and treatment outcomes using conference records and patient medical records for conferences conducted at our institution from April 2010 to March 2018. Results A total of 410 High-Risk Conferences were conducted for 406 patients during the study period. The department with the most conferences was cardiovascular surgery (24%), and the reasons for convening conferences included the presence of severe comorbidities (51%), highly difficult surgeries (41%) and nonmedical/personal issues (8%). Treatment changes were made for 49 patients (12%), including surgical modifications for 20 patients and surgery cancellation for 29. The most common surgical modification was procedure reduction (16 patients); 4 deaths were reported. Follow-up was available for 21 patients for whom surgery was cancelled, with 11 deaths reported. Conclusions Given that some change to the treatment plan was made for 12% of the patients discussed at the High-Risk Conferences, we conclude that participants of these conferences did not always agree with the original surgical plan and that the multidisciplinary decision-making process of the conferences served to allow for modifications. Many of the modifications involved reductions in procedures to reflect a more conservative approach, which might have decreased perioperative mortality and the incidence of complications as well as unnecessary surgeries. High-risk patients have complex issues, and it is difficult to verify statistically whether outcomes are associated with changes in course of treatment. Nevertheless, these conferences might be useful from a patient safety perspective and minimize the potential for legal disputes.

scholarly journals EndoConf: real-time video consultation during endoscopy; telemedicine in endoscopy at its best

2021 ◽  
Vol 09 (11) ◽  
pp. E1847-E1851
Author(s):  
Ulrik Deding ◽  
Anders Høgh ◽  
Niels Buch ◽  
Anastasios Koulaouzidis ◽  
Gunnar Baatrup ◽  
...  
Keyword(s):  
Real Time ◽  
Clinical Education ◽  
Clinical Care ◽  
University Hospital ◽  
Smooth Transition ◽  
Surgical Department ◽  
Repeat Endoscopy ◽  
Video Consultation ◽  
Transanal Microsurgery ◽  
Multidisciplinary Conference

Abstract Background and study aims The aim of this study was to introduce EndoConf, a reliable and easy-to-use tool capable of optimizing clinical care in endoscopy by reducing the number of repeat endoscopy procedures, providing continuous on-the-job clinical education, and allowing a smooth transition to the next level of artificial intelligence-supported systems. Patients and methods We prospectively developed and improved a real-time conference system (EndoConf). EndoConf enables endoscopists to contact on-demand and in real time experienced endoscopists across other sites. After the initial introduction period, we registered all EndoConf-assisted procedures from our unit (Surgical Department of Odense University Hospital) over a 3-month period (Autumn of 2019). Results Of 84 EndoConf-supported procedures, 58 were eligible for further analysis. Eventually, 38 calls were made, of which only four were technically of low quality (10.5 %) while three were not answered (7.9 %). Of the 35 (92.1 %) completed EndoConf calls; 24 were referred for endoscopic mucosal resection, six were referred for transanal microsurgery preceded by transrectal ultrasonography and three were referred for multidisciplinary conference, whereas in two cases, the lesion was resected during EndoConf. Conclusions We found the EndoConf system to provide support that could reduce the number of unnecessary repeat endoscopic procedures while at the same time ensuring avoidance of any hazardous attempt at polypectomy.

scholarly journals ANNUAL YOUNG MEDICAL SCIENTISTS` CONFERENCE 2020

2020 ◽  
Vol 120 (4) ◽  
pp. 1-3
Author(s):  
Anastasiia Hrynzovska
Keyword(s):  
National Medical ◽  
Multidisciplinary Conference ◽  
The University ◽  
Medical University

Annually in the fall at the National Medical University named after A.A. Bogomolets is hosting the Annual Young Medical Scientist's Conference (AYMSConf). This is a multidisciplinary conference targeting young scientists who are striving to show their potential. The organizers are the A.A. Kisel with the support of the departments of the university and administration of the NMU A.A. Bogomolets.

Developing a Multidisciplinary Conference

1978 ◽  
Vol 3 (1) ◽  
pp. 166-174
Author(s):  
Thomas R. Clarke ◽  
Willa L. Distaci ◽  
Cynthia J. Wallace
Keyword(s):  
Multidisciplinary Conference

MRI impacts endometriosis management in the setting of image-based multidisciplinary conference: a retrospective analysis

2020 ◽  
Vol 45 (6) ◽  
pp. 1829-1839 ◽  
Author(s):  
Brian J. Burkett ◽  
Adela Cope ◽  
David J. Bartlett ◽  
Tatnai L. Burnett ◽  
Tiffanny Jones ◽  
...  
Keyword(s):  
Retrospective Analysis ◽  
Multidisciplinary Conference

Multidisciplinary Conference Case Planning in the Virtual Space

2020 ◽  
Vol 35 (4) ◽  
pp. 16-21
Author(s):  
Jonathan Treisman ◽  
Sherri Costa ◽  
Catherine Schott ◽  
Jeanette Frawley
Keyword(s):  
Virtual Space ◽  
Case Planning ◽  
Multidisciplinary Conference

scholarly journals P2.11-38 Creating a Successful Multidisciplinary Conference for Review of Suspicious Lung Nodules

2019 ◽  
Vol 14 (10) ◽  
pp. S809
Author(s):  
D. Dyer ◽  
P. Zelarney ◽  
J. Finigan ◽  
L. Carr ◽  
E. Kern
Keyword(s):  
Lung Nodules ◽  
Multidisciplinary Conference

scholarly journals Report from the 20th annual Western Canadian Gastrointestinal Cancer Consensus Conference; Saskatoon, Saskatchewan; 28–29 September 2018

2019 ◽  
Vol 26 (6) ◽  
Author(s):  
D. M. Le ◽  
S. Ahmed ◽  
S. Ahmed ◽  
B. Brunet ◽  
J. Davies ◽  
...  
Keyword(s):  
Health Care ◽  
Gastrointestinal Cancer ◽  
Health Care Professionals ◽  
Consensus Statement ◽  
Consensus Conference ◽  
Colorectal Cancers ◽  
Western Canada ◽  
Gastrointestinal Cancers ◽  
Allied Health Care ◽  
Multidisciplinary Conference

The 20th annual Western Canadian Gastrointestinal Cancer Consensus Conference was held in Saskatoon, Saskatchewan, 28–29 September 2018. This interactive multidisciplinary conference is attended by health care professionals from across Western Canada (British Columbia, Alberta, Saskatchewan, and Manitoba) who are involved in the care of patients with gastrointestinal cancers. In addition, invited speakers from other provinces participate. Surgical, medical, and radiation oncologists, and allied health care professionals participated in presentations and discussion sessions for the purpose of developing the recommendations presented here. This consensus statement addresses current issues in the management of colorectal cancers.

scholarly journals Transition to Subspecialty Sign-Out at an Academic Institution and Its Advantages

2017 ◽  
Vol 4 ◽  
pp. 237428951771476 ◽  
Author(s):  
Joanna L. Conant ◽  
Pamela C. Gibson ◽  
Janice Bunn ◽  
Abiy B. Ambaye
Keyword(s):  
Quality Assurance ◽  
Medical Center ◽  
Turnaround Time ◽  
Support Staff ◽  
Surgical Pathology ◽  
Clinician Satisfaction ◽  
Multidisciplinary Conference ◽  
The University ◽  
University Of Vermont ◽  
General Sign

Many pathology departments are introducing subspecialty sign-out in surgical pathology. In 2014, the University of Vermont Medical Center transitioned from general sign-out to partial subspecialty sign-out to include gastrointestinal and breast/cervix subspecialty benches; other specimens remained on general benches. Our experiences with the transition are described, including attending pathologist, trainee, support staff, and clinician satisfaction. A survey was e-mailed to all University of Vermont Medical Center anatomic pathology attendings, pathology trainees, pathologist assistants and grossing technicians, and clinicians who send surgical pathology specimens, immediately before and 1 year after transitioning to partial subspecialty sign-out. Quality assurance metrics were obtained for the 18 months prior to and following the transition. Gastrointestinal and breast/cervix attendings were more satisfied with partial subspecialty sign-out compared to those on the general benches. Overall, trainees were more satisfied with general sign-out because of the rotation schedule but preferred partial subspecialty sign-out due to improved teaching and more focused learning while on subspecialty benches. Clinicians remained very satisfied with our department and our reports; no differences were observed. Turnaround time was unchanged. After switching to partial subspecialty sign-out, there were significantly fewer discrepancies following multidisciplinary conference review for gastrointestinal and breast/cervix cases but remained the same for general cases. Fewer formal internal consults were performed after transitioning to partial subspecialty sign-out across all areas, but more notable for gastrointestinal and breast/cervix cases. Our data show improved quality assurance metrics and trainee education in a subspecialty sign-out setting compared to general sign-out setting.

Sign in / Sign up

Export Citation Format

Share Document