Department of Clinical Radiology, St. James' University Hospital, Leeds Teaching Hospitals NHS Trust, Level 0 Bexley Wing, Beckett Street, Leeds, LS9 7TF, UK.
Eur Radiol. 2015 Dec;25(12):3679-84. doi: 10.1007/s00330-015-3760-x. Epub 2015 May 1.
To quantify the changes in multidisciplinary team meeting (MDTM) workload for consultant radiologists working in a single UK tertiary referral cancer institution, assess its impact and suggest solutions to these challenges.
The annual number of MDTM cases was collated over a 5-year period (2009 - 2013). Qualitative information was obtained through questionnaire-based interviews of 47 consultant radiologists. Data analysed included number of MDTMs involved with, type of MDTM (oncological or non-oncological), time allocation for preparation and perceived deficiencies in the current MDTM.
Thirteen thousand and forty-nine cases were discussed in MDTMs in 2009 with a continued yearly increase over the 5-year period. Fifty-five percent of MDTM attendances were at oncological MDTMs. Consultant radiologists attended a median of two MDTMs per week, each requiring 4 hours time commitment; 60 % used out-of-hours time for MDTM preparation. The most frequently cited MDTM deficiency was lack of sufficient clinical input.
The MDTM is a challenging but worthwhile demand on the modern radiologist's time. Solutions to the increasing MDTM workload include demonstration of the benefits of MDTMs to hospital administrators to justify additional resources required, improving MDTM efficiency and ensuring this increased workload is accurately represented and remunerated in individual job plans.
• MDTMs improve cancer outcomes and are being recommended for non-oncological conditions. • MDTM cases have more than doubled over 5 years at our institution. • Incorporating MDTM workload into current consultant radiologist job plans is difficult. • Solutions include demonstrating MDTM related benefits, improved efficiency, and accurate job planning.
定量评估在英国一家三级转诊癌症中心工作的顾问放射科医师的多学科团队会议（MDTM）工作量的变化，评估其影响，并针对这些挑战提出解决方案。
在 5 年期间（2009 年至 2013 年），对 MDTM 病例的年度数量进行了汇总。通过对 47 名顾问放射科医师进行基于问卷的访谈获得了定性信息。分析的数据包括参与的 MDTM 数量、MDTM 的类型（肿瘤学或非肿瘤学）、准备时间以及当前 MDTM 的不足之处。
2009 年有 13049 例病例在 MDTM 中进行了讨论，并且在 5 年期间持续逐年增加。55%的 MDTM 就诊是在肿瘤学 MDTM 中。顾问放射科医师每周平均参加两次 MDTM，每次需要 4 小时的时间投入；60%的人使用业余时间准备 MDTM。最常提到的 MDTM 不足之处是缺乏足够的临床投入。
MDTM 是对现代放射科医师时间的一项具有挑战性但值得的要求。解决不断增加的 MDTM 工作量的方法包括向医院管理人员展示 MDTM 的益处，以证明所需的额外资源是合理的，提高 MDTM 的效率，并确保将这一增加的工作量准确地体现在个人工作规划中并获得相应报酬。
MDTM 可改善癌症治疗效果，且正被推荐用于非肿瘤疾病。
在我们的机构中，MDTM 病例在 5 年内增加了一倍以上。
将 MDTM 工作量纳入当前顾问放射科医师工作规划很困难。
解决方案包括展示 MDTM 相关益处、提高效率和准确的工作规划。
