Duncan John S
Department of Epilepsy, UCL Queen Square Institute of Neurology, London, UK
Pract Neurol. 2022 May 9. doi: 10.1136/practneurol-2022-003350.
Multidisciplinary team (MDT) meetings are essential for ensuring optimal and consistent management for patients with complex problems and a variety of treatment options. Epilepsy surgery MDTs are a good example of complex decision making and planning to the best possible outcomes. The meetings need to run to an agreed format, with participants from neurology, neurophysiology, neuroimaging, neuropsychology, neuropsychiatry and neurosurgery all contributing succinct opinions to enable an informed discussion. A key feature of a successful MDT is to have a clear record of complementary data and perspectives, and to document management options. It is crucial to have a debrief after the event if an outcome is less good than anticipated, with the case being gone through in as much detail as a preoperative case, and ensuring that the whole team shares the successes and the disappointments and learns from the experience.
多学科团队（MDT）会议对于确保为有复杂问题和多种治疗选择的患者提供最佳且一致的管理至关重要。癫痫手术多学科团队就是复杂决策制定和规划以实现尽可能最佳结果的一个很好例子。会议需要按照商定的形式进行，来自神经学、神经生理学、神经影像学、神经心理学、神经精神病学和神经外科的参与者都要简洁地发表意见，以便进行明智的讨论。成功的多学科团队的一个关键特征是要有互补数据和观点的清晰记录，并记录管理选项。如果结果不如预期，那么在事件发生后进行总结汇报至关重要，要像术前病例一样详细地梳理该病例，并确保整个团队共同分享成功与失望，并从经验中学习。
