Intended for healthcare professionals

Rapid response to:


Multidisciplinary team working in cancer: what is the evidence?

BMJ 2010; 340 doi: (Published 23 March 2010) Cite this as: BMJ 2010;340:c951

Rapid Response:

MDT = Multi Disciplinary Teaching

As a junior doctor who is interested in a career within Oncology I
have enjoyed attending Breast, Colorectal and Lung Cancer MDT meetings at
my hospital. I feel that they offer an educational and teaching
opportunity for juniors who can receive "Case report" and "Picture quiz"
type teaching, as well as using a Case Based Discussion to enhance
knowledge and identify gaps in current understanding. The readily
available radiology images, histopathology slides and case notes give a
multitude of information. It also allows juniors to present cases they
have seen in clinic and assessed and "follow" their case. In a time where
the EWTD has been criticised time and time again for limiting this element
of training why not maximise the use of MDT meetings to achieve this aim.

However, having sat in some MDT meetings, I sometimes felt it was
less of a Multi Disciplinary meeting and more of a pre- boxing match weigh
in where consultants clashed, specialities collided and branches of
practice and health care professionals duelled for superiority. Until we
accept that at times, a junior doctor, nurse or physiotherapist may have a
valid point worthy of being discussed as well as relying on the expert
knowledge of consultants to make those tough, life changing decisions or
implementing treatment options then MDT will continue to lack the
organisation and smooth running that this review reveals.

Competing interests:
None declared

Competing interests: No competing interests

07 April 2010
David G Samuel
F2 Care of the Elderly Medicine
Prince Charles Hospital Merthyr Tydfil CF47 9DT