MDT meetings Research Papers - Academia.edu (original) (raw)

&amp;amp;quot;An Analysis of the Dynamics of Multi-Disciplinary Medical Team Meetings and the Use of Communication Technology. Bridget Kane, Department of Computer Science, Trinity College Dublin. This analysis of multi-disciplinary medical team meetings (MDTMs) identifies elements, or mechanics, of collaboration among team members and proposes measures to enhance the proceedings and make the MDTM more effective. MDTMs are collaborative fora where healthcare specialists come together to discuss patient cases. The principle purpose of the MDTM is to establish a definitive diagnosis and determine the best treatment strategy for the patient. Here, the work of MDTMs is analysed both in its overall context of patient care and at the level of person-to-person interaction during a patient case discussion. This longitudinal study followed the development of a multidisciplinary medical team through a series of changes that incorporated the use of teleconferencing technology and a picture archive and communication system (PACS) into the proceedings. Analysis, based on qualitative and quantitative data, identifies the MDTM as a system that adds dependability to overall service delivery processes. Detailed analysis of screen displays and speech interactions, combined with observation data, are used to elucidate structures and analyse the dynamics of the MDTM. System boundaries are defined that extend beyond the actual duration of the meeting. Stable work routines, timing and rhythms, are shown to be critical for MDTM success. Changes in organisation structures associated with MDTMs, both positive and negative, are demonstrated as a result of the adoption of teleconferencing. Although the discussion structure is relatively stable in teleconference, the dynamics of speech interactions are affected and patient case discussions take more time as a result. Cases discussed in teleconference are less satisfactory from the users&amp;amp;#x27; perspective. However, there is a perceptible improvement in the quality of information exchanged at teleconferencing sessions. Case controlled study reveals a ‘doubling effect’ observed for participants who describe features in artefacts and for those who describe their professional approach (surgeons and radiation oncologist) in teleconference. Discussion around objects (artefacts) is most affected in teleconference. Examination of the use of video reveals an important requirement for the visual display of remote participants, that is not articulated in user surveys. The importance of increasing visual support for participants especially when the discussion involves image assessment and the exchange of professional opinion is highlighted. Visual needs are identified for both sides of the teleconference interface at MDTMs. Providing more control over audio, video and PACS would enhance teleconferences and image review. More control through personal devices is proposed to support interaction and increase participation. Furthermore, results suggest that having separate channels for tasks (pathology and radiology images) and person-to-person communication, by providing multiple displays, would make communication easier and save time. The display of radiological images is given special attention. With increasing complexity of imaging modalities, facilitating multiple views simultaneously is needed for satisfactory assessment. The internal temporal structure identified in PCDs prompts the investigation of novel technologies for the development of an MDTM record. These results have implications for the design of future systems and the implementation of new channels of communication within the health service.&amp;amp;quot;

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- Collaboration, MDT meetings, Medical work, Videomediated discussion

This paper explores issues related to record keeping at multidisciplinary medical team (MDT) meetings. Based on questionnaire and interview data with MDT members of various specialities, roles and teams, the information priorities for inclusion in a MDT meeting are identified. The utility and need for records after the meeting is discussed, and methods for gathering the information considered. Concerns are expressed that real-time data gathering at the meeting takes more time and risks turning the meeting into a group form-filling exercise. The value of interactive discussion among multidisciplinary peers is restated. The difficulties identified are discussed in the context of design implications for record-keeping at meetings. The role of records as a co-ordinating mechanism for tasks conducted after the meeting is emphasised, The dichotomy of having a record of a i) detailed prescriptive treatment plan, or ii) detailed diagnostic information with little treatment plan articulated, is explained.

- by Bridget Kane
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- MDT meetings, Record keeping, Record of Collaboration, Decision Record

This paper analyzes different types of karst landforms and their relationships with fracture systems, sedimentary bedding, and fluvial processes. We mapped karst features in the Cretaceous carbonates of the Jandaíra Formation in the Potiguar Basin, Brazil. We used high-resolution digital elevation models acquired using LiDAR and aerial orthophotographs acquired using an unmanned aerial vehicle (UAV). We grouped and described karst evolution according to scale and degree of karstification. These degrees of karst evolution are coeval. Fractures are opened by dissolution , forming vertical fluid conduits, whereas coeval dissolution occurs along horizontal layers. This conduit system acts as pathways for water flow. The enlargement of conduits contributes to the collapse of blocks in sink-holes and expansion of caves during an intermediate degree of karstification. Propagation of dissolution can cause the coalescence of sinkholes and the capture of small streams. Fluvial processes dominate karst dissolution at an advanced degree of karstification. Comparisons with previously published ground-penetrating radar (GPR), borehole and seismic surveys in sedimentary basins indicate that these structures can be partially preserved during burial.

- by Orildo Lima E Silva and +1
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- Karst Geomorphology, Cave and Karst Studies, MDT meetings

Multidisciplinary teams (MDTs) are conventionally recommended in mental health
care literature as an important way to offer holistic treatment provision to patients. This
study aims to explore multidisciplinary teamwork in contemporary mental health
settings, particularly what aids and hinders the process of multidisciplinary teamworking,
and the social work contribution in such teams. In order to attain an in-depth
exploration of these phenomena, a single case study design was employed. Within this
design, data were generated through semi-structured interviews and structured
observation of a mental health MDT in Ireland. These data were analysed using
interpretative phenomenological analysis. The research highlights how the concept of
mental illness is contested within this MDT, with the medical model dominant within
an environment of fluid working arrangements. Professional role blurring and
stereotyping were found to impact the division of labour on this team, with role
negotiation found to be an integral part of retaining a professional’s practice identity.
This research raises concerns for social work’s capacity to function within mental
health MDTs in Ireland, and highlights ways in which social work educators might
respond in order to empower Irish social workers to meet the challenges of mental
health multidisciplinary teamworking.

- by Alan Maddock
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- Organizational Behavior, Discourse Analysis, Religion, History

This study of collaboration among a multidisciplinary team of healthcare workers demonstrates that elements intrinsic to the interaction constitute a delicate ecosystem. As the balance between actors, digital media and paper artefacts fluctuates, so too the nature of the interaction and collaboration changes. Intrinsic to the multidisciplinary team (MDT) ecosystem is specialist knowledge, radiological images, pathology samples, together with the interpretation of the patient's findings, as well as the roles and responsibilities of the active participants and observer collaborators.

- by john atkins
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- MDT meetings