What is a multidisciplinary team (MDT)?
Group of healthcare providers across different disciplines or specialties that come together for collective discussion to reach consensus opinion of best treatment for individual patients
What are the benefits of MDT?
Range of expertise and disciplines
Streamline care, reduce delays, ensure care is aligned with current evidence and guidelines
Overall, improved outcomes for patients by giving the right treatment to the right patient
Patient focussed decision making
Precision medicine and realistic medicine
What make a good MDT?
Open atmosphere for discussion
Communication and respect
Diversity of skills and roles
Easy point of access, rapid dissemination of outcome in patient record
Skills such as communication, respect, debate, listening, knowledge and expertise
What are examples of GI diseases that use MDT?
Upper GI cancer MDT
HBP cancer MDT
Viral hepatitis MDT
Colorectal cancer MDT
Benign upper GI MDT
What chart is used to evaluate stool?
Bristol stool chart
What does the Bristol stool chart range from?
1 to 7
What is type 1 stool on the Bristol stool chart?
Separate hard lumps like nuts (hard to pass)
What is type 2 stool on the Bristol stool chart?
Sausage-shaped but lumpy
What is type 3 stool on the Bristol stool chart?
Like a sausage but with cracks on its surface
What is type 4 stool on the Bristol stool chart?
Like a sausage or snake, smooth and soft
What is type 5 stool on the Bristol stool chart?
Soft blobs with clear cut edges (passes easily)
What is type 6 stool on the Bristol stool chart?
Fluffy pieces with ragged edges, a mushy stool
What is type 7 stool on the Bristol stool chart?
Watery, no solid pieces (entirely liquid)
Who is present in the MDT?
Clinical nurse specialist
Consultents with subspecialties
What does the MDT vary by?
What condition the patient has