The Medical Team
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Transcript of The Medical Team
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The Medical TeamThe Medical Team
Stanley Silverman MD FRCSStanley Silverman MD FRCS
Consultant Vascular SurgeonConsultant Vascular Surgeon
Medical DirectorMedical Director
West Midlands Strategic West Midlands Strategic Health AuthorityHealth Authority
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21/04/2321/04/23 Stanley Silverman MD FRCSStanley Silverman MD FRCS
ConsultantConsultant
Senior RegistrarSenior Registrar
RegistrarRegistrar
Senior House OfficerSenior House Officer
Pre registration House OfficerPre registration House Officer
Medical StudentsMedical Students
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21/04/2321/04/23 Stanley Silverman MD FRCSStanley Silverman MD FRCS
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21/04/2321/04/23 Stanley Silverman MD FRCSStanley Silverman MD FRCS
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21/04/2321/04/23 Stanley Silverman MD FRCSStanley Silverman MD FRCS
ConsultantConsultant
Senior RegistrarSenior Registrar
RegistrarRegistrar
Senior House OfficerSenior House Officer
Pre registration House OfficerPre registration House Officer
Medical StudentsMedical Students
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21/04/2321/04/23 Stanley Silverman MD FRCSStanley Silverman MD FRCS
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Junior doctors’ hoursJunior doctors’ hours
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EWTREWTR
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The cancer agendaThe cancer agenda
SurgeonsSurgeons OncologistsOncologists RadiologistsRadiologists PathologistsPathologists RadiotherapistRadiotherapist Palliative care Palliative care
doctordoctor
Clinical nurse Clinical nurse specialistspecialist
DieticianDietician PhysiotherapistPhysiotherapist Pain specialistPain specialist Macmillan NurseMacmillan Nurse
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SpecialisationSpecialisation
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Vascular SurgeryVascular Surgery
SurgeonsSurgeons Interventional RadiologistInterventional Radiologist Cross sectional / US RadiologistCross sectional / US Radiologist Clinical Nurse SpecialistClinical Nurse Specialist Stroke PhysicianStroke Physician Cardiologist/ Anaesthetist/ Cardiologist/ Anaesthetist/
DiabetologistDiabetologist
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Working togetherWorking together
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Advantages of MDT Advantages of MDT approachapproach
Understanding how other professionals Understanding how other professionals workwork
Widening personal view and knowledgeWidening personal view and knowledge Improved communicationImproved communication Rapid decision makingRapid decision making Mutual supportMutual support Governance and safetyGovernance and safety
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Working in a teamWorking in a team
Facilitates 24/7 cover at Consultant Facilitates 24/7 cover at Consultant levellevel
Improved patient accessImproved patient access Develop protocolsDevelop protocols Peer supportPeer support Reduces risks of lone and maverick Reduces risks of lone and maverick
workersworkers
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Working with colleaguesWorking with colleagues
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41 Most doctors work in teams with colleagues from otherprofessions. Working in teams does not change your personalaccountability for your professional conduct and the care youprovide. When working in a team, you should act as a positiverole model and try to motivate and inspire your colleagues.You must:(a) respect the skills and contributions of your colleagues(b) communicate effectively with colleagues within andoutside the team(c) make sure that your patients and colleagues understandyour role and responsibilities in the team, and who isresponsible for each aspect of patient care(d) participate in regular reviews and audit of the standardsand performance of the team, taking steps to remedyany deficiencies(e) support colleagues who have problems with performance,conduct or health.
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What’s required?What’s required?
Shared understandingShared understanding Broad agreement Broad agreement Mutual respectMutual respect Give and takeGive and take Good communicationGood communication Variety of skillsVariety of skills
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PluralityPlurality
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Circumstances varyCircumstances vary
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What it’s notWhat it’s not
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Other driversOther drivers
Reduction in traineesReduction in trainees SpecialisationSpecialisation Greater scrutinyGreater scrutiny Reducing variability in Reducing variability in
practicepractice
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Who benefits?Who benefits?
The patientsThe patients The team membersThe team members The healthcare organisationThe healthcare organisation The commissioners of healthcareThe commissioners of healthcare
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Who loses?Who loses?
The lawyersThe lawyers
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