Quality Management 2017

Proposed standard for MDM of breast cancer. Canadian proposal (2009) reviewed in 2015 by Turkish group 1. MDMs for breast cancer should gather at least once every two weeks (with specified date and time) and should not last for less than one hour. 2. It is required to have a written protocol for a MDM . 3. The list of participants should be recorded at every meeting. 4. Every MDM should include one chairman (and one coordinator) in charge of the management and organization of the meeting. 5. It is more appropriate if the physician managing the discussed patient participates at the MDM of breast cancer. 6. The patient information should be presented in an efficient and concise manner ; the presentation may be oral, or supported by projection . The person who makes the presentation needs to have full knowledge of the case. 7. The fact that the patient (present) talks to different specialists at the same time prevents the potential bias during the communication of the decision. 8. One representative from the departments of medical oncology, radiation oncology, surgery/surgical oncology must be present at MDM ; 9. Pathology, radiology and nursing should be present at the MDM to make sure that the opinions of all specialists are heard 10. The data obtained from the MDM for breast cancer should be stored interactively in the computerized environment.

Wright FC et al: Expert Panel on Multidisciplinary Cancer Conference Standards. Multidisciplinary cancer conferences: a systematic review and development of practice standards. Eur J Cancer 2007; 43: 1002-1010. Multidisciplinary breast cancer teams and proposed standards - Review. Ulusal Cer Derg 2015; 31: 39-41 2015