Posts tagged MDT
The MDT sessions seem to be going well enough. There’s been subtle iterations through the week, and tomorrow I might even manage to fit everything in. A couple of you have given some positive feedback about the MDT sessions – I think they have gone well. Most of the decisions have been in line with what happened in real life, which must be a good thing.
I have been disappointed that so few people have read through the information I have provided on “What to tell patients with Lung Cancer” as provided by the BTS. This useful document gives data on what kind of life expectancy lung cancer patients can expect, with and without treatment. We don’t have this data locally, so I can’t really tell you what goes on in Tayside.
On a more positive note, the staff on the ward and in East Block have commented to me that the second years who have come down to the department, been on ward rounds, come to clinics, visited the MDT, have been keen, enthusiastic, and interested. This is a very positive reflection on those of you who have come down, so well done. Someone even came to the real MDT today, to see how it really happens.
Dr Lockhart has given me his 2010 update to his microbiology lecture, so this is now on the microbiology resource page. All the materials from last week’s ITA are now up on the Basic Sciences ITA page too. This week’s MDT materials will go up on line when I get the digital copies from Richard.
Next week I have timetabled a lecture on Respiratory Illness and Oxygen Therapy. This lecture is one I usually leave blank, to give you the choice of what I talk about – last year the choice was Respiratory Illness and Oxygen Therapy. So I’m open to suggestions – what would you like me to talk about on Thursday of next week? I will use some of the time to talk about the RoCE exam, I would quite like to talk about oxygen therapy at some point, but I’m in your hands.
The MDT sessions are going well, I think. Monday’s session was a little disjointed, as it was the first ever session, leading to the oncologists having little to do until the MDT itself. To fix this, I wrote some cases for the oncologists to go through in the first 45 minutes, and they seemed to get more out of the session because of it.
Much of the discussion revolves around prognosis, and the benefits of giving chemotherapy to patients, in terms of prolongation of life, and quality of life. Disappointingly no-one had read the information I provided on “What to tell a patient with lung cancer”, which answers much of these questions. The Lung Cancer Resource Page also has on it other interactive resources about lung cancer staging, lung cancer cases, patient journeys etc.
For tomorrow’s session:
1. I will be 5 to 10 minutes late as I have to speak to the 3rd years before coming to the session. So have an extra 5 minutes in bed.
2. I am in the process of updating the materials, particularly for the chest physician group. The new materials can be made available to everyone at the end of the week.
Welcome to week 3. Last week seemed to go pretty well – I got very wet in Barcelona, and Richard managed to keep things moving along nicely back here in Beanoland. I understand that one tutor did not turn up for a ward based session, but this has been re-arranged for this week. The ITA session on spirometry has drawn some positive feedback, along with the very well received Smoking Cessation and Pulmonary Rehabilitation sessions.
Richard’s ABG sessions were the first step on a long journey for every second year – ABG interpretation continues to be complex, but you all now have a solid grounding on which to base your future work.
The core clinical problems session encouraged, and disappointed me. Those who did stay for the whole session sere able to work through the concepts of CCPs, and then specifics of the CCPs in the respiratory block. Half of the year chose to leave the session half way through – I hope you all found something productive to do for that hour.
This week we have already had Dr France’s always well received lung cancer lectures, and the patient journey session with Dr Goudie. The DVD is available to take home, if anyone wants it (Come down to my office, where my secretary can burn you a disc!)
Later in the week will be the brand new MDT sessions, and a mixed bag of lectures on pleural disease, interstitial lung disease, and sleep apnoea. The lectures are up online to browse through now.
All being well, I’ll see you for the pleural disease lecture on Thursday.