The Medical Team

1
The Medical Team

• Stanley Silverman MD FRCS
• Consultant Vascular Surgeon
• Medical Director
• West Midlands Strategic Health Authority

2

• Consultant
• Senior Registrar
• Registrar
• Senior House Officer
• Pre registration House Officer
• Medical Students

3
(No Transcript)
4
(No Transcript)
5

• Consultant
• Senior Registrar
• Registrar
• Senior House Officer
• Pre registration House Officer
• Medical Students

6
(No Transcript)
7
(No Transcript)
8
Junior doctors hours
9
EWTR
10
The cancer agenda

• Surgeons
• Oncologists
• Radiologists
• Pathologists
• Radiotherapist
• Palliative care doctor

• Clinical nurse specialist
• Dietician
• Physiotherapist
• Pain specialist
• Macmillan Nurse

11
Specialisation
12
Vascular Surgery

• Surgeons
• Interventional Radiologist
• Cross sectional / US Radiologist
• Clinical Nurse Specialist
• Stroke Physician
• Cardiologist/ Anaesthetist/ Diabetologist

13
Working together
14
Advantages of MDT approach

• Understanding how other professionals work
• Widening personal view and knowledge
• Improved communication
• Rapid decision making
• Mutual support
• Governance and safety

15
Working in a team

• Facilitates 24/7 cover at Consultant level
• Improved patient access
• Develop protocols
• Peer support
• Reduces risks of lone and maverick workers

16
Working with colleagues
41 Most doctors work in teams with colleagues
from other professions. Working in teams does not
change your personal accountability for your
professional conduct and the care you provide.
When working in a team, you should act as a
positive role 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 and outside the team (c) make
sure that your patients and colleagues
understand your role and responsibilities in the
team, and who is responsible for each aspect of
patient care (d) participate in regular reviews
and audit of the standards and performance of the
team, taking steps to remedy any deficiencies (e)
support colleagues who have problems with
performance, conduct or health.
17
Whats required?

• Shared understanding
• Broad agreement
• Mutual respect
• Give and take
• Good communication
• Variety of skills

18
Plurality
19
Circumstances vary
20
What its not
21
Other drivers

• Reduction in trainees
• Specialisation
• Greater scrutiny
• Reducing variability in practice

22
Who benefits?

• The patients
• The team members
• The healthcare organisation
• The commissioners of healthcare

23
Who loses?

• The lawyers

24
(No Transcript)