This paper provides an analysis of the collaborative work conducted at a multidisciplinary medical team meeting, where a patient’s definitive diagnosis is agreed, by consensus. The features that distinguish this process of diagnostic work by consensus are examined in depth. The current use of technology to support this collaborative activity is described, and experienced deficiencies are identified. Emphasis is placed on the visual and perceptual difficulty for individual specialities in making interpretations, and on how, through collaboration in discussion, definitive diagnosis is actually achieved. The challenge for providing adequate support for the multidisciplinary team at their meeting is outlined, given the multifaceted nature of the setting, i.e. patient management, educational, organizational and social functions, that need to be satisfied.
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Our thanks to Dr. Finbarr O’Connell and all the members of the multidisciplinary team at the respiratory MDTM in St James’s Hospital, Dublin, for their co-operation in this on-going study. We also thank Dr. Nicholson for use of the photographs, and the anonymous reviewers for this paper for their constructive comments. The cooperation of the Division of Radiation Therapy, Trinity College Medical School, is gratefully acknowledged. This research is supported by funding by the SFI Research Frontiers grant under the National Development Plan.
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Kane, B., Luz, S. Achieving Diagnosis by Consensus. Comput Supported Coop Work 18, 357–392 (2009). https://doi.org/10.1007/s10606-009-9094-y
- interaction analysis
- medical diagnosis
- multidisciplinary medical team meetings