Understanding Role Delineation of the Multidisciplinary Team Members
Cancer care has become exceedingly complex, requiring the expertise of a multidisciplinary team of professionals who can provide a range of services and support to patients and their loved ones. It is important that this care is provided with the “necessary speed, precision, and quality” (Delivering high-quality cancer care. The National Academies Press, Washington, DC, 2013), making the task all the more complicated. Across the full cancer continuum—screening, diagnosis, treatment, survivorship, palliative care, and end of life—a team of professionals work in concert to ensure that the patient has access to the information, services, and resources that they need to make informed decisions that are unique to their values, preferences, and situation. The ultimate goal of the multidisciplinary team is to reduce errors, improve quality, and enhance care coordination for a positive experience for the patient and their loved ones. Research has shown that good communication and collaboration among members of the healthcare team and patients improve patient satisfaction and promote better outcomes and safety (Handbook of Oncology Social Work: psychosocial care for people with cancer. Oxford University Press, New York, NY, 2015, pp. 785–791).
KeywordsPatient-centered care Multidisciplinary Interdisciplinary Transdisciplinary Oncology Nursing Social work Patient navigation Nurse navigation Care coordination
- 1.Institute of Medicine. Establishing transdisciplinary professionalism for improving health outcomes. Washington, DC: National Academies Press; 2017.Google Scholar
- 3.McGillicuddy P, Gold K, Lowe M. Developing core competencies for interprofessional teams: a script-reading approach. In: Christ G, Messner C, Behar L, editors. Handbook of oncology social work: psychosocial care for people with cancer. New York: Oxford University Press; 2015. p. 785–91.Google Scholar
- 4.Institute of Medicine. Delivering high-quality cancer care. Washington, DC: National Academies Press; 2013.Google Scholar
- 5.Institute of Medicine. Crossing the quality chasm: a new health system for the 21st century. Washington, DC: National Academies Press; 2001.Google Scholar
- 6.National Learning Consortium. Shared decision making. 2013. www.healthit.gov/sites/default/files/nlc_shared_decision_making_fact_sheet.pdf.
- 7.Loscalzo M, Clark K, Bultz BD. Integrated interdisciplinary staff leadership model of patient-centered care. In: Christ G, Messner C, Behar L, editors. Handbook of oncology social work. New York: Oxford University Press; 2015. p. 595–600.Google Scholar
- 8.Smith GF, Toonen TR. Primary care of the patient with cancer. Am Fam Physician. 2007;15(75):1207–14.Google Scholar
- 10.National Cancer Institute. NCI dictionary of cancer terms: medical oncologist. www.cancer.gov/publications/dictionaries/cancer-terms?cdrid=46290.
- 11.National Cancer Institute. Chemotherapy. 2015. www.cancer.gov/about-cancer/treatment/types/chemotherapy.
- 12.Bonner Millar, L. Surgical oncology. 2016. www.oncolink.org/cancer-treatment/surgery/overview/surgical-oncology-the-basics.
- 13.National Cancer Institute. Surgery. 2015. www.cancer.gov/about-cancer/treatment/types/surgery.
- 14.American College of Surgeons. Medical student FAQs. www.facs.org/education/resources/medical-students/faq.
- 15.American Society for Clinical Oncology. ASCO answers: radiation therapy. 2016. www.cancer.net/sites/cancer.net/files/asco_answers_radiation_therapy.pdf.
- 16.National Cancer Institute. Radiation therapy. 2010. www.cancer.gov/about-cancer/treatment/types/radiation-therapy/radiation-fact-sheet.
- 17.Board of Pharmacy Specialists. Oncology pharmacy. www.bpsweb.org/bps-specialties/oncology-pharmacy.
- 18.Bauer, A. Spotlight on: Oncology pharmacists—Part I, a Q&A. 2014. www.cancer.net/blog/2014-06/spotlight-oncology-pharmacists-%E2%80%93-part-i-qa.
- 19.National Consensus Project for Quality Palliative Care. Clinical practice guidelines for quality palliative care. 3rd ed. Author: Pittsburgh, PA; 2014.Google Scholar
- 20.Gilchrist LS, Galantino ML, Wampler M, Marchese VG, Morris GS, Ness KK. A framework for assessment in oncology rehabilitation. J Am Phys Ther Assoc. 2009;89(3):286–306.Google Scholar
- 21.The Sidney Kimmel Comprehensive Cancer Center. Cancer rehabilitation program. www.hopkinsmedicine.org/kimmel_cancer_center/centers/cancer_rehab/index.html.
- 22.American Nurses Association. What is nursing? www.nursingworld.org/EspeciallyForYou/What-is-Nursing.
- 23.Willis A, Hoffler E, Villalobos A, Pratt-Chapman M. Advancing the field of cancer patient navigation: a toolkit for comprehensive cancer control professionals. Washington, DC: The George Washington University Cancer Institute; 2016.Google Scholar
- 24.Stewart MA, Rodriguez R. Patient navigation in oncology. In: Christ G, Messner C, Behar L, editors. Handbook of oncology social work. New York: Oxford University Press; 2015. p. 659–65.Google Scholar
- 25.Messner C. Overview of oncology social work. In: Christ G, Messner C, Behar L, editors. Handbook of oncology social work. New York: Oxford University Press; 2015. p. 1.Google Scholar
- 26.Board of Oncology Social Work. Board of oncology social work. http://oswcert.org/
- 27.Malai, R. Oncology social workers offer many services. NASW News. 2015;60(4). www.socialworkers.org/pubs/news/2015/04/oncology-social-work.asp.
- 28.Zebrack B, Jones BL, Smolinksi KM. Oncology social work interventions throughout the continuum of cancer care. In: Christ G, Messner C, Behar L, editors. Handbook of oncology social work. New York: Oxford University Press; 2015. p. 35–42.Google Scholar
- 29.Association of Oncology Social Work. Oncology social workers brochure. 2015. www.aosw.org/AOSW/media/Main-Site-Files/BROCHURES%20AND%20FLYERS/OSW-BROCHURE.pdf.
- 30.Clark K, Loscalzo M, Bultz BD. Touch-screen technology: using a problem checklist for psychosocial oncology screening. In: Christ G, Messner C, Behar L, editors. Handbook of oncology social work. New York: Oxford University Press; 2015. p. 129–36.Google Scholar
- 31.American College of Surgeons. Cancer program standards: ensuring patient-centered care. 2016. www.facs.org/quality-programs/cancer/coc/standards.
- 32.Institute of Medicine. Cancer care for the whole patient: meeting psychosocial health needs. Washington, DC: The National Academies Press; 2008.Google Scholar
- 33.Harold P. Freeman Patient Navigation Institute. www.hpfreemanpni.org.
- 35.Centers for Disease Control and Prevention. Promotores de salud/community health workers. www.cdc.gov/minorityhealth/promotores/index.html.
- 36.American Public Health Association. Community health workers. www.apha.org/apha-communities/member-sections/community-health-workers.