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Peer review of cancer multidisciplinary teams: is it acceptable in Australia?

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Multidisciplinary care is a key enabler of high-quality treatment,1 and is endorsed in Australia and overseas as best practice in cancer care.24 An essential component of multidisciplinary care is a multidisciplinary team (MDT) that holds regular meetings where doctors from relevant disciplines, nurses, and allied health professionals meet formally to present new and ongoing patient cases. At a multidisciplinary meeting (MDM), MDT members discuss results of investigations, establish diagnosis and staging, and decide on the most appropriate treatment plan for each patient.

Guidelines recommending structure and processes for both MDTs and MDMs have been adopted by Cancer Australia and most state health departments in Australia.5,6 While quality assurance processes have been recommended to optimise multidisciplinary care,5,7 no robust and ongoing mechanisms have been put in place for accreditation, monitoring of adherence to National Safety and Quality Health Service Standards, or quality improvement (QI).5,8,9