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 Stanley Silverman MD FRCS

3. Stanley Silverman MD FRCS

4. Stanley Silverman MD FRCS

5. Consultant Senior Registrar Registrar Senior House Officer Pre registration House Officer Medical Students Stanley Silverman MD FRCS

6. Stanley Silverman MD FRCS

7. Stanley Silverman MD FRCS

8. Junior doctors’ hours Stanley Silverman MD FRCS

9. EWTR Stanley Silverman MD FRCS

10. The cancer agenda • Surgeons • Oncologists • Radiologists • Pathologists • Radiotherapist • Palliative care doctor • Clinical nurse specialist • Dietician • Physiotherapist • Pain specialist • Macmillan Nurse Stanley Silverman MD FRCS

11. Specialisation Stanley Silverman MD FRCS

12. Vascular Surgery • Surgeons • Interventional Radiologist • Cross sectional / US Radiologist • Clinical Nurse Specialist • Stroke Physician • Cardiologist/ Anaesthetist/ Diabetologist Stanley Silverman MD FRCS

13. Working together Stanley Silverman MD FRCS

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 Stanley Silverman MD FRCS

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 Stanley Silverman MD FRCS

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. Stanley Silverman MD FRCS

17. What’s required? • Shared understanding • Broad agreement • Mutual respect • Give and take • Good communication • Variety of skills Stanley Silverman MD FRCS

18. Plurality Stanley Silverman MD FRCS

19. Circumstances vary Stanley Silverman MD FRCS

20. What it’s not Stanley Silverman MD FRCS

21. Other drivers • Reduction in trainees • Specialisation • Greater scrutiny • Reducing variability in practice Stanley Silverman MD FRCS

22. Who benefits? • The patients • The team members • The healthcare organisation • The commissioners of healthcare Stanley Silverman MD FRCS

23. Who loses? • The lawyers Stanley Silverman MD FRCS

24. Stanley Silverman MD FRCS