Virtual MDC Experience at University of Pittsburgh Medical Center
UPMC conducts a weekly MDC to discuss care of head and neck cancer patients. The MDT consists of providers from Otolaryngology-Head and Neck Surgery, Medical Oncology, Radiation Oncology, Neuroradiology, Pathology, Oral and Maxillofacial Surgery, Nursing, and Palliative and Supportive Care. MDC was conducted primarily in person prior to the COVID-19 pandemic. The conference was held in the Otolaryngology-Head and Neck Surgery department conference room with an associated teleconference line. Remote participants were able to join MDC via teleconference but were not able to observe any of the imaging reviewed during the conference.
During the present COVID-19 pandemic, MDC has been transitioned to a remote, virtual format utilizing video teleconference via Microsoft Teams. This format allows for both audio and video participation as well as screensharing. Data shared through Microsoft Teams is secure, meeting HIPAA compliance standards. In order to access the application, MDT members must login via their institutional access; this prevents other users from gaining access to the MDC. At the start of the meeting, the neuroradiologist shares his or her screen, which allows attendees to view radiological images that are reviewed during the conference. Screen sharing of Microsoft PowerPoint slides also allows for brief presentations on relevant clinical topics. MDC is organized by an otolaryngology resident, who assembles the list of patients to be presented at the conference. A preliminary list of patients is distributed to the MDT at least 24 hours prior to MDC in order to allow for providers to prepare for patient presentations. The organizer distributes the final list to MDC participants and hosts the video teleconference. Additionally, the chair of Otolaryngology-Head and Neck Surgery helps to lead patient discussions. Notes summarizing the MDC discussion and final recommendations are placed in each patient’s chart at the conclusion of the conference.