These as are of significant importance to learning, they should help you understand the rationale behind the decision making process. They will be at a fixed time and can be quite lengthy sometimes.
OMFS trainees can attend many different types of MDTs. Head and Neck Oncology, Dermatology, Orthognathic, Craniofacial, Cleft and or complex trauma MDTs are some of the examples. If you are asked to arrange for a patient to be discussed at a MDT meeting, you will need to do that through the MDT co-ordinator or the consultant’s secretary. Make sure that you understand fully the rationale for the decision so you can communicate it to co-ordinator and what does the consultant expect from you.
MDT are exceptionally good in learning about the staging and relevant investigations for the particular cases. Rare cases and complex decisions are usually managed in MDTs. Experience the teamwork approach to management of complex clinical questions. You may have to present patients, and in time provide an opinion. If you’re not clear about something regarding management, this can be a good time to ask. If there is no opportunity to ask during the meeting, make sure that you ask after the meeting.
Being the ST on call for the first time can be daunting. Make sure you know how hand over process works and if you have a formal hand-over from the day ST/ ward team. Do the evening ward round and with ward doctors and nurses if there are any problems before you go home.
Clarify your roles and responsibilities:
What are your admission criteria? Who should you definitely admit, and who can be managed locally or under another team?
Although some units have a full shift system for work, this is not a widely spread practice in OMFS. The on-calls are usually done from home, but there be will be instances when you need to come in to see patients or even travel to other hospitals. Establish if the consultants want you to ring them individually if their patients’ are ill, or only the consultant on-call. Know how you can arrange for emergency admission, rules for emergency theatre and your consultants' contact details. If unsure then ask more senior STs or the consultant oncall with you. Remember to record all surgical cases for your logbook.
Establishing a good working relationship with administrative staff is very important. They are the ones to ask about clinical letters, putting people on MDTs for discussion, managing theatre lists, co-ordinating annual leave, study leave etc. They also can let you know when they receive results for an investigation you may have requested.