Abstract
Background
A multi-disciplinary team (MDT) approach underpins patient care in a Geriatrics department. Occupational therapy, physiotherapy and discharge teams play a vital role in optimising the patients' functional independence and facilitating safe discharges. Discussions within the MDT often involve use of specialised terms and shorthand to clearly communicate patient progress. As a result, for doctors rotating through the specialty with minimal previous exposure, the MDT discussions can be difficult to follow.
Aim
To improve the clarity and accessibility of MDT discussions for rotating doctors
Methods
We introduced a booklet as part of the induction materials which explained the roles of different teams within the MDT. It also consisted of a glossary section, defining the common terms and shorthand used by the MDT. We applied the Model for Improvement to identify the aim and used multiple PDSA cycles to improve the booklet. Departmental surveys were conducted to assess the impact of the booklet.
Results
An initial survey showed that 6 out of 7 (85%) new doctors were not familiar with the terms used by the MDT and, as a result, struggled during the daily board rounds. The first PDSA cycle involved providing a booklet with a list of terms. Following feedback, the second intervention expanded the booklet to include details of the different teams' roles. The third cycle focused on improving the accessibility of the booklet, by providing both printed and online copies as part of induction. After these changes, 5 out of 7 (71%) new doctors reported that the booklet was a useful reference tool and made it easier for them to integrate into MDT discussions.
Conclusion
A structured induction, including clear resources like the MDT booklet, supports doctors transitioning into the Geriatrics departments, improving confidence, communication, and integration into team discussions.
Comments
Booklet Is a great suggestion for incoming resident doctors
As a new resident doctor in Geriatric Medicine, it can often be challenging to follow MDT-led board rounds. Developing a booklet that explains key terms and concepts would empower resident doctors to participate more actively in these discussions. A great idea to implement!
Very good QIP. Addressing…
Very good QIP. Addressing an important issue (new doctors who don’t have a previous experience in geriatric wards). A good understanding of MDT terms and abbreviations will result in better communication between the staff members and subsequently better care for the patients and safer discharges.
Great initiative
Good work, to further integrate resident doctors, with rotational training it's often hard to fully engage with the whole team. Would be interesting to see if this has further benefit with repeat cycles, when the new doctors rotate, which I suspect it may.