MDT在乳腺专科医师继续教育中的应用研究  

The Role of Multi-disciplinary Team(MDT)in the Continuing Education for Breast Disease Specialists

作　　者：王林波[1] 黄建[2] 杨红健[3] 张筱骅[4] 傅佩芬[5] 王蓓[6] WANG Linbo;HUANG Jian;YANG Hongjian;ZHANG Xiaohua;FU Peifen;WANG Bei(Department of Surgical Oncology,Sir Run Run Shaw Hospital,Zhejiang University School of Medicine,Hangzhou Zhejiang 310016,China;Department of Surgical Oncology,The Second Affiliated Hospital of Zhejiang University School of Medicine,Hangzhou Zhejiang 310009,China;Department of Breast Surgery,Zhejiang Cancer Hospital.Hangzhou Zhejiang 310022,China;Department of Surgical Oncology,The First Affiliated Hospital of Wenzhou Medical University,Wenzhou Zhejiang 325000,China;Department of Breast Disease Diagnosis and Treatment Center,The First Affiliated Hospital of Zhejiang University School of Medicine,Hangzhou Zhejiang 310003,China;Department of Breast Disease Diagnosis and Treatment Center,Zhejiang Provincial Hospital of TCM,The First Affiliated Hospital of Zhejiang Chinese Medical University,Hangzhou Zhejiang 310006,China)

机构地区：[1]浙江大学医学院附属邵逸夫医院肿瘤外科,浙江杭州310016 [2]浙江大学医学院附属第二医院肿瘤外科,浙江杭州310009 [3]浙江省肿瘤医院乳腺外科,浙江杭州310022 [4]温州医科大学附属第一医院肿瘤外科,浙江温州325000 [5]浙江大学医学院附属第一医院乳腺疾病诊治中心,浙江杭州310003 [6]浙江中医药大学附属第一医院乳腺病中心,浙江杭州310006

出　　处：《中国继续医学教育》2020年第10期1-4,共4页China Continuing Medical Education

摘　　要：目的 探究多学科诊治模式(multi-disciplinary team,MDT)在乳腺病专科医生继续教育中的应用效果.方法 本项前瞻性研究通过浙江省抗癌协会乳腺癌专业委员会的平台,联合浙江省多家医院,采用网络MDT对乳腺癌相关病例进行定期讨论分析.结果 五年来共开展300余场MDT讨论,为全省78家医院的乳腺病专科医师提供继续教育,累计参与专科医生超过13000人次,相比于MDT开展前,乳腺癌的规范化诊疗得到全方面的提升;包括乳腺癌确诊手段、临床淋巴结评估、乳腺癌化疗时机及方案的选择等都较MDT开展前更规范更精准.结论 MDT这种专科化的继续教育形式实用可行.Objective Multi-disciplinary team(MDT)is a process by which multi-disciplinary experts work together to develop personalized treatment plans for patients.Methods Through the platform of Zhejiang Anti-cancer Association,this prospective study carries out regular discussion and analysis of breast cancer-related cases through online multi-disciplinary team(MDT).Results During the past five years,more than 300 MDT discussions have been carried out and more than 13000 specialists have been involved,providing continuing education for breast disease specialists in 78 hospitals across the province,and promoting the standardized diagnosis and treatment of breast cancer in an all-round way.The choice of breast cancer diagnosis,clinical lymph node assessment,chemotherapy timing and program selection are more accurate than before MDT.Conclusion Practice has proved that MDT,a form of specialized continuing education,is practical and feasible.

关 键 词：多学科诊疗模式 MDT 乳腺疾病 继续教育 前哨淋巴结活检 化疗 靶向治疗 

分 类 号：G642[文化科学—高等教育学]