[Management of skin cancers and multidisciplinary consultation meetings in private activity]

In 2019, dermatologists in the Île-de-France region launched the OncoDerm tele-MTM (Multidisciplinary Team Meeting) platform to optimize the management of skin cancers operated on by private practitioners. The goal is to ensure a quality of care equivalent to that of public hospitals by facilitating the registration and collegial discussion of cases (melanomas, carcinomas). The management of these tele-MTM has since been taken over in Île-de-France by the Specialized Care Team in Dermatology and Venereology (ESSDV IDF) via Omnidoc, and in Corsica by ESSDV CorsicaDerm via Alta Strada Rofim. The text details the regulation of oncological surgery, the functioning of MTM (quorum, coordinator's role, dissemination of opinions), and specifically tele-MTM in onco-dermatology (quorum composition, indications for cancer registration, required information). It then discusses management guidelines for basal cell carcinomas, melanomas (emphasizing the importance of MTM for access to therapeutic innovations), and cutaneous squamous cell carcinomas. In conclusion, it reiterates the possibility for private practitioners to use these tele-MTM via the ESSDV, which aim to improve access to dermatological care and coordination, notably through telemedicine.