Related Experiment Video
Updated: May 20, 2026

Strategy for Biobanking of Ovarian Cancer Organoids: Addressing the Interpatient Heterogeneity across Histological Subtypes and Disease Stages
Published on: February 23, 2024
From Silos to Synergy: Building Resilient Multidisciplinary Oncology Teams
Raymond Liu1,2,3, Lidia Schapira4, Sheetal Kircher5
1Department of Hematology Oncology, The Permanente Medical Group, San Francisco, CA.
Establishing high-functioning oncology teams is crucial for coordinated cancer care. The 4R oncology model provides a practical roadmap for managing interdependent care, improving efficiency, and reducing clinician and patient burden.
Area of Science:
- Oncology
- Healthcare Management
- Team Science
Background:
- Cancer care complexity necessitates interdisciplinary coordination.
- Fragmented care delivery leads to delays and increased burden.
- Effective multidisciplinary teams are vital for timely, patient-centered oncology care.
Purpose of the Study:
- To present a practical roadmap for establishing and sustaining high-functioning oncology teams.
- To operationalize teamwork using the 4R oncology model.
- To improve coordination and reduce fragmentation in cancer care delivery.
Main Methods:
- Utilized the 4R oncology model (right information, right care, right patient, right time).
- Employed a structured tool, the Care Sequence, for managing interdependent care timing and sequencing.
- Focused on team formation, process optimization, workflow integration, and continuous learning.
Main Results:
- The 4R model operationalizes teamwork through explicit management of care timing and sequencing.
- Implementation involves team formation, collaborative process optimization, and workflow integration.
- Highlighted the roles of patients and nonphysician professionals in team-based care.
Conclusions:
- The 4R oncology model offers an actionable framework for building coordinated and resilient oncology teams.
- Structured approaches to conflict resolution enhance problem-solving and system improvement.
- Team-based structures support collaboration across diverse settings and geographies for high-quality cancer care.
Related Concept Videos
Treatment Resistant Cancers
Treatment Resistent Cancers
Interdisciplinary Care: The Health Care Team-I
Physicians
The physician's primary responsibility is to diagnose illness and direct the medical or surgical treatment of the condition. The authority to admit patients to a healthcare agency or institution and practice care within that setting is granted to physicians by the healthcare agency or institution itself.
Interdisciplinary Care: The Health Care Team-II
Physical Therapist
A physical therapist (PT) aims to restore function or prevent additional impairment in a patient following an injury or disease. Massage, heat, cold, water, sonar waves, exercises, and electrical stimulation are some treatments used by PTs to treat...
Combination Therapies and Personalized Medicine
The combination of the drug acetazolamide and sulforaphane is a good example of combination therapy to treat cancer. The cells in the interior of a large tumor often die due to the hypoxic and...
Combination Therapies and Personalized Medicine
The combination of the drug acetazolamide and sulforaphane is a good example of combination therapy to treat cancer. The cells in the interior of a large tumor often die due to the hypoxic and...

