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. Author manuscript; available in PMC: 2016 Mar 1.
Published in final edited form as: Ann Surg Oncol. 2015 Oct 16;23(3):708–714. doi: 10.1245/s10434-015-4904-6

Table 3.

Proposed models of breast cancer follow-up endorsed by different types of oncologists

Follow-up
Model
Oncology
Provider Type
Representative Quotes
Complementary Team Surgical Oncology I do have the bend that I think that it is nice and actually valuable that a patient gets more than one perspective on their physical exam and on their care. Because I think my perspective is going to be more from a local regional control, and I think a medical oncologist is looking more for systemic control. I think a radiation oncologist is looking for their long-term side-effects. So I think there is some value in getting all three perspectives.
Medical Oncology Because we are all looking at different aspects, surgeons focus on the surgical aspect and the radiation focus on their aspect and then we focus on the medical treatment aspect, so I don’t think anyone is particular should be the dominant one. I think we should work as a team.
Radiation Oncology Our goal is to have at least two different people, sets of hands examining the patient, because what one person may miss, the other person may notice.
Primary Oncologist Surgical Oncology Personally I think that once actual treatment is done, one person could probably monitor that and for one particular patient it might be better suited to perhaps be the medical oncologist, radiation or the surgical oncologist, depending on maybe where they feel more comfortable.
Radiation Oncology I think probably the most efficient way to do it, is to have one provider provide all of the follow-up. Because there’s less chance of the patient falling through the cracks, there’s less chance of dropped balls
Medical Oncology If they go with the alternating approach, yes, we can all provide the care. But my concern is then they go to one person and they say, “You know what, this one spot on my breast has been kind of bothering me.” And [that provider] examines it and they maybe send me a note, but then the next time I’m seeing [the patient], well, I didn’t examine it three months ago… to me there’s something about that continuity of one person being that main person.