UCSF Virtual Tumor Board Presentation Form
The UCSF Virtual Tumor Board Presentation Form is essential for submitting cases to the HCC Virtual Tumor Board. This form collects vital patient demographic information and lab results necessary for evaluation. Fill it out accurately to ensure thorough assessment by the board.
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How do I fill this out?
Filling out this form is straightforward. Start by providing the presenter's name and clinic, followed by the patient's demographic information. Ensure all required fields are completed for a smooth submission process.
How to fill out the UCSF Virtual Tumor Board Presentation Form?
1
Begin by entering the presenter's name and clinic.
2
Input the patient's demographic information accurately.
3
Select the type of patient: new or follow-up.
4
Fill in the etiology of liver disease and lab results.
5
Summarize the case and specify any questions for the board.
Who needs the UCSF Virtual Tumor Board Presentation Form?
1
Medical practitioners needing to present a case to the tumor board.
2
New patients at UCSF requiring evaluation for liver disease.
3
Follow-up patients needing ongoing assessment.
4
Clinics referring patients for specialist consultation.
5
Administrative staff coordinating cases for the tumor board.
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1
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4
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What are the instructions for submitting this form?
To submit this form, ensure all sections are filled out accurately. Email the completed PDF directly to the Virtual Tumor Board Coordinator at kimberly.fitzgerald@ucsf.edu. If preferred, you may also fax the form to the provided number, ensuring timely review and processing.
What are the important dates for this form in 2024 and 2025?
Important dates for the submission of cases to the HCC Virtual Tumor Board will be provided during the annual scheduling session. Stay updated with UCSF’s communication for deadlines specific to case presentations.
What is the purpose of this form?
The purpose of the UCSF Virtual Tumor Board Presentation Form is to facilitate the submission of patient cases for expert evaluation. By providing essential patient information and lab results, the form ensures that the tumor board has all necessary details for thorough assessment. This process enhances clinical decision-making and patient outcomes.
Tell me about this form and its components and fields line-by-line.
- 1. Presenter Name: The name of the healthcare provider presenting the case.
- 2. Presenter Clinic: The clinic or facility where the presenter works.
- 3. Patient demographic information: Details such as age, sex, and other identifying information.
- 4. Type of Patient: Indicates whether the patient is new or a follow-up.
- 5. Etiology of liver disease: Describes the underlying cause of the liver condition.
- 6. Lab Results: Important laboratory values relevant to the case.
- 7. Imaging Details: Includes scans like CT or MRI and dates performed.
- 8. Impression: Summary of evaluation and thoughts regarding the case.
- 9. Summary of case and specific questions: A brief overview and any questions directed at the tumor board.
What happens if I fail to submit this form?
If the form is not submitted, the patient's case may not be reviewed in a timely manner. This delay could affect treatment decisions and lead to negative outcomes. It is vital to ensure that submissions are completed accurately and on time.
- Delayed Treatment: A failure to submit could delay the critical review process for necessary treatment.
- Incomplete Case Review: Missing information might lead to incomplete evaluations from the board.
- Missed Opportunities: Delayed or failed submissions could result in missed opportunities for effective case management.
How do I know when to use this form?
- 1. New Patient Evaluation: For patients new to UCSF needing an initial assessment.
- 2. Follow-Up Cases: When a patient requires continued observation and care.
- 3. Referrals from Clinics: For clinics referring cases to the tumor board.
- 4. Routine Case Reviews: Used for regular case reviews for ongoing management.
- 5. Specialized Consultations: When specialized input from the tumor board is needed.
Frequently Asked Questions
How do I start filling out the form?
Begin by entering the presenter's details at the top of the form.
Can I save my progress?
You can edit and download the PDF as needed.
What if I have questions while filling out the form?
Make sure to include specific questions in the summary section for the board.
Do I need to provide demographic information?
Yes, accurate demographic details are essential for case evaluation.
How do I submit the completed form?
Email the completed form directly to the VTB Coordinator listed in the instructions.
What kind of lab results should I include?
Include all relevant lab results related to liver disease.
Is there a specific format for the impression summary?
Provide a brief yet detailed summary to highlight key points.
Can I change the format of the PDF?
You can edit the PDF to your preferences using our tools.
Are there guidelines for the imaging details?
List the date and type of scans performed clearly.
What happens after I submit the form?
Your case will be reviewed by the tumor board for further assessment.
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