Moderator Raoul S. Concepcion, MD, summarizes the first half of the Urologist in Cancer Care Peer Exchange by noting that as costs and healthcare reform remain in a state of flux the goal of the community urologist should be to develop a practice model that places patients as a top priority. Concepcion believes this may involve partnering with a medical oncologist, to provide a multimodal approach. However, E. David Crawford, MD, warns that simply consulting one specialist may not provide the full picture and stresses the importance of a balanced opinion.
Overall, the panel agrees that a multidisciplinary approach with a focus on patient care is the best plan. Mark S. Austenfeld, MD, adds that despite a clear bias towards large groups, the majority of patients are treated in one or two urologist practices, which makes providing a multidisciplinary approach challenging.