Credentialed diaspora oncologists staffing remote tumour boards for home-country hospitals
Thousands of oncologists trained in poorer countries now work abroad. A structured programme could let them join weekly video case conferences for hospitals back home, improving decisions at almost no cost.
Ad hoc tele-tumour boards between high-income and LMIC centres exist but are fragile and unmeasured. A formal programme would credential diaspora and partner specialists, schedule weekly boards by tumour type, use a standard case template, record recommendations, and audit whether they were implemented and whether outcomes changed. The cost is coordination, not salaries.
- Most of the world has almost no cancer care · Seven in ten cancer deaths happen in low- and middle-income countries, where radiotherapy, pathology, surgery and drugs are scarce.
- Not enough oncologists, nurses, pathologists, physicists · The number of people with cancer is rising faster than the workforce trained to treat them.
- Knowledge reaches practice too slowly · Knowledge diffusion is slow: it takes years for a proven result to change what most patients receive, and no one can keep up with the literature.
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