A Prospective Analysis of Radiation Oncologist Compliance to Early Peer Review Recommendations

We conducted a prospective observational cohort study of physician compliance to early peer review recommendations. All patient cases are discussed twice at an early (pre-planning) and late (chart rounds, 1st week of treatment) peer review conferences. Compliance to early peer review recommendations was 59% (determined at the time of late peer review), with compliance varying amongst physicians. Compliance declined with the magnitude of the recommendation, suggesting reluctance to accept major changes in planned therapy.

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