In tumor boards, the influence of knowledge, expertise and reputation have profound effects on cancer treatment programs, despite disciplinary background. Reverence is given to those who hold highest levels of clinical expertise (superior clinical outcomes) and often crossing disciplinary boundaries.
Code 1: Reputation. In the tumor board, knowledge and expertise contributing to reputation has profound professional equity, meaning, its value, in the eyes of the physician, surpasses the value of any other factor, superior to discipline/specialty, age, and gender status characteristics. In this manner, reputation is a resource that affords the reputable rewards in the form of respect, attention, status, power, and patient treatments. As such, physicians work very hard at maintaining their reputation. They employ clinical and selection strategies to mitigate risk of damaging their reputation while
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They have a sort of “procedural status mark,” which seems essential, as there is great weight placed on them by the board and they are very influential in decision making. A procedural status mark is a status characteristic that denotes both monetary and nonmonetary rewards: respect, deference and acknowledgement by peers as well as increased procedural volume.
SURGEON: Establishing a ‘reputation for specialization of technique’ is difficult. It requires years of research identifying and creating best practices. To establish one, a physician has to have patients so unique that he has an opportunity to perform special procedural techniques that he has learned, make instant decisions, and take performance measures on the patient that are unique for that case. As each patient case is presented and treated by the physician, he solidifies his personal technique, his reputation and his leadership among