SJT: MDT Coordination Success with the WHO-TO Framework (passthemsra.com) - Free MSRA revision

This episode shows you how to coordinate an MDT safely, decisively, and in a way that maximises MSRA SJT marks under pressure. You’ll learn how to match tasks to the correct professional, give a perfect SBAR referral, set time-bound ownership, and avoid the dangerous delays that lead to patient harm. A complete, high-yield walkthrough of red-flag scenarios, OT vs physio roles, unsafe discharges, SALT priorities, pharmacist input, and the WHO-TO mnemonic. 0:00 The swallow vs discharge dilemma00:22 Central exam truth: right role, right time00:55 High-pressure MDT coordination01:20 Three scoring pillars01:40 Role-matched action02:10 Structured SBAR referral02:40 Owned follow-through03:10 First–Next–Last framework03:40 Step 1: define outcome + risk04:05 Step 2: select correct role04:40 Step 3: SBAR with a clear ask05:05 Step 4: assign owner + deadline05:35 Step 5: document plan + safety net06:00 WHO-TO mnemonic overview06:30 W – What outcome?06:55 H – Highest risk first07:20 O – Optimal role07:40 T – Time frame08:05 O – Ownership08:40 Red flags: aspiration, high-risk meds, unsafe discharge, infection control09:20 SALT: NBM then urgent swallow assessment09:55 Pharmacy: TDM, polypharmacy, IV-to-oral switch10:25 OT vs physio clarified11:00 Social worker/discharge coordinator role11:40 Low-scoring traps to avoid12:10 Model SBAR phrases12:55 Proof of safe delegation13:25 Governance + GMC duties14:00 Escalation when referrals decline14:40 Final key takeaways• MDT safety = correct professional + structured referral + owned follow-through• Risk-first thinking points you to SALT, physio, OT, pharmacist, or social care quickly• SBAR must include a specific ask, urgency, red flags, and a closed-loop callback• Unsafe discharges are never acceptable under pressure• Pharm input essential for high-risk meds + TDM• OT = function & environment; physio = movement & strength• Ownership requires a named person, deadline, escalation threshold, and check-back route• WHO-TO reduces error under pressure and boosts scoring reliabilityWHO-TO mnemonic:W – What outcome?H – Highest risk firstO – Optimal roleT – Time frameO – OwnershipLinks:• passthemsra.com – Complete MSRA revision, notes, mocks, flashcards• freemsra.com – Free podcasts, threads and rapid-learning guides• msra.io – Smart MSRA Qbank with analytics#MSRA #SJT #MedicalRevision #UKDoctors #MedEd #passthemsra #freemsra #msraio #MDT #SBAR #PatientSafety