. displays transitions in care beginning with diagnosis (which is often initiated by a primary care encounter that occurs outside of the hospital or cancer center) through end of life, recurrence or remission. Those intervention points include the following: 1) changes in major treatment modality through the cancer experience (eg, surgery, radiation, chemotherapy); 2) posttreatment survivorship care and/or surveillance, which occurs following treatment; and 3) decisions to engage end-of-life or palliative care, which require a modified treatment plan (3). An important feature of the MDC team approach is that a patient can experience MDC team intervention at different points in the illness experience.