Methods
A core committee was created by the Director of the Head and Neck Cancer
Service Line (GSW) including senior leadership from the surgical,
medical oncology and radiation oncology services. The first draft was
created by the core committee. All physicians and critical ancillary
staff were sent a copy of the first draft of the guidelines via email
and asked to review the document and make changes in track changes mode.
In order to ensure an orderly process, the document was initially sent
“Bcc” to the group to expedite individual responses that would then be
trackable and avoid the ensuing cross chatter that occurs in groups when
documents such as this are sent “Cc” and individuals send their
response “Reply to All”. The entire group was assured that every
recommended change would be reviewed by the core committee and their
changes would either be adopted and if not there would be an explanation
from the Director of the Head and Neck Service Line as to why their
change was not included. This process allowed for an effective,
efficient and timely turnaround in the development algorithm that was
inclusive to all stakeholders.