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Background: Multidisciplinary tumor boards (MTBs) are commonly practiced among specialists in high-income countries (HICs) to ensure evidence-based, concordant decisions for patient treatment. MTBs have also been shown to improve patient outcomes and quality of life. Cancer specialists in low-and middle-income countries (LMICs) have limited time and few opportunities to discuss breast cancer patient care with colleagues. The Global Cancer Institute (GCI) established online MTBs in 2012 to facilitate live telemedicine discussions of breast cancer case scenarios between specialists in LMICs and expert specialists in HICs. GCI MTBs aim to improve clinical knowledge and patterns of practice among specialists in LMICs with a low-cost, interactive, and educational tool.

Methods: In each monthly, hour-long MTB, three de-identified breast patient case scenarios are presented in English by specialists in LMICs …