× Women Physicians

consults at a community hospital

8 years 3 months ago #81387 by efex101
At my institution we do not do face to face/phone to phone talk with consulting MD's. There is not time, and many instances I never get a hold of them as they are busy in clinic or doing consults. I place the consult and *why* and then that's it.

Please Log in or Create an account to join the conversation.

8 years 3 months ago #81392 by English
I think this is very physician dependent. I use to call people all the time on consults and what the particular question that I wanted answered, but lately it is just not feasible since I am so busy. I don't think physician noncommunication is something unique to community hospitals, but more often seen where there are no residents. When I taught residents we always stressed the importance of communication with consultants-- but that's an ideal. I now don't have time to wait around for a consultant to call me back and many times they don't. If it something acute or a particular question that I have then I do try my best effort to get a hold of them.

In our office- if a physician calls, our staff will pull us out of the room to get us, but in other offices I can't get a hold of a consultant for the life of me! They will not page them or get them on the phone- sometimes they want me to talk to their PA, RN, NP, or resident-- which I think is stupid since I am an attending who wants to talk to the attending who is responsible for my pt. With that being said the times that I have gotten a hold of a physician the transition is so much smoother for both of us-- my question gets answered and the consultant knows why I sent the patient and what to look for.

No offense, Annie 501, but I have never been able to get a hold of a psychiatrist unless I see them in the hospital halls or parking lot--- I have called & paged many psychiatrists' offices and it is impossible to get a hold of them- their staff makes sure that there is a fortress around them. Many times I just end up texting my med school friends who are psychiatrists asking them what they think. It's really sad because in the end it's patient care that is being affected-- talking to a physician for 20 secs will give you a better picture than the hours talking to staff, patient, etc.

Please Log in or Create an account to join the conversation.

8 years 3 months ago - 8 years 3 months ago #81403 by annie501
I am starting to think that going with the current system, meanwhile letting everyone know that I am available by cell as often as I can be and returning pages promptly, is probably the best way not to rock the boat.

English, that is a good point about not being able to get ahold of psychiatrists. I have been a psych resident for the last 4 years, and if I ever needed to talk to an attending during that time, I had better physically go find them. Anything else was pretty useless. I have been really surprised at how easy it is to get ahold of FP's and internists here in clinic. I feel kind of guilty about calling and pulling anyone out of a patient room. However, I agree that talking to the consulting physican for 20 seconds saves a lot of time, presents a better picture to the patient and family, and ultimately results in better patient care.

Last Edit: 8 years 3 months ago by .

Please Log in or Create an account to join the conversation.

8 years 2 months ago #81580 by clee03m
I work at a community hospital, and personally I always call because I want to be sure that the consultants know why I am consulting. I sleep better that way, but I am also very anal.

At my hospital, consults can be placed without personally calling the consultant as long as reason is written down.

Please Log in or Create an account to join the conversation.

Moderators: TexasRoseellieresidentmomefex101
Time to create page: 0.220 seconds
Find us on Facebook!
Find us on Twitter!
Find us on Pinterest!