Medical consultation is an important clinical component for most hospitalists. Traditionally, consultants evaluated patients at the request of the referring physician (RP) and provided an assessment and recommendations. Today, hospitalists are also asked to provide both “curbside” advice and more comprehensive comanagement of medical problems. Hospitalists who are effective consultants communicate skillfully and act professionally. The following module describes the different roles that hospitalists can perform as medical consultants and provides strategies for improving communication and RP satisfaction.
After completing the module, the participant should be able to:
- Recognize why consult medicine is an important topic and describe how it has been traditionally performed.
- Compare the different responsibilities and expectations of the medical consultant when performing comanagement or curbside consultation.
- Assess strategies that may increase referring physician (RP) compliance with the consultant’s recommendations.
- Propose methods that promote more effective communication with RPs through verbal discussion.
- Formulate methods that promote more effective communication with RPs through written consultation reports.
- Propose professional behavior for medical consultants.
The Johns Hopkins University School of Medicine takes responsibility for the content, quality, and scientific integrity of this CME activity.
Credit Designation Statement: The Johns Hopkins University School of Medicine designates this educational activity for a maximum of 2 AMA PRA Category 1 Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity.
Release date: June 30, 2009. Expiration date: June 30, 2011.
*Associate Clinical Professor, Division of Hospital Medicine, Director, Medicine Consultation Service and Comanagement with Neurosurgery Service, University of California, San Francisco, San Francisco, California.
†Assistant Professor of Medicine and Pediatrics, Johns Hopkins Hospitalists, Director, Comprehensive General Medicine Consult Service, Editor, Johns Hopkins Consultative Medicine Essentials for Hospitalists, Baltimore, Maryland.
Disclaimer: The opinions and recommendations expressed by faculty and other experts whose input is included in this program are their own. This enduring material is produced for educational purposes only. Use of The Johns Hopkins University School of Medicine name implies review of educational format design and approach. Please review the complete prescribing information of specific drugs or combination of drugs, including indications, contraindications, warnings and adverse effects before administering pharmacologic therapy to patients.
Supported by an educational grant from Merck & Co., Inc.