Effectively working with consultants

Quote

“The chief function of a consultant is to make a rectal examination that you have omitted.” Sir William Osler.

Definition

A service type provided by a physician whose opinion or advice regarding evaluation or management of a specific problem is requested by another physician.

Skills for success

1. Organizational skills: Focused. Concise. Prompt. Prepared.

2. Interpersonal/Comm Skills: Polite. Be willing to help. Clear communication

3. Medical knowledge: Accurate. Investigating the problem. Owning the patient.

4. Conflict resolution: Concession. Compromise. Negotiation.

The "5 C's" of ED Consults

1. Contact: Full name. Rank and service. Identify supervisor

2. Communicate: Concise story. Clearly speaking. Clarify issues. Be patient.

3. Core question: Specify the need for the consultant.

4. Collaboration: result of the discussion.

5. Closing the loop: Ensure both parties on same page, update with any changes.

References

1. Consultation in the emergency department: a qualitative analysis and review.J Emerg Med. 2012 Jun;42(6):704-11. doi: 10.1016/j.jemermed.2011.01.025. Epub 2011 May 26 2. EMRAP Episode #144 3. http://allbleedingstops.blogspot.com/2007/04