, 11 tweets, 6 min read Read on Twitter
Bit of a different #tweetorial today, on:


- TIPS for the PRIMARY TEAM calling the consult.

Caveat: Some examples are a little #dermconsult specific, but can be extrapolated to others!

#medthread #dermtwitter #medtwitter #meded #FOAMEd #tipsfornewdocs
As both a #dermatologist & a #hospitalist, I have the pleasure of being on both ends of the #consult game.

So, your team has decided to call a consult, and you are the intern or student who has been tasked with contacting the team. Don't be nervous! Try these tips!👇👇👇
First of all:

1)Have a consult question

Asking a consultant to see a pt w/o a ? is like having a pt see you w/o a chief complaint! The ? helps the consultant frame the note in a way that is most helpful for you & your team. Otherwise, I'm guessing at what you want to know.
2)Be respectful of the consult team’s expertise

It's frustrating when a team that insists that they just want a biopsy. That’s calling us a bx service, which is not why we’re in the hospital. Trust us to know when a bx is helpful. Same goes for other specialties too!
3)Try to examine the pt first

Sure, maybe the attending said they want the consult, but I suggest you examine 1st & try to come up with your own determination of whether you would’ve called one too. When you have a ton of checkboxes, this is tough, but your opinion matters!
4)Call them early (before noon)!

When we get late consults, we might be on rounds already, and our team’s ability to pore through the patient’s records and give them the time they need is hindered. It might just be a checkbox for you, but it can negatively affect care.
5)Hold off on nonurgent consults

We love seeing skin disease, but the hospital isn’t a great place to call us just because “the patient's here anyway.” I love patient-centered care, but our involvement racks up hospital bills unnecessarily. Clinic visits are way cheaper!
6)Don’t forget the MRN and patient name in your page!

Simple one, but we often look back to our pager to remind ourselves of who we need to see. It also lets us look up information, add them to our list, etc. Just a simple step that usually is forgotten in early July ;)
7)Don’t make fun of us. Be kind!

If you need our help, respect our team. I’ve walked into rooms where the primary team's laughing about our specialty with the patient or each other, not knowing we’re standing behind them. Let’s all work together for our patients & be kind.
So to recap for all you consult callers:
1 – Have a consult question
2 – Be respectful of our expertise
3 – Try to examine the patient first
4 – Call the consult early
5 – Hold off on nonurgent consults
6 – Don’t forget the MRN and name
7 – Don’t make fun of us. Be kind!
Thanks for joining. Co-tweeted with this is a #tweetorial on consult etiquette for the consultant! Check that #medthread out if you ever are on the other side of the consult game.

If you have other tips, feel free to reply and add below.👇

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