ACP HospitalistNew Commandments for Consults

In a recent talk at the Internal Medicine Meeting 2023, hospitalist Heather Nye emphasized the need to update the “Ten Commandments for Effective Consultations” originally outlined by Lee Goldman and colleagues in 1983. Dr. Nye provided new insights for performing and requesting consults in the 21st century. Some key points she highlighted included the importance of going the extra mile to determine the patient’s condition, establishing urgency, providing clear and written recommendations, documenting all interactions, and following up on recommendations and actions taken.

Dr. Nye stressed the significance of clear communication in consult relationships. For hospitalists requesting consults from subspecialists, she advised following the commandments outlined and overcoming reluctance in seeking clarification and follow-up. It was emphasized that hospitalists should manage consultants effectively, ensuring they follow up on recommended studies and document their recommendations in the patient’s chart. Additionally, hospitalists should be proactive in obtaining contact information and communicate with consultants even after they sign off, especially during patient discharge discussions.

Overall, Dr. Nye emphasized that effective communication, documentation, and follow-up are essential in providing optimal patient care and ensuring collaboration between hospitalists and subspecialists.