Difference between revisions of "Consultation"

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{{General notes}}
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<noinclude>{{Top
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|author1=[[User:Mikael Häggström|Mikael Häggström]]
 
|author1=[[User:Mikael Häggström|Mikael Häggström]]
 
|author2=
 
|author2=
 
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<noinclude/>Save '''phone numbers''' to pertinent seniors so that you can contact them in urgent situations.
 
{{Comprehensiveness}}
 
{{Comprehensiveness}}
 
==When to ask==
 
==When to ask==
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*'''Malignancy''' risk of the case.
 
*'''Malignancy''' risk of the case.
 
*'''Inability to retake''' sections in case the first ones are insufficient:
 
*'''Inability to retake''' sections in case the first ones are insufficient:
:*A risk of '''irreversibility''' of any processing, such as inability to perform special tests by putting it in formalin.
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:*A risk of '''irreversibility''' of any processing, such as inability to perform special tests by putting it in formalin. {{further|Fixation}}
 
:*'''Low redundancy''' of tissue at hand, such as very small pieces of relevant tissue.
 
:*'''Low redundancy''' of tissue at hand, such as very small pieces of relevant tissue.
*'''Low accessibility''' in obtaining the specimen at hand, such as through deep surgery or imaging-based biopsy.<ref group=notes>Low '''accessibility''' is associated with both a higher risk of '''malignancy''' (enough to motivate extensive methods for obtaining the specimen) and '''irreversibility''' (as it would be difficult to retake a specimen in case the first one does not result in an adequate diagnosis).</ref>
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*'''Low accessibility''' in obtaining the specimen at hand, such as through deep surgery or imaging-based biopsy.<ref group=note>Low '''accessibility''' is associated with both a higher risk of '''malignancy''' (enough to motivate extensive methods for obtaining the specimen) and '''irreversibility''' (as it would be difficult to retake a specimen in case the first one does not result in an adequate diagnosis).</ref>
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==What do ask for==
 
==What do ask for==
When consulting a senior, generally read up on the medical history and{{Moderate-begin}}/or{{Moderate-end}} operative report of the patient. What you generally want to know are:
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When consulting a senior, generally read up on the medical '''history''' and{{Moderate-begin}}/or{{Moderate-end}} operative report of the patient. Also, try to '''diagnose''' each case as much as possible before asking, so that you will practice your skills and further improve them based on how they differ from what a senior would do. If taking a slide tray with you, don't forget the slide on your microscope.
*If bringing a slide tray, don't forget the slide on your microscope.
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*{{Comprehensive-begin}}Is the office '''door open''', and if so, how much? Generally leave it the same way on the way out.{{Comprehensive-end}}
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What you generally want to know are:
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*{{Comprehensive-begin}}Note if the office '''door open''', and how much, and generally leave it the same way on the way out.{{Comprehensive-end}}
 
*The pathology '''issues''' at hand.
 
*The pathology '''issues''' at hand.
*If information is given for writing a pathology report, what will you do '''after''' writing them? Save, sign or notify them otherwise?
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*If you are given information for writing a pathology report, what will you do '''after''' writing it in the system? Save, sign or notify them otherwise?
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==Getting in touch with clinicians==
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Ask the referring doctor for clarification or more information whenever needed for your diagnosis, or for delivery of diagnoses that likely require quick management. In more emergent situations:
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#Look at the '''referral''' for any number to call.
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#If intraoperative, call the '''operating room number'''.
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#Call the '''hospital switch''' to connect you with the referring doctor.
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In less emergent situations, you may also try the following:
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*Consider '''texting''' the person rather than call (and use case/patient number rather than identifiable information, unless you are using an appropriately encrypted system).
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*For inpatients, find out from for example medical records where the patient is located, call the hospital switch to connect you with that location, also including any '''nurse or other caregiver'''. They may be able to answer any questions. Otherwise, ask that person for the phone number to the referring doctor, or other person in charge of the patient. Ask to repeat their names when needed, and ask if you can get direct phone numbers of any potentially useful people that you encounter in the process.
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The optimal time to get in touch with hospitalists is generally around '''2pm to 3pm''' (when they are usually done with the more emergent tasks of the day but haven't yet left the hospital).
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<noinclude>
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{{General notes}}
 
{{Bottom}}
 
{{Bottom}}
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</noinclude>

Revision as of 19:16, 2 December 2022

Author: Mikael Häggström [note 1]
Save phone numbers to pertinent seniors so that you can contact them in urgent situations.

Comprehensiveness

On this resource, the following formatting is used for comprehensiveness:

  • Minimal depth
  • (Moderate depth)
  • ((Comprehensive))

When to ask

For grossing, general factors for asking for assistance include:

  • Unfamiliarity with the specimen type at hand.
  • Malignancy risk of the case.
  • Inability to retake sections in case the first ones are insufficient:
  • A risk of irreversibility of any processing, such as inability to perform special tests by putting it in formalin. Further information: Fixation
  • Low redundancy of tissue at hand, such as very small pieces of relevant tissue.
  • Low accessibility in obtaining the specimen at hand, such as through deep surgery or imaging-based biopsy.[note 2]

What do ask for

When consulting a senior, generally read up on the medical history and(/or) operative report of the patient. Also, try to diagnose each case as much as possible before asking, so that you will practice your skills and further improve them based on how they differ from what a senior would do. If taking a slide tray with you, don't forget the slide on your microscope.

What you generally want to know are:

  • ((Note if the office door open, and how much, and generally leave it the same way on the way out.))
  • The pathology issues at hand.
  • If you are given information for writing a pathology report, what will you do after writing it in the system? Save, sign or notify them otherwise?

Getting in touch with clinicians

Ask the referring doctor for clarification or more information whenever needed for your diagnosis, or for delivery of diagnoses that likely require quick management. In more emergent situations:

  1. Look at the referral for any number to call.
  2. If intraoperative, call the operating room number.
  3. Call the hospital switch to connect you with the referring doctor.

In less emergent situations, you may also try the following:

  • Consider texting the person rather than call (and use case/patient number rather than identifiable information, unless you are using an appropriately encrypted system).
  • For inpatients, find out from for example medical records where the patient is located, call the hospital switch to connect you with that location, also including any nurse or other caregiver. They may be able to answer any questions. Otherwise, ask that person for the phone number to the referring doctor, or other person in charge of the patient. Ask to repeat their names when needed, and ask if you can get direct phone numbers of any potentially useful people that you encounter in the process.

The optimal time to get in touch with hospitalists is generally around 2pm to 3pm (when they are usually done with the more emergent tasks of the day but haven't yet left the hospital).

General notes edit

Further reading:

Notes

  1. For a full list of contributors, see article history. Creators of images are attributed at the image description pages, seen by clicking on the images. See Patholines:Authorship for details.
  2. Low accessibility is associated with both a higher risk of malignancy (enough to motivate extensive methods for obtaining the specimen) and irreversibility (as it would be difficult to retake a specimen in case the first one does not result in an adequate diagnosis).

Main page

References


Image sources