Document Detail


Gastroenterology consultations from the internal medicine physician's perspective.
MedLine Citation:
PMID:  1744759     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To examine the patterns of use of gastroenterology consultations by internal medicine physicians. DESIGN: A survey of licensed physicians in the three metropolitan areas in Arizona where gastroenterologists are available. The physicians were asked how likely they were to obtain gastroenterology consultations for a variety of different gastrointestinal illnesses. Comparisons between groups were done with chi-square analysis. MEASUREMENTS AND MAIN RESULTS: Forty-six percent of the physicians responded. The majority of respondents believed that esophagogastroduodenoscopy and colonoscopy should be available without gastroenterology consultation (65% and 64%, respectively). Physicians in practice more than ten years were less prone to request consultation for gastrointestinal complaints that were likely to result in endoscopic procedures, such as the diagnosis of peptic ulcer disease or inflammatory bowel disease, or guaiac-positive stool. Internal medicine residents were more likely to seek consultations for both endoscopic and cognitive gastrointestinal complaints. Internal medicine residents were far more likely to request gastroenterology consultations for most patients with upper-gastrointestinal-tract bleeding (91% vs. 60%, p less than 0.001) and lower-gastrointestinal-tract bleeding (65% vs. 22%, p less than 0.0001) than were internists practicing more than ten years. CONCLUSIONS: The majority of internal medicine physicians would like to order endoscopic procedures without gastroenterology consultations, much as they order radiography. Recently trained physicians are far more likely to request consultants for procedure-related problems.
Authors:
J P Waring; J A DiSario; R A Sanowski
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of general internal medicine     Volume:  6     ISSN:  0884-8734     ISO Abbreviation:  J Gen Intern Med     Publication Date:    1991 Sep-Oct
Date Detail:
Created Date:  1992-01-14     Completed Date:  1992-01-14     Revised Date:  2009-02-24    
Medline Journal Info:
Nlm Unique ID:  8605834     Medline TA:  J Gen Intern Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  436-8     Citation Subset:  IM    
Affiliation:
Department of Internal Medicine, Carl T. Hayden VA Medical Center, Phoenix, Arizona.
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MeSH Terms
Descriptor/Qualifier:
Cholangiopancreatography, Endoscopic Retrograde
Colonoscopy
Esophagoscopy
Gastroenterology*
Gastrointestinal Diseases / diagnosis*
Humans
Internal Medicine*
Referral and Consultation

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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