Document Detail


Triaging referrals as part of hematology/oncology fellowship training.
MedLine Citation:
PMID:  20339965     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
We developed an integrative component of the consult rotation for fellows training in hematology/oncology. This component consisted of triaging all consults to the hematology/oncology service of the CAVHS during a 1-year period of time. The goals of the rotation were to improve timeliness of response to consultation requests, to gain experience in differential diagnosis of patients with potential hematologic/oncologic disorders through of such patients, review of decisions with attending physicians, and communication of such with the referring physician. The major benefits were that fellows integrated didactic learning into real-life clinical cases, selected patients for their continuity clinic to assure sufficient variety and complexity of cases, honed their communication skills, learned about referring and attending physicians' styles, and gained practice in clinical vignettes representative of cases they would be expected to see in clinical practice. Disadvantages were time involvement (approximately 2 h/day) and risks of over- or under-referrals. Administratively, there was a significant decline in the wait time for patients to be seen in the hematology/oncology service. In all, this elective is a valuable integrative experience of senior fellows, but may have less value for first year fellows.
Authors:
Mark Kyei; Ellen Lavelle; Jameel Kyasa; Mazin Safar; Issam Makhoul; Paulette Mehta
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of cancer education : the official journal of the American Association for Cancer Education     Volume:  25     ISSN:  1543-0154     ISO Abbreviation:  J Cancer Educ     Publication Date:  2010 Sep 
Date Detail:
Created Date:  2010-09-07     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8610343     Medline TA:  J Cancer Educ     Country:  England    
Other Details:
Languages:  eng     Pagination:  437-41     Citation Subset:  IM    
Affiliation:
Division of Hematology/Oncology, Department of Internal Medicine, University of Arkansas for Medical Sciences, Little Rock, AR, USA.
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