Specific Consult Guidelines:

 

Team:

  • Consult teams do not have caps however residents should primarily be balancing patient load with educational experience. If a resident feels they are primarily responsible for too many patients and thus hindering their education, please reach out to the Chief Residents
  • Consult services have a team structure that is dependent on which individuals are scheduled to participate.
  • On your first day on an inpatient consult service, contact your team’s fellow at or around 8 AM.
    • Cardiology- p3547
    • GI- p9894
    • Liver- p2543
    • Pulmonary- p4277
    • Palliative- p7255
    • Renal- p6320
    • Procedure Service – p1111
    • ID- p7023
    • IBD- p4423

Expectations:

  • Medicine housestaff will page their consult service at 8 AM on the first day of the rotation
  • Residents and Interns are expected to attend morning report (11:30-12:15 pm) every day – if you are seeing patients during this protected time, please let the Chief Residents know
  • Consult attending rounds will vary but should allow for conference attendance. Please let the Chief Residents know if rounds are going through conference.
  • Residents that are post-call from MROC or Night Float are excused the following day.
  • All consult services have weekends off. Residents may have jeopardy duties while on consult blocks.
  • On +2 Consults residents are expected to attend their scheduled PCG and subspecialty clinics.

Other Important Points

  • The consult team must proactively communicate with the primary team regarding any initial or follow-up recommendations. This communication should be both written and verbal and should be in a timely fashion.
  • The consult team should NOT write orders on any patient without the expressed consent of the primary team.
  • Consult residents are excused from consults to attend their continuity clinics; all other absences must be discussed with the consult attending.

Supervision

The attending physician is responsible for ensuring the highest level of care to consult patients. This is accomplished through regular supervision of the work completed by the resident, intern and students on the team. The attending should see and evaluate all patients at initial consultation. At their discretion, they will see and evaluate all patients on other days during the admission. In all cases, the plan of care should be reviewed with the consult team delivering appropriate feedback where necessary. The attending should be available 24 hours a day to the consult and primary teams for question or concerns arising in the course of patient care.

Updated 8/2025