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| As discussed at our last TOP faculty meeting, I have created this survey for us to establish clearer guidelines on the responsibilities and expectations of the inpatient consult attending. The survey is anonymous and is intended to try to determine the group's preferences. Thank you for your feedback. Cases with at least 75% support for a specific answer amongst those who responded will become our policy. Quesions generating no clear winner (i.e., less than 75%) will be brought back to the group for discussion. Abstentions/failure to respond will not be considered in the calculations. |
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| Dr. A is the consult attending for TOP and gets a call from GMS on a Friday night about a new consult on a 68 year-old heavy smoker with brain metastases and a large right lung mass, with prelim path showing squamous cell CA of the lung. Dr. B will pick up the consult service on Monday morning. Who should be responsible for staffing this consult? |
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| Same scenario as above, except the initial call comes on Sunday afternoon at 3pm. Who should staff the consult? |
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| Dr. A was on inpatient TOP consults last week and was following an active consult in the MICU. Dr. A is away this week, and the patient and MICU team require ongoing, active input from TOP. Dr. B is on consults this week. Dr. C is covering Dr. A's pager. Who should staff this ongoing consult? |
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| Dr. X is out of town when one of his/her known clinic patients is admitted to the MICU on a Saturday morning. The patient requires TOP consultation regarding new SVC syndrome. Dr. A is covering Dr. X's pager. Dr. B is the inpatient consult attending. Who should staff this known DFCI patient? |
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| Dr. A is on consults and takes a call on Thursday about a requested inpatient transfer from DFCI South Shore for a complicated NSCLC patient who has never been seen here in Boston but has a new patient appointment scheduled with Dr. B in a week. Dr. A approves the transfer, but there are no available beds at BWH. The patient finally is transferred to BWH on Sunday evening, without Dr. A's knowledge. The patient winds up in the MICU here at BWH, and TOP consultation is needed on Monday, when the consult pager has switched over to Dr. C. Who should see this patient? |
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| Dr. A is on inpatient consults for TOP and receives a consult request from a GMS intern on Wednesday about a patient with new, large RUL mass with bone and liver metastases. Dr. A directs them over the phone to do a CT-guide biopsy and get appropriate radiographic staging and tells them to contact the TOP consult service once there is a tissue diagnosis. Biopsy results come back the following week confirming lung adenocarcinoma. At this point, Dr. B is now on for TOP consults. How should this consult be staffed? |
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| The surgical service pages the TOP consult attending, Dr. A, for an urgent consult for a mesothelioma patient who is ready for discharge after aborted pleurectomy but is returning to Kentucky in 2 days. How should this be handled? |
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| In addition to staffing inpatient consults, the consult attending has also been the person taking calls from outside referrals. Which if any of the following other responsibilities should we consider assigning to the assigned consult physician? (check as many as apply) |
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