Retrospective analysis of chief residents’ consultation in Department of Endocrinology and Metabolism in West China Hospital of Sichuan University_West China Medical Journal

Authors：

 TAN Huiwen

Department of Endocrinology and Metabolism, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding?author：

TAN Huiwen, Email: huiwent2016@scu.edu.cn

Keywords：

Chief resident; Consultation system; Endocrinology and metabolism; Emergency consultation; Interhospital consultation

DOI：

10.7507/1002-0179.201512192

Video：

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Abstract Full text Figures/Tables Video References Cited by

Objective To analyze the proportions of interhospital and intrahospital consultation cases of chief residents in the Department of Endocrinology and Metabolism in West China Hospital of Sichuan University, and summarize the distribution characteristics of endocrine and metabolic diseases in other specialized departments, in order to promote the routine work optimization and the cultivation of specialists in endocrinology and metabolism. Methods A total of 1 299 cases were completed by the chief residents in the Department of Endocrinology and Metabolism between July 2012 and June 2013. Distribution of departments, composition and distribution of consultation cases were analyzed retrospectively. The characteristics of endocrine and metabolic diseases were summarized, and the difference of endocrine and metabolic consultation demand was compared among different departments . Results Among the 1 299 consultation patients, there were 612 males (47.11%) and 687 females (52.89%) aged between 14 and 96 years averaging at 56.3. There were 747 (57.51%) interhospital consultation cases and 552 (42.49%) intrahospital consultation cases. The most common reason for emergency consultation was stress hyperglycemia in diabetic patients after surgery or trauma, followed by thyroid diseases and electrolyte disturbances. Most consultation applications were from the Emergency Department, and the consultation purpose was mainly blood glucose control. The main consultation purpose of surgical and gynecologic departments was perioperative assessment and treatment adjustment in patients combined with endocrine diseases such as diabetes and thyroid diseases. Meanwhile,the purpose of obstetric consultation was mainly treatment for patients with hyperthyroidism complicated with pregnancy, gestational diabetes treatment and perioperative blood glucose control. Conclusions Clinical consultation work is challenging, which also provides an excellent chance for chief residents to study and review professional knowledge and accumulate clinical experiences. Chief residents should have the knowledge of the proportions and distribution of consultation cases in order to optimize daily work. They should also summarize consultation experiences so as to promote their knowledge of diagnosis and treatment.

Citation： TAN Huiwen. Retrospective analysis of chief residents’ consultation in Department of Endocrinology and Metabolism in West China Hospital of Sichuan University. West China Medical Journal, 2017, 32(8): 1277-1280. doi: 10.7507/1002-0179.201512192 Copy

1.	Tuot DS, Leeds K, Murphy EJ, et al. Facilitators and barriers to implementing electronic referral and/or consultation systems: a qualitative study of 16 health organizations. BMC Health Serv Res, 2015, 15: 568.
2.	Liddy C, Drosinis P, Keely E. Electronic consultation systems: worldwide prevalence and their impact on patient care: a systematic review. Fam Pract, 2016, 33(3): 274-285.
3.	陳適, 邢小平, 柴曉峰, 等. 北京協和醫院住院患者內分泌相關疾病 871 例會診分析. 北京醫學, 2013, 35(2): 91-93.
4.	覃靈玲, 岑朝, 黃坤炯. 院內會診制度信息化管理模式的探討. 中國病案, 2017, 18(4): 60-62.
5.	陳適, 邢小平, 顧鋒, 等. 內分泌急診會診疾病分布及特點. 協和醫學雜志, 2015, 6(5): 324-326.
6.	劉丹, 顏青青, 白然, 等. 2007-2013 年大連醫科大學附屬第一醫院三部內分泌科會診情況統計資料分析. 實用糖尿病雜志, 2014, 10(5): 18-21.
7.	黃榮, 李剛榮, 周琳, 等. 醫院會診管理系統的設計與實現. 重慶醫學, 2011, 40(35): 3577-3578, 3581.
8.	趙錚. 醫院內部會診管理系統的構建探討. 當代醫學, 2014, 20(32): 16-17.
9.	孟曉. 加強會診管理提高會診質量. 中國醫學創新, 2011, 8(9): 125-126.
10.	田柯, 耿仁文, 林凱程. 院內會診存在的問題及對策分析. 現代醫院, 2011, 11(2): 110-111.
11.	李大江, 鐘彥, 文強, 等. 院內科間會診管理的探索與實踐. 中國醫院管理, 2010, 30(10): 42-43.
12.	郭述真, 吳世滿, 楊晉英. 加強全院會診工作組織的實踐. 中華醫院管理雜志, 2000, 16(10): 599.
13.	Liddy C, Maranger J, Afkham A, et al. Ten steps to establishing an e-consultation service to improve access to specialist care. Telemed J E Health, 2013, 19(12): 982-990.

1. Tuot DS, Leeds K, Murphy EJ, et al. Facilitators and barriers to implementing electronic referral and/or consultation systems: a qualitative study of 16 health organizations. BMC Health Serv Res, 2015, 15: 568.
2. Liddy C, Drosinis P, Keely E. Electronic consultation systems: worldwide prevalence and their impact on patient care: a systematic review. Fam Pract, 2016, 33(3): 274-285.
3. 陳適, 邢小平, 柴曉峰, 等. 北京協和醫院住院患者內分泌相關疾病 871 例會診分析. 北京醫學, 2013, 35(2): 91-93.
4. 覃靈玲, 岑朝, 黃坤炯. 院內會診制度信息化管理模式的探討. 中國病案, 2017, 18(4): 60-62.
5. 陳適, 邢小平, 顧鋒, 等. 內分泌急診會診疾病分布及特點. 協和醫學雜志, 2015, 6(5): 324-326.
6. 劉丹, 顏青青, 白然, 等. 2007-2013 年大連醫科大學附屬第一醫院三部內分泌科會診情況統計資料分析. 實用糖尿病雜志, 2014, 10(5): 18-21.
7. 黃榮, 李剛榮, 周琳, 等. 醫院會診管理系統的設計與實現. 重慶醫學, 2011, 40(35): 3577-3578, 3581.
8. 趙錚. 醫院內部會診管理系統的構建探討. 當代醫學, 2014, 20(32): 16-17.
9. 孟曉. 加強會診管理提高會診質量. 中國醫學創新, 2011, 8(9): 125-126.
10. 田柯, 耿仁文, 林凱程. 院內會診存在的問題及對策分析. 現代醫院, 2011, 11(2): 110-111.
11. 李大江, 鐘彥, 文強, 等. 院內科間會診管理的探索與實踐. 中國醫院管理, 2010, 30(10): 42-43.
12. 郭述真, 吳世滿, 楊晉英. 加強全院會診工作組織的實踐. 中華醫院管理雜志, 2000, 16(10): 599.
13. Liddy C, Maranger J, Afkham A, et al. Ten steps to establishing an e-consultation service to improve access to specialist care. Telemed J E Health, 2013, 19(12): 982-990.

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Retrospective analysis of chief residents’ consultation in Department of Endocrinology and Metabolism in West China Hospital of Sichuan University

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