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

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3.	陈适, 邢小平, 柴晓峰, 等. 北京协和医院住院患者内分泌相关疾病 871 例会诊分析. 北京医学, 2013, 35(2): 91-93.
4.	覃灵玲, 岑朝, 黄坤炯. 院内会诊制度信息化管理模式的探讨. 中国病案, 2017, 18(4): 60-62.
5.	陈适, 邢小平, 顾锋, 等. 内分泌急诊会诊疾病分布及特点. 协和医学杂志, 2015, 6(5): 324-326.
6.	刘丹, 颜青青, 白然, 等. 2007-2013 年大连医科大学附属第一医院三部内分泌科会诊情况统计资料分析. 实用糖尿病杂志, 2014, 10(5): 18-21.
7.	黄荣, 李刚荣, 周琳, 等. 医院会诊管理系统的设计与实现. 重庆医学, 2011, 40(35): 3577-3578, 3581.
8.	赵铮. 医院内部会诊管理系统的构建探讨. 当代医学, 2014, 20(32): 16-17.
9.	孟晓. 加强会诊管理提高会诊质量. 中国医学创新, 2011, 8(9): 125-126.
10.	田柯, 耿仁文, 林凯程. 院内会诊存在的问题及对策分析. 现代医院, 2011, 11(2): 110-111.
11.	李大江, 钟彦, 文强, 等. 院内科间会诊管理的探索与实践. 中国医院管理, 2010, 30(10): 42-43.
12.	郭述真, 吴世满, 杨晋英. 加强全院会诊工作组织的实践. 中华医院管理杂志, 2000, 16(10): 599.
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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. 陈适, 邢小平, 柴晓峰, 等. 北京协和医院住院患者内分泌相关疾病 871 例会诊分析. 北京医学, 2013, 35(2): 91-93.
4. 覃灵玲, 岑朝, 黄坤炯. 院内会诊制度信息化管理模式的探讨. 中国病案, 2017, 18(4): 60-62.
5. 陈适, 邢小平, 顾锋, 等. 内分泌急诊会诊疾病分布及特点. 协和医学杂志, 2015, 6(5): 324-326.
6. 刘丹, 颜青青, 白然, 等. 2007-2013 年大连医科大学附属第一医院三部内分泌科会诊情况统计资料分析. 实用糖尿病杂志, 2014, 10(5): 18-21.
7. 黄荣, 李刚荣, 周琳, 等. 医院会诊管理系统的设计与实现. 重庆医学, 2011, 40(35): 3577-3578, 3581.
8. 赵铮. 医院内部会诊管理系统的构建探讨. 当代医学, 2014, 20(32): 16-17.
9. 孟晓. 加强会诊管理提高会诊质量. 中国医学创新, 2011, 8(9): 125-126.
10. 田柯, 耿仁文, 林凯程. 院内会诊存在的问题及对策分析. 现代医院, 2011, 11(2): 110-111.
11. 李大江, 钟彦, 文强, 等. 院内科间会诊管理的探索与实践. 中国医院管理, 2010, 30(10): 42-43.
12. 郭述真, 吴世满, 杨晋英. 加强全院会诊工作组织的实践. 中华医院管理杂志, 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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