From: Internal medicine residents identify gaps in medical education on outpatient referrals
Never (%) | Rarely (%) | Sometimes (%) | Usually (%) | Always (%) | N | |
---|---|---|---|---|---|---|
It is important to provide the clinical reason for a referral. | 0 (0) | 0 (0) | 4 (3) | 17 (14) | 100 (83) | 121 |
It is important to provide the pertinent medical history when making a referral. | 0 (0) | 1 (1) | 13 (11) | 40 (33) | 68 (56) | 122 |
I provide the clinical reason when I make a referral. | 0 (0) | 3 (2) | 6 (5) | 43 (35) | 70 (57) | 122 |
I provide the pertinent medical history when I make a referral. | 0 (0) | 4 (3) | 25 (20) | 59 (48) | 34 (28) | 122 |
When I make a referral, I provide a sufficient amount of clinical information for the consulting provider. | 0 (0) | 7 (6) | 42 (34) | 59 (48) | 14 (11) | 122 |
To make a referral, I use the electronic health record’s referral order. | 0 (0) | 0 (0) | 0 (0) | 11 (9) | 110 (91) | 121 |
In addition to using the electronic health record’s referral order, I e-mail, message, or call the consulting physician to explain the case. | 59 (48) | 49 (40) | 12 (10) | 1 (1) | 1 (1) | 122 |
Strongly Disagree | Disagree | Neutral | Agree | Strongly Agree | ||
My residency provides sufficient training in knowing when to refer a patient. | 0 (0) | 10 (8) | 29 (24) | 72 (59) | 11 (9) | 122 |
My residency provides sufficient training in what information to provide the consulting physician at the time of the referral. | 1 (1) | 15 (12) | 41 (34) | 54 (45) | 10 (8) | 121 |
The referral process in the ambulatory setting works well for providing patients with high quality clinical care. | 7 (6) | 24 (20) | 40 (33) | 43 (36) | 7 (6) | 121 |
I have observed situations in which important clinical information was missing at the time that a consulting physician evaluated a patient. | 4 (3) | 18 (15) | 47 (39) | 43 (35) | 10 (8) | 122 |
I have observed situations in which missing information at the time of a consult led to repeat testing or inappropriate testing. | 8 (7) | 30 (25) | 39 (32) | 35 (29) | 10 (8) | 122 |
I have observed situations in which missing information at the time of a consult resulted in harm for the patient (including but not limited to medication errors, misdiagnosis, unnecessary testing, and other types of harm). | 33 (27) | 45 (37) | 35 (29) | 8 (7) | 1 (1) | 122 |