Table 1 Examples of Secure Chat threads. Table displays specific examples of a variety of Secure Chat thread types (logistical, educational, admission communication, etc.)
From: Integrated secure messaging to enhance medical education: a mixed methods study
Logistical communication |
“Let me know when get to floors. 622 & 625: Inpt Rehab is viewing for discharge planning. They will let me know if can be accepted today. […] 634: Still no word back from CHI at Oakes. […]” “We are going to 663” |
Admission communication |
“please admit for nausea, vomiting and [d]iarrhea x 2 days, normal cbc and cmp. elevated lactic acid, influenza was negative, likely viral gastroenteritis. […]. CT scan was done […] normal LFT” “sounds good” |
Procedure communication |
“Wanna go to third floor for a pacemaker soon?” “Yes!” “I’ll come to the lounge before so I’ll meet you down there!” “Okay, perfect, I’m just working on notes here” |
Clerkship feedback |
“[student name]- Your discharge summary was excellent. I did not have any questions about the hospital course and your listing of the diagnoses and follow ups was good. Additionally, you separated out things by problem. Let me know if you have any questions about this feedback.” |
Management communication |
“Hi, [patient’s PCP], just wanted to let you know that [your patient] was admitted for recurrent epistaxis. ENT recommended that we hold Warfarin and Aspirin and they will be following up in clinic tomorrow to remove packing. […] Please resume anticoagulation once the bleeding has stopped [and] let me know if you have any questions.” “OK / Thank you for letting me know” |
“Hi [hematologist/oncologist], [the patient] was admitted for a right radial fracture after a fall at home [and underwent ORIF]. Is it okay to restart [medication]?” “OK to re-start [medication]. Is the plan to place oncology consult or is she discharging soon, thanks.” “Will check with my attending and let you know whether consult will be needed. Thanks”. “Not necessary to place consult if stable, thanks.” |
Educational communication |
“[Student], I heard about a great job you did with [Dr. Preceptor] on a project charter for a QI study. I read the charter myself. Great work! I am very impressed.” “Thank you! I look forward to working with you this coming month. “I heard about your interest in primary care too! Let's chat about it sometime in the next month!” “Sounds great!” |
“teaching moment; vertigo, common presentation, can be scary given worry for posterior circulation stroke. important to distinguish central vs peripheral vertigo (impacted cerumen and external ear disease, BPPV, Labyrinthitis, vestibular neuronitis, Meniere’s ds.). would request the team to read up on the factors distinguishing the two. One thing to look up is HiNTs criteria/test. thank you” “[Dr. Preceptor], maybe you can [also] put in a good word with the powers that be...that we have little to no access to otoscopes. I couldn’t do a proper exam on this guy because i couldn’t find one. Wasn’t in the supply room.” |
“[Dr. Preceptor] after reading this study, I think I would discuss the benefits and risks of follow up colonoscopy with the patient and perhaps not think it as important, since our patient had uncomplicated diverticulitis.” “I agree with you. Good work!!” |