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Does the structure of clinical questions affect the outcome of curbside consultations with specialty colleagues?
Journal article   Open access   Peer reviewed

Does the structure of clinical questions affect the outcome of curbside consultations with specialty colleagues?

George R Bergus, Christina S Randall, Suzanne D Sinift and D M Rosenthal
Archives of family medicine, Vol.9(6), pp.541-547
06/2000
DOI: 10.1001/archfami.9.6.541
PMID: 10862217
url
https://doi.org/10.1001/archfami.9.6.541View
Published (Version of record) Open Access

Abstract

Background: Clinical questions frequently arise during the practice of medicine, and primary care physicians frequently use curbside consultations with specialty physicians to answer these questions. It is hypothesized that well-formulated clinical questions are more likely to be answered and less likely to receive a recommendation for formal consultation. Objective: To assess the relationship between the structure of clinical questions asked by family physicians and the response of specialty physicians engaged in curbside consultations. Design and participants: A case series of clinical questions asked during informal consultations between 60 primary care and 33 specialty physicians using an e-mail service. Curbside consultation questions were sent, using e-mail, to academic specialty physicians by primary care physicians (faculty, residents, and community practitioners) in eastern Iowa. Main outcome measures: Questions were analyzed to determine the clinical task and to identify 3 components: an intervention, a comparison, and an outcome. Consultants' responses were analyzed to identify whether questions were answered and whether consultants recommended formal consultation. Results: There were 708 questions in this analysis: 278 (39.3%) were diagnosis questions, 334 (47.2%) were management questions, 57 (8.0%) were prognosis questions, and 39 (5.5%) were requests for direction. Clinical questions were less likely to go unanswered or receive a recommendation for formal consultation when the question identified the proposed intervention (odds ratio, 0.54; 95% confidence interval, 0.34-0.86; P = .006) and desired outcome (odds ratio, 0.46; 95% confidence interval, 0.29-0.69; P < .001). Only 271 (38.3%) of 708 curbside consult questions identified both of these components. Conclusion: Medical specialists' responses to curbside consultation questions seem to be affected by the structure of these clinical questions.

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