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• W4316079460 abstract "Introduction: There has been a steady rise in the number of inpatient gastrointestinal consultations over time. Previously published analyses were mostly done in academic institutions [1]. We performed a similar analysis in a small community hospital focusing on the ordering providers. Methods: Retrospective review of patient charts for all the inpatient gastrointestinal consultations between July 1, 2021 and May 9, 2022 was performed. They were divided based on ordering provider and the reason of the consultation. Basic demographic data was obtained for the patients. Results: A total of 1,262 consultations were found. Fifty-eight percent were female patients and 42% were males. Fifty-eight percent of the consultations were ordered by the non-teaching hospitalists, 14% by the resident teaching teams, 9% by the emergency medicine physicians and the rest by the other healthcare providers (Figure 1). The most common reasons for the consultations by all the teams were gastrointestinal bleed (25.9%), abdominal pain (12.4%), abnormal liver function tests (4.1%), diarrhea (2.7%), pancreatitis (2.6%) and vomiting (2.2%). Data was analyzed further to see differences in teaching and non-teaching teams (Table 1). Conclusion: Our review in a small community hospital revealed around 1,262 inpatient gastrointestinal consultations were requested in almost 1 year duration. The median duration of hospital stay was shorter in the non-teaching group (4.15 days) which could be explained by the earlier placement of consultation order as compared to the teaching team. Overall, our gastroenterology team expressed concern of increasing burden on their service, total duration of hospital stay for the patients and possible increased cost for the patients. Many of these consultations were appropriate and needed for patient care but many others could have been seen as an outpatient by the gastroenterologists. Our hospital will be implementing a quality improvement project over the next year in order to improve this process – some of the measures will be direct communication between the requesting provider and the gastroenterologist for the main reason of the consult and reviewing the providers who have ordered the maximum number of consultations.Figure 1.: Distribution of the gastrointestinal consultations by the requesting provider service. Table 1. - Baseline characteristics of gastrointestinal consultations among non-teaching and teaching medicine teams Hospitalist (Non-teaching) Hospitalist (Teaching) Number of inpatient teams any day 6-7 2 Number of patients per team 14-16 14 Number of gastrointestinal consultations in the study duration 731 181 Gender (%) - Females - Males 57.32% 42.68% 58.56% 41.44% Ethnicity (%) - White - Black - Asian - Others 66.62% 29.41% 2.33% 1.64% 67.96% 28.18% 2.21% 1.66% Reason for consultation - Gastrointestinal bleed - Abdominal pain - Abnormal liver function tests - Diarrhea - Vomiting - Pancreatitis - Others 26.27% 22.30% 8.34% 5.06% 5.47% 3.83% 28.73% 28.73% 23.76% 5.52% 4.97% 2.76% 1.66% 32.6% Median admission to consultation order time (hours) 9.63 13.7 Median duration of hospital stay (days) 4.15 4.88" @default.
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• W4316079460 date "2022-10-01" @default.
• W4316079460 modified "2023-09-25" @default.
• W4316079460 title "S1519 The Rise in Number of Gastrointestinal Consultations Over Time: Differences Between Teaching and Non-Teaching Medicine Teams in a Community Residency Program" @default.
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• W4316079460 doi "https://doi.org/10.14309/01.ajg.0000862716.99881.60" @default.
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