Valued Components of a Consultant Letter from Referring Physicians’ Perspective: a Systematic Literature Synthesis

Rash, Arjun; Sheldon, Robert S.; Donald, Maoliosa; Eronmwon, Cindy; Kuriachan, Vikas

doi:10.1007/s11606-018-4356-3

Cited by 3 publications

(2 citation statements)

References 18 publications

(26 reference statements)

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“…As important as the letter to the referring physician can be, there is no standard for structuring these letters to best accomplish its goals. However, preliminary research has found that referring providers' preferred content that includes diagnosis, prognosis, and management plan, rather than data items such as detailed history (Rash et al, 2018). Furthermore, letters formatted as structured templates appear to increase comprehension and may even reduce letter length (Vermeir et al, 2015).…”

Section: Letter To Referring Physicianmentioning

confidence: 99%

Genetic counseling clinical documentation: Practice Resource of the National Society of Genetic Counselors

Brendish

Patel

et al. 2021

Journal of Genetic Counseling

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This practice resource (PR) proposes a hybrid clinical document applicable to every genetic counseling specialty (prenatal, pediatric, cancer, etc.). The practice resource addresses clinical documentation practices for multiple genetic counseling service delivery models including the following in-person, group sessions, and telegenetics (phone and videoconferencing) sessions. The intended audience is U.S.-based genetic counselors given international differences in practice patterns and documentation regulations and requirements. | ME THODSThis practice resource represents the opinions of a group of Certified Genetic Counselors from a wide range of disciplines (both patient facing and non-patient facing). The opinions of this author group are based on combined clinical and professional experiences as well as reviews of English-language medical articles and other governmental and institutional policies that influence clinical documentation practices. The recommendations in this practice resource are not intended to supersede the legal or institutional guidelines issued by a genetic counselors' employer or the opinions of individual genetic counselors.

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Section: Letter To Referring Physicianmentioning

confidence: 99%

Genetic counseling clinical documentation: Practice Resource of the National Society of Genetic Counselors

Brendish

Patel

et al. 2021

Journal of Genetic Counseling

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“…Existing tools assessing inter-provider correspondence focus primarily on traditional reply letters following face-to-face encounters and do not capture elements unique to eConsult. [15][16][17][18][19] In eConsult, there is no direct patient-specialist interaction, and so the specialist relies entirely on the PCP to provide relevant details regarding history, physical examination and investigations. Also, the PCP is solely responsible for determining if eConsult advice should be implemented, further emphasising the importance of ensuring highquality specialist communication so that advice can be followed as intended.…”

Section: Introductionmentioning

confidence: 99%

eConsult Specialist Quality of Response (eSQUARE): A novel tool to measure specialist correspondence via electronic consultation

et al. 2021

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High-quality correspondence between healthcare providers is critical for effective patient care. We developed an assessment tool to measure the quality of specialist correspondence to primary care providers (PCPs) via electronic consultation (eConsult), where specialists provide advice without specialist-patient interactions. We incorporated fourteen previously described features of high-quality eConsult correspondence into an assessment tool named the eConsult Specialist Quality of Response (eSQUARE). Six PCPs and two specialists applied the 10-item eSQUARE tool to 30 eConsults of varying quality as informed by PCP survey data. Content, response process, and internal structure validity evidence was gathered. Psychometric properties were calculated using descriptive statistics and generalizability analyses. Mean total score for low-quality eConsults (M = 24 ± 5.6) was significantly lower than moderate-quality eConsults (M = 38 ± 4.7; p<0.001) which was significantly lower than high-quality eConsults (M = 46 ± 3.0; p = 0.002). Reliability measures were high, including generalizability coefficient (0.96), inter-item (≥0.55) and item-total correlations (≥0.68). A decision study demonstrated that a single rater was adequate to achieve a reliability measure of ≥0.70. This study demonstrates initial validity evidence including multiple reliability measures for the eSQUARE. A single rater is adequate to achieve reliability measures for formative feedback. Future studies can apply the eSQUARE when planning educational initiatives aiming to improve specialist-to-PCP correspondence via eConsult.

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Evaluation of an occupational medicine patient consultation note assessment tool

Spilchuk

House

Nisenbaum

et al. 2021

Occupational Medicine

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Background Medical education focuses on assessment, diagnosis and management of various clinical entities. The communication of this information, particularly in the written form, is rarely emphasized. Though there have been assessment tools developed to support medical learner improvement in this regard, none are oriented to occupational medicine (OM) practice. Aims This study was aimed to develop and evaluate an assessment tool for consultation letters, by modifying a previously validated assessment tool to suit practice in OM. Methods Using an iterative process, OM specialists added to the Consultation Letter Rating Scale (CLRS) of the Royal College of Physicians and Surgeons of Canada (henceforth abbreviated as RC) additional questions relevant to communication in the OM context. The tool was then used by two OM specialists to rate 40 anonymized OM clinical consultation letters. Inter-rater agreement was measured by percent agreement, kappa statistic and intraclass correlation. Results There was generally good percent agreement (>80% for the majority of the RC and OM questions). Intraclass correlation for the five OM questions total scores was slightly higher than the intraclass correlations for the five RC questions (0.59 versus 0.46, respectively), suggesting that our modifications performed at least as well as the original tool. Conclusions This new tool designed specifically for evaluation of patient consultation notes in OM provides a good option for medical educators in a variety of practice areas in providing non-summative, low-stakes assessment and/or feedback to nurture increased competency in written communication skills for postgraduate trainees in OM.

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Valued Components of a Consultant Letter from Referring Physicians’ Perspective: a Systematic Literature Synthesis

Cited by 3 publications

References 18 publications

Genetic counseling clinical documentation: Practice Resource of the National Society of Genetic Counselors

Genetic counseling clinical documentation: Practice Resource of the National Society of Genetic Counselors

eConsult Specialist Quality of Response (eSQUARE): A novel tool to measure specialist correspondence via electronic consultation

Evaluation of an occupational medicine patient consultation note assessment tool

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