Reasons primary care physicians reach out to subspecialty physicians
• True diagnostic dilemma
• Procedure is required that primary care does not offer
• Needed expertise in a diagnostic or therapeutic decision
• A rare presentation or disease that should be seen by other physicians
Ways to coordinate care
• Structured referrals
• Alternative modes of patient visits coordinated through EMR
• Shared clinical decision support tools
• Clinical algorithms
• Development of consultation templates
Dr. Cooke is the president of the American College of Physicians. Dr. Allen is the president elect of the American Gastroenterological Association.
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