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Getting From Here to There

Alice Hm Chen, MD, MPH; Hal F. Yee Jr, MD, PhD

Arch Intern Med. 2009;169(11):1024-1026.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Ms Jones presents to her primary care physician (PCP), Dr Sanchez, with symptoms of persistent diarrhea. Using prereferral guidelines posted on his practice's electronic referral system, he rules out Clostridium difficile, other bacterial and parasitic infections, and celiac disease. He refers her to a gastroenterologist, Dr Lee, for further evaluation and possible colonoscopy. When Ms Jones arrives, Dr Lee reviews the electronic referral, which includes Dr Sanchez's contact information and consultative question along with the patient's relevant history and laboratory results. After assessing Ms Jones, Dr Lee discusses the risks and benefits of colonoscopy with her to further evaluate the diarrhea. After the visit, Dr Lee dictates a note outlining the findings of the patient's assessment and the recommendations to Dr Sanchez. Within 2 days, the note can be found in the electronic medical record that both physicians . . . [Full Text of this Article]

ATTENTION TO THE MEDICAL NEIGHBORHOOD


DEFINING COMANAGEMENT AND SHARED CARE

ESTABLISHING COMMUNICATION STANDARDS

AUTHOR INFORMATION


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