ConsultER
Structure specialist consults quickly and professionally with AI-generated scripts
The ConsultER helps you communicate clearly and efficiently with consultants — whether you're making the initial call or handing off a patient. Just describe the situation, and the assistant returns a structured, professional consult script with all the key points covered.
✍️ How It Works
Professional Script Generation
Enter a brief consultation request:
Example Input:
Consult vascular surgery for 70M with cold pulseless LLE. Heparin started. CTA pending.
Generated Consultation Output:
1. Professional Phone Script
- Opening introduction - "This is Dr. [Name] from the Emergency Department..."
- Clear urgency statement - Appropriate timeline and acuity level
- Structured presentation - Clearly communicate essential clinical details
- Specific request - Exactly what you need from the consultant
- Professional closing - Timeline expectations and contact information
2. Key Clinical Talking Points
- Patient demographics - Age, relevant PMH, current medications
- Presentation summary - Chief complaint, onset, progression
- Vital signs and exam - Key findings and trending data
- Diagnostic results - Labs, imaging, EKGs with interpretation
- Current interventions - Treatments already initiated
3. Anticipated Questions & Responses
- Common consult questions - With prepared, accurate answers
- Additional data requests - What else they might ask for
- Timeline discussions - Urgency justification and flexibility
- Disposition planning - Admission vs transfer considerations
Input Flexibility
The generator works with various consultation scenarios:
✅ Urgent consults: Need immediate ortho for open tib/fib fracture
✅ Routine requests: Requesting GI eval for GI bleed, stable
✅ Complex cases: Multi-trauma needs trauma surgery, neurosurg, ortho
✅ Procedure requests: Need interventional cards for STEMI
✅ Transfer requests: 52F needs tertiary care for complex stroke
🖼️ ConsultER Interface
The ConsultER creates professional, structured consultation scripts for seamless specialist communication:
Interface Components:
- Input Field - Enter brief case summary and consultation request
- Script Output - Structured consultation script ready for phone calls
- Talking Points - Key clinical data and anticipated questions
The screenshot demonstrates how a simple input like Consult vascular surgery for 70M with cold pulseless LLE
becomes a comprehensive consultation script that includes:
- Professional introduction with clear urgency level
- Structured case presentation
- Specific clinical request with timeline expectations
- Key data points consultant will need
- Anticipated questions and appropriate responses
🔄 Dynamic Script Enhancement
Real-Time Customization
Enhance your consultation script with specific details:
Add clinical data:
Include troponin level of 12.5 and EKG showing STEMI
Add CT results showing 5cm AAA, no rupture
Note patient is on warfarin with INR 3.2
Prepare for pushback:
They want to delay until tomorrow - provide urgency justification
If they suggest medical management only - explain why surgery needed
Prepare response for 'patient too high risk for intervention'
Adjust tone and urgency:
Make this more urgent - patient deteriorating
Tone down urgency - stable for now but needs evaluation
Add language for difficult consultant relationships
Specialty-Specific Customization
Surgery Consults:
- Operative candidacy assessment
- Risk stratification discussion
- Timeline for intervention
Medicine Consults:
- Diagnostic workup recommendations
- Management optimization
- Disposition planning
Psychiatry Consults:
- Safety assessment needs
- Capacity evaluation requests
- Involuntary hold considerations
Multi-Consultant Scenarios
For complex cases requiring multiple consultants:
Need trauma surgery, neurosurgery, and ortho for multi-trauma patient.
Neurosurg for possible operative SDH, trauma for abdominal injuries,
ortho for bilateral femur fractures.
💡 Communication Strategy
The assistant helps coordinate multiple consultations with appropriate prioritization and information sharing.
🧠 Clinical Communication Excellence
Systematic Approach
- Complete data presentation - Never miss critical clinical information
- Logical flow - Information presented in order consultants expect
- Appropriate urgency - Clear communication of timeline and acuity
- Professional tone - Maintains collegial relationships
Efficiency Optimization
- Streamlined calls - Reduces consultation time by 40-60%
- Fewer callbacks - Complete information prevents repeat calls
- Clear expectations - Eliminates confusion about next steps
- Documentation support - Remember what was communicated, not what to say
Training and Development
- Resident education - Teaches proper consultation structure
- Confidence building - Reduces anxiety around difficult calls
- Standardization - Consistent approach across all clinicians
- Best practices - Incorporates evidence-based communication strategies
Relationship Management
- Professional courtesy - Maintains positive specialist relationships
- Respectful communication - Acknowledges consultant expertise
- Collaborative approach - Emphasizes team-based patient care
- Conflict avoidance - Reduces misunderstandings and friction
✅ Key Benefits
⚡ Efficiency and Speed
- Instant script generation - Professional consultation scripts in 15-20 seconds
- Reduced call time - 50% shorter consultations with better information transfer
- Fewer interruptions - Complete data prevents consultant callbacks
- Batch preparation - Prepare multiple consultation scripts during downtime
🎯 Communication Excellence
- Structured presentation - Clear transfer of relevant clinical information
- Appropriate urgency - Clear timeline communication prevents delays
- Professional language - Maintains positive interdepartmental relationships
- Anticipated responses - Prepared for common questions and pushback
📝 Documentation and Legal Protection
- Response documentation - Notes consultant recommendations and agreements
- Medicolegal support - Defensible communication records
🎓 Education and Training
- Resident development - Teaches proper consultation techniques
- Confidence building - Reduces anxiety around difficult conversations
- Best practice modeling - Demonstrates effective communication strategies
- Quality improvement - Standardizes consultation approach
Difficult Conversation Support
- Pushback responses - Professional handling of consultant resistance
- Escalation pathways - When consultation is refused inappropriately
- Alternative options - Backup plans when first choice unavailable
- Administrative involvement - When to involve department leadership
🚑 Example Applications
High-Acuity Scenarios
STEMI Activation:
Need interventional cardiology for 58M with STEMI, door-to-balloon protocol activated
Trauma Alert:
Trauma surgery needed for MVA, hypotensive with positive FAST exam
Stroke Alert:
Neurology consult for 74F with acute stroke, NIHSS 18, within window for thrombolysis
Complex Medical Cases
Multi-System Failure:
ICU consult for 67M with septic shock, acute kidney injury, and respiratory failure
Complicated Procedures:
GI consult for upper GI bleed with failed medical management, needs urgent endoscopy
Disposition Challenges
Transfer Requests:
Need transfer to tertiary center for 45F with complex spine injury requiring specialized spine surgery
Admission Coordination:
Medicine admission for 82M with CHF exacerbation, multiple comorbidities
Consultation Best Practices
Timing Optimization
- Prepare early - Generate scripts while gathering initial data
- Update dynamically - Modify as new information becomes available
- Strategic timing - Call when consultant availability is highest
- Follow-up planning - Set clear expectations for next communication
Quality Metrics
- First-call resolution - Complete information transfer in initial contact
- Consultation time - Efficient use of specialist time
- Relationship maintenance - Positive feedback from consulting services
- Patient outcomes - Faster definitive care through better communication