palmER Support
Features

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:

  1. Input Field - Enter brief case summary and consultation request
  2. Script Output - Structured consultation script ready for phone calls
  3. Talking Points - Key clinical data and anticipated questions

ConsultER

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
  • 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