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

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

📝 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