RT Journal Article
SR Electronic
T1 Factors Affecting the Completion of Genitourinary Physical Examinations Prior to Urologic Consultation
JF Ochsner Journal
JO Ochsner J
FD O. P. Jindal Global University
SP 72
OP 75
VO 18
IS 1
A1 Megan A. Stryker
A1 Raunak D. Patel
A1 Dunia T. Khaled
A1 Amanda F. Saltzman
A1 Jeremy Konheim
A1 Danica May
A1 Allison Feibus
A1 Joseph Fougerousse
A1 Ashley Richman
A1 William Chastant
A1 Samantha Prats
A1 Brian Baksa
A1 Melissa M. Montgomery
YR 2018
UL http://www.ochsnerjournal.org/content/18/1/72.abstract
AB Background: Proper instruction during medical training regarding performing adequate physical examinations prior to urologic consultations greatly improves patient care. We evaluated the frequency of genitourinary (GU) physical examinations performed prior to urologic consultation to determine the influence of factors affecting the completion of these examinations.Methods: Between January 2013 and December 2014, 1,596 consultations were requested by primary providers and completed by the urology department at a major tertiary care teaching institution. We reviewed patient medical records retrospectively and recorded the number of GU examinations performed prior to consultation. Patient demographics were evaluated for trends in the rates of examination. A total of 9 available urology residents saw at least one consult each.Results: We identified a total of 1,596 urologic consultations during the study period, of which 233 of 407 (57.2%) (51 female and 182 male patients) received GU examinations prior to the urologic consult in the emergency department (ED) and 394 of 1,189 (33.1%) (118 female and 276 male patients) received GU examinations by the inpatient care team. Staff in the ED were 3.11 times more likely to perform a GU examination on a male patient than a female patient, and the inpatient teams were 1.48 times more likely to perform a GU examination on a male patient than a female patient. The likelihood of examination by either team was low in patients aged ≥65 years.Conclusion: Prior to urologic consultation, GU examinations are inconsistently performed. This variability may affect patient care and could be the subject of a future study.