Kazmi Zehra, Khan Kaleem, Ather M Hammad
Section of Urology, Department of Surgery, Aga Khan University, Karachi, PAK.
Cureus. 2020 Sep 26;12(9):e10668. doi: 10.7759/cureus.10668.
In a tertiary care hospital that caters to all kinds of patients in the clinical and emergency setting, consultation is an important service provided by the urology team. Profiling the spectrum of urologic disease encountered by trainees will assist in the planning of residency curricula and is bound to improve patient outcome for procedural education.
All urologic consultation requests received over a period of three months (November 22, 2019, to February 22, 2020) were identified and recorded in a prospectively maintained consult log. Information collected for each encounter included the time, date, reason for consult, primary service and diagnosis along with the final urologic diagnosis, any urologic intervention, and basic patient demographics (gender and age).
Over three months, a total of 568 consult requests were reviewed. Of the patients consulted for, 74% were males; the mean age was 58.45 years (SD+/-19.5 years). The most common service seeking urology consult was the Emergency Room (n=240, 42.25%). The most common reason for consultation was hematuria (n=103, 18.13%) followed by obstructive uropathy (n=98, 17.25%). The majority (n=147, 26%) of the calls were placed between mid-day and 4 pm. Of the total, 26% required immediate attention. Urologic intervention was required in 226 (39.8%). The number of consults seen by junior team members was 478 (84.14%).
Hematuria and obstructive uropathy are the most common reasons for urologic consultation requests. Nearly two-thirds of the consults either required immediate attention or intervention. Most of the consults were seen by junior residents, who required elaborate training to address these common issues independently. We believe that our results will be helpful in developing a curriculum for training junior residents.
在一家为临床和急诊环境中的各类患者提供服务的三级医疗医院中，会诊是泌尿外科团队提供的一项重要服务。剖析实习医生遇到的泌尿系统疾病谱将有助于住院医师课程的规划，并必然会改善手术教育的患者治疗效果。
识别并记录在三个月期间（2019年11月22日至2020年2月22日）收到的所有泌尿外科会诊请求，并记录在一个前瞻性维护的会诊日志中。每次会诊收集的信息包括时间、日期、会诊原因、主要科室和诊断以及最终的泌尿外科诊断、任何泌尿外科干预措施以及患者基本人口统计学信息（性别和年龄）。
在三个月的时间里，共审查了568份会诊请求。会诊患者中，74%为男性；平均年龄为58.45岁（标准差±19.5岁）。寻求泌尿外科会诊最常见的科室是急诊室（n = 240，42.25%）。最常见的会诊原因是血尿（n = 103，18.13%），其次是梗阻性尿路病（n = 98，17.25%）。大多数（n = 147，26%）会诊请求是在中午至下午4点之间提出的。其中，26%需要立即处理。226例（39.8%）需要进行泌尿外科干预。初级团队成员会诊的病例数为478例（84.14%）。
血尿和梗阻性尿路病是泌尿外科会诊请求最常见的原因。近三分之二的会诊要么需要立即处理，要么需要进行干预。大多数会诊由初级住院医师处理，他们需要经过精心培训才能独立解决这些常见问题。我们相信我们的研究结果将有助于制定初级住院医师培训课程。
