Inpatient Neurology Consult Service

Transcript

• 00:04Hi, my name is Rachel.
• 00:06I'm one of the PGY4s.
• 00:07I'm currently the consult senior
• 00:08on the inpatient consult team.
• 00:11Hey, I'm Jonah. I'm PGY2
• 00:13neurology
• 00:14and I'm now the consult
• 00:15junior
• 00:16in the inpatient consult team.
• 00:19We see consults for all
• 00:20admitted patients either at the
• 00:22main campus at York Street
• 00:23or at the inpatient psych
• 00:24hospital. This can be anything
• 00:26from altered mental status to
• 00:28abnormal movements to seizures or
• 00:30more.
• 00:31Yeah. So every morning
• 00:32the consult senior will assign
• 00:34me patients to stay in
• 00:35the hospital,
• 00:36both follow-up,
• 00:38cases and new consults that
• 00:40we get,
• 00:41for that day. And I
• 00:42also carry the pager, so
• 00:43I see patients for the
• 00:45inpatient strokes and,
• 00:47show codes and also,
• 00:49other codes that have been
• 00:50in the hospital. So I'm
• 00:51on it. As consult senior,
• 00:53I oversee the patient list
• 00:55to make sure that patients
• 00:56are assigned assigned to all
• 00:57the juniors, make sure we
• 00:59follow-up on plans for anybody
• 01:00we've already seen, make sure
• 01:01we're communicating our plans to
• 01:03the primary teams. So in
• 01:04this role, we see the
• 01:06inpatient stroke codes, we see
• 01:07the inpatient
• 01:08head bleed alerts and the
• 01:10chill alerts. And in the
• 01:11beginning, it seems
• 01:13I felt and I thought
• 01:14it was gonna be very
• 01:14overwhelming and it was in
• 01:16the beginning.
• 01:17But then you quickly realize
• 01:18that there are many layers
• 01:19of people who are with
• 01:20you even though they are
• 01:22not initially physically with you.
• 01:24They're also thinking about the
• 01:25patient, checking the patient on
• 01:26the background,
• 01:27and,
• 01:29you
• 01:29ease into it. And then
• 01:31it kind of becomes second
• 01:32nature at some point, and
• 01:33you realize that you were
• 01:34able to put together a
• 01:35lot of the knowledge you've
• 01:36been acquiring,
• 01:37both with seeing the cases
• 01:38and discussing the cases later
• 01:40on with your team.
• 01:42This is a great rotation
• 01:44where you really get to
• 01:44see a broad variety of
• 01:46neurology,
• 01:47concerns and really pushes you
• 01:49to take ownership of patients
• 01:50and prepares you to be
• 01:51at the attending role.