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L H Amundson

Publications and source records attributed to L H Amundson.

22 records · Page 2Linked to original sources

The consultant family physician.

Family physicians frequently consult and refer to other specialists, both generalist and subspecialist. Less commonly has the family physician been used as a consultant. A randomized questionnaire survey of family physicians in five midwestern states was used to consider the frequency and reasons for other specialists collaborating with the family physician as a consultant. Fifty percent of the respondents consult and refer to as well as receive consultations/referrals from other family physicians. Thirty-five percent of the respondents receive consultations and referrals from other generalist specialists, and 28 percent receive theirs from subspecialists. Most often these occur because the patient has no family physician, but family physicians are also used for their procedural skills and coordination of patient evaluation and management, including preoperative evaluation of patients. This study confirms that the consultant family physician is an important part of the health care team.

Consultants↗

Family physician consultation/referral patterns.

Family physicians, regardless of training, board certification, or practice setting, more commonly consult or refer to internal medicine subspecialists than to general internists. The primary reason is need for a consultant with technical (procedural) skill. In the case of pediatric referrals, family physicians more commonly refer to general pediatricians than to pediatric subspecialists. Physicians who use pediatric subspecialists more when both are available, however, do so because of the need for a consultant with technical skill. Large numbers of internal medicine and pediatric residents are choosing subspecialties, thereby increasing availability of these subspecialties. At the same time, there is a documented need for an increased number of primary care physicians. Family physicians, general internists, and general pediatricians all need to be trained; however, because the breadth of training of the family physician prepares this practitioner to provide comprehensive primary care in a broad variety of settings, there should be an emphasis on training this specialist.

Family Practice↗