Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking

When referring to specialists, keep these 3 things in mind

Mark Krivopal, MD
Physician
April 3, 2015
Share
Tweet
Share

Referring physicians are critically important not just for the care and attention we provide patients but also for the referrals we make to specialists. Patients don’t have access to the same data or knowledge that we as healthcare professionals possess, so as referring physicians we can have a significant impact on our patients’ health after they’ve left our immediate care.

Big data has given us more information than ever in making those referrals to help our patients find the “right” doctor with the appropriate clinical expertise for their condition. But what else should physicians take into account when making those referrals?

Here are three factors physicians should keep in mind when referring patients to specialists:

1. What’s behind the reputation of the physician in this specialty? Are they “Dr. Famous” because they published articles on this type of procedure but haven’t actually performed it in 15 years? Or is it a procedure they perform often enough to provide a deep familiarity and high skill level? A long list of publications on a specific topic may matter, but in the high-dexterity world of procedural medicine, regular hands-on experience may matter more.

2. Location matters. The setting where the procedure will be performed is very important: Will the patient be referred in-network or outside? This is particularly important when the patient’s condition or required procedure is not routine. Referring within a network in which physicians all use the same EMR is critical so that the patient’s clinical data can be easily and quickly shared. In fact, referring a patient to a physician who might be less well-known but who has access to the patient’s medical records is likely more important than referring to “Dr. More Famous” at an out-of-network health care system. Of course the key is to be able to initiate such a consultation in an efficient, expeditious and data-driven way.

3. Is the referring physician new to the health system? That can be a challenge because the referring physician doesn’t yet know the specialist physicians who are nearby, in-network or expert in a given procedure or condition. I remember during my own career, after moving to a new state and needing to refer a sick patient for an ERCP — a potentially high-risk invasive gastrointestinal procedure — I was forced to search high and low to find a list of possible specialists. After three phone calls and plenty of wasted time, I finally found an interventional gastroenterologist who accepted my patient’s insurance. But I was ultimately frustrated with the experience and felt that the relevant data should be much more on-demand for these critical interactions.

A systematic approach to referrals should take into account both the data, as well as these more qualitative factors.

Mark Krivopal is an internal medicine physician and vice president of clinical programs, Kyruus.

Prev

Top stories in health and medicine, April 3, 2015

April 3, 2015 Kevin 0
…
Next

Be your own patient advocate.  Here's how.

April 3, 2015 Kevin 11
…

Tagged as: Primary Care, Specialist

Post navigation

< Previous Post
Top stories in health and medicine, April 3, 2015
Next Post >
Be your own patient advocate.  Here's how.

ADVERTISEMENT

More in Physician

  • Why billionaires dress like college students

    Osmund Agbo, MD
  • Reclaiming physician agency in a broken system

    Christie Mulholland, MD
  • What burnout does to your executive function

    Seleipiri Akobo, MD, MPH, MBA
  • Dealing with physician negative feedback

    Jessie Mahoney, MD
  • Why CPT coding ambiguity harms doctors

    Muhamad Aly Rifai, MD
  • Moral injury, toxic shame, and the new DSM Z code

    Brian Lynch, MD
  • Most Popular

  • Past Week

    • Rebuilding the backbone of health care [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why you should get your Lp(a) tested

      Monzur Morshed, MD and Kaysan Morshed | Conditions
    • The paradox of primary care and value-based reform

      Troyen A. Brennan, MD, MPH | Policy
    • Why CPT coding ambiguity harms doctors

      Muhamad Aly Rifai, MD | Physician
    • The flaw in the ACA’s physician ownership ban

      Luis Tumialán, MD | Policy
    • Escaping the trap of false urgency [PODCAST]

      The Podcast by KevinMD | Podcast
  • Past 6 Months

    • Rebuilding the backbone of health care [PODCAST]

      The Podcast by KevinMD | Podcast
    • The dangerous racial bias in dermatology AI

      Alex Siauw | Tech
    • When language barriers become a medical emergency

      Monzur Morshed, MD and Kaysan Morshed | Physician
    • The dismantling of public health infrastructure

      Ronald L. Lindsay, MD | Physician
    • The high cost of PCSK9 inhibitors like Repatha

      Larry Kaskel, MD | Conditions
    • A neurosurgeon’s fight with the state medical board [PODCAST]

      The Podcast by KevinMD | Podcast
  • Recent Posts

    • Why clinicians must lead the health care tech revolution [PODCAST]

      The Podcast by KevinMD | Podcast
    • Advance directives not honored: a wife’s story

      Susan Hatch | Conditions
    • Why billionaires dress like college students

      Osmund Agbo, MD | Physician
    • The therapy memory recall crisis

      Ronke Lawal | Conditions
    • A urologist explains premature ejaculation

      Martina Ambardjieva, MD, PhD | Conditions
    • Why medical organizations must end their silence

      Marilyn Uzdavines, JD & Vijay Rajput, MD | Policy

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

View 4 Comments >

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

ADVERTISEMENT

  • Most Popular

  • Past Week

    • Rebuilding the backbone of health care [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why you should get your Lp(a) tested

      Monzur Morshed, MD and Kaysan Morshed | Conditions
    • The paradox of primary care and value-based reform

      Troyen A. Brennan, MD, MPH | Policy
    • Why CPT coding ambiguity harms doctors

      Muhamad Aly Rifai, MD | Physician
    • The flaw in the ACA’s physician ownership ban

      Luis Tumialán, MD | Policy
    • Escaping the trap of false urgency [PODCAST]

      The Podcast by KevinMD | Podcast
  • Past 6 Months

    • Rebuilding the backbone of health care [PODCAST]

      The Podcast by KevinMD | Podcast
    • The dangerous racial bias in dermatology AI

      Alex Siauw | Tech
    • When language barriers become a medical emergency

      Monzur Morshed, MD and Kaysan Morshed | Physician
    • The dismantling of public health infrastructure

      Ronald L. Lindsay, MD | Physician
    • The high cost of PCSK9 inhibitors like Repatha

      Larry Kaskel, MD | Conditions
    • A neurosurgeon’s fight with the state medical board [PODCAST]

      The Podcast by KevinMD | Podcast
  • Recent Posts

    • Why clinicians must lead the health care tech revolution [PODCAST]

      The Podcast by KevinMD | Podcast
    • Advance directives not honored: a wife’s story

      Susan Hatch | Conditions
    • Why billionaires dress like college students

      Osmund Agbo, MD | Physician
    • The therapy memory recall crisis

      Ronke Lawal | Conditions
    • A urologist explains premature ejaculation

      Martina Ambardjieva, MD, PhD | Conditions
    • Why medical organizations must end their silence

      Marilyn Uzdavines, JD & Vijay Rajput, MD | Policy

MedPage Today Professional

An Everyday Health Property Medpage Today
  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

When referring to specialists, keep these 3 things in mind
4 comments

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...