ASGE Annual GI Advanced Practice Provider Course (On-demand) (Day One) | March 2026-Mastering the GI Consult: Clinical and Communication Excellence Inpatient and Outpatient

Video Transcription

Video Summary

The speakers outline how to deliver high-quality GI consultations through clinical precision, efficiency, collaboration, and education. Because GI is one of the most frequently consulted specialties—often for repeat opinions—a strong consult improves outcomes, builds trust with referring teams, avoids unnecessary procedures, and increases hospital efficiency.<br /><br />They emphasize starting by clarifying the consult question; if it can’t be stated in one sentence, it isn’t clear enough yet. Broad requests (GI bleed, abdominal pain, abnormal LFTs, anemia) should be narrowed using key questions: what decision the primary team needs help with, what has already been done, whether endoscopy is needed, and how urgent it is. Rapid chart review should focus on trends (not single values), key labs (hemoglobin, liver tests, iron studies), imaging, medications (including GLP-1 agents), anticoagulation, procedural risks, and prior endoscopy/pathology.<br /><br />Communication is central: consult notes and verbal updates should be focused, avoid irrelevant copied data, and give clear, actionable recommendations with timing. Patient communication should use plain language, build rapport, and ensure understanding, involving family when needed. The talk contrasts inpatient consults (acute triage, coordination, closed-loop communication) with outpatient consults (diagnostic uncertainty, smooth handoffs). Finally, every consult is framed as an opportunity to teach and to simplify care, with consultants acting as diagnosticians—not just proceduralists.

Asset Subtitle

Sarah Kosinski, DNP, APRN, FNP-BC, and Sumeet K. Tewani, MD, FASGE

Keywords

GI consultation

consult question clarification

clinical efficiency

chart review trends

endoscopy decision-making

closed-loop communication

inpatient vs outpatient consults