First Year Fellows Endoscopy Course ( August 6-7)

10_The On Call Call

Pdf Summary

This document discusses various scenarios and considerations related to being on-call as a GI fellow. In the first case, a patient calls with questions about their upcoming colonoscopy preparation. The core principles of professionalism and great customer service, such as speed, accuracy, transparency, accessibility, and being patient-centered, are emphasized. The document provides guidance on various aspects of colonoscopy preps, including different types of preps, diet instructions, and medication management.<br /><br />In the second case, an ICU resident requests an urgent endoscopy for a patient with a GI bleed. The document discusses the difference between emergent and urgent endoscopy and provides examples of indications for each. It also emphasizes the importance of assessing the patient, asking specific questions, and providing clear directions to the resident.<br /><br />In the third case, a patient calls after a colonoscopy with post-procedure pain. The document outlines the differential diagnosis for post-colonoscopy pain and highlights the importance of sending the patient to the ER if they experience severe, worsening, or persistent pain, fevers, hematochezia, dizziness, fainting, or altered mental status.<br /><br />The document also briefly mentions post-procedure calls for other interventions, such as PEG placement, variceal banding, esophageal stent placement, and biliary sphincterotomy. It concludes with information on the rates of post-ERCP complications, including pancreatitis, perforation, post-sphincterotomy bleeding, and bile leak.<br /><br />Overall, this document provides a brief overview of different scenarios and considerations related to being on-call as a GI fellow, emphasizing the importance of professionalism, customer service, and appropriate assessment and management of patients.

Keywords

on-call

GI fellow

colonoscopy preparation

professionalism

customer service

urgent endoscopy

assessing the patient

post-procedure pain

differential diagnosis

post-ERCP complications