The Pan-Consult

One of the things I've noticed about medicine (perhaps unique to Moffitt) is the pan-consult. For many of our patients, the medical issues are so complex that we have to get experts involved in every aspect of the care. As a result, medicine acts as a hub, getting suggestions from pulmonary or neurology or dermatology or infectious disease or hematology/oncology. In some ways, this leads to more learning as we get to see how specialists approach complex disease states. However, it also leads to less independence in the management of our patients which can be disappointing. It's an interesting aspect of general internist medicine that I had not realized until now.