An exploratory examination of an academic PM&R inpatient consultation service

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The demographic profiles of patients receiving inpatient physiatric consultations at a major teaching hospital over a 33-month period were analyzed. A comparison was also made between alternate methods of delivering physiatric consultation. During the study period, a change was made in the service delivery process for providing consultations. During the first 18 months of the study, a rotating faculty model was used whereby different physical medicine and rehabilitation (PM&R) faculty members covered the consultation service on different days of the week. During the last 15 months, a single faculty member was assigned to provide primary coverage for the service. Results showed that only 8 percent of the patients admitted during the study period received PM&R consultations. Referrals increased by 75 percent with the implementation of the full-time consultation practice model.

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