Trauma outpatient follow-up

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First, do ALL admitted Trauma patients get an outpatient Trauma clinic
follow up appointment on discharge, regardless of their injuries +/-
operation?
*No, that would be a tremendous waste of our (Trauma Service) resources and
of the patients' time.  Only the ones that require follow-up by the Trauma
Clinic come to Trauma Clinic.  Many will still follow-up in
Orthopedics outpatient clinic, or in Maxillofacial outpatient clinic, or
Neurosurgery.  All clinics have very good communication among themselves,
so if a patient in the Ortho clinic is deemed by the orthopods to require a
visit with us, they'll send him/her right over and call us to let us know.
We have not seen any problems with neglected injuries using this basic
system.*

Second, when do you routinely see those patients being followed? (eg.
within 1 week, 1 - 2 weeks, 2 - 4 weeks)
*Totally depends on their injuries and/or problems.  Initial follow-up
visit is universally scheduled for within the week.  Chronic patients may
only need follow-up more infrequently.  *

And lastly, what percentage would you say of those patients given a
follow up appointment actually show up for it?
*>95%.  The few who don't get three telephone calls and a letter.*
*
*
*Caesar M Ursic, MD, FACS*
*The Queen's Medical Center*
*Honolulu, Hawaii*

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