Archives of Orthopaedic and Trauma Surgery

, Volume 137, Issue 5, pp 607–610 | Cite as

Informal (Hallway) medical consultation in orthopedics—is it as common as it seems?

  • Leonid Kandel
  • Yair Barzilay
  • Adi Friedman
  • Idan Ilsar
  • Ori Safran
  • Yoav Mattan
Orthopaedic Surgery



Informal (hallway) medical consultation is an integral part of the physician’s work. As musculoskeletal complaints are very common, orthopedic surgeons stand in the frontline of this practice. Many of these consultations are poorly, if at all, documented, thus imposing a potential medical danger to the patient and a medicolegal danger to the surgeon. We conducted this first study to examine whether this practice is common among the orthopedic surgeons in university hospital.


In this prospective study, a 2-month record of informal consultations was kept. Six orthopedic surgeons—two joint reconstruction surgeons, one spine surgeon, two arthroscopy and sports medicine surgeons, and a shoulder surgeon participated. They recorded the details of the consulter, whether the consultation was for himself or somebody else, the major complaint, and whether it was a second opinion. All patients were advised to go to the formal orthopedic consultation and no advice or treatment was given. At the end of 2 months, each surgeon was asked to evaluate the percentage of cases he had failed to report.


During the 2-month period, 158 people asked for informal (hallway) consultations. 11 of them (7%) were physicians, 114 (72%) were other hospital personnel, 26 (17%) were unrelated to hospital, and 6 (4%) were treated patients’ relatives. 93 (59%) of consultations were about the consulter himself and the rest were about a relative or a friend. 41 (26%) were requests for a second opinion. The estimated percentage of not reported cases was 10–40%; when the number of consultations was corrected for these figures, it reached 208 consultations in 2 months.


In this prospective study, six participating surgeons recorded 158 informal consultation requests in 2 months. If a correction is performed, it averages 0.6 consultations a day for a surgeon (or, if only workdays are counted—0.8 consultations a day). Orthopedic surgeons should be aware of this frequent habit and send these patients to a formal consultation.


Informal consultation 


Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.


There is no funding source.

Ethical approval

This article does not contain any studies with human participants or animals performed by any of the authors.


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Copyright information

© Springer-Verlag Berlin Heidelberg 2017

Authors and Affiliations

  • Leonid Kandel
    • 1
  • Yair Barzilay
    • 2
  • Adi Friedman
    • 1
  • Idan Ilsar
    • 1
  • Ori Safran
    • 1
  • Yoav Mattan
    • 1
  1. 1.Department of Orthopaedic SurgeryHadassah–Hebrew University Medical CenterJerusalemIsrael
  2. 2.Department of Orthopaedic SurgeryShaarei Zedek Medical CenterJerusalemIsrael

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