Assessment for associated tendon, vascular, and facial involvement is essential, as these wounds typically require more complex evaluation, consultation, and repair by the appropriate specialist.
However, the RF aspects of mesh management, including how to resolve intermittent interference problems, remain more complex and often require consultation of skilled practitioners.
The challenge for clinicians and educators is to appreciate that the incorporation of templates and other technologies renders the consultation more complex rather than less complex…and hence this is worthy of explicit educational attention.
For example, consultations for more complex and serious conditions might have been lengthier and more labour intensive leaving doctors after such consultations in a hurry to compensate for the time lost and potentially failing to document subsequent consultations.
This enables them to improve structure and management of consultations, especially more complex ones.
Consultations with immigrants tend to relate to more acute events; follow up is much more complex once the event for which the consultation was made has been overcome.
"We realised our consultations were becoming longer and more complex," Smith says in the presentation.
On a more complex and specialised level, services can offer families psychoeducation, consultation, family interventions (FIs) and therapies.
However, in the latter system, the fee schedule is usually more complex and fees vary substantially according to criteria such as length of the consultation, purpose etc.
The elevated levels of GP consultations may simply reflect greater patient morbidity, with FAs having more chronic conditions and more complex health needs than non-FAs.
