In fact, one previous study has already shown that peer consultation leads to more appropriate use of G-CSF [ 45].
The Internet was the second most frequent source for clinical consultation (60.9%; n = 409), only preceded by peer consultation with ICU colleagues (65.2%; n = 438).
To further ensure the integrity of the intervention, the leading study centre will provide supervision as well as peer consultation via telephone or video conference.
In addition, peer to peer consultation about the most challenging and sensitive issues in improvement, and dialogues between experienced project leaders and/or leading consultant clinicians of successful projects and project team members, could be offered to strengthen Participation.
Peer consultation, i.e. networking among your professional colleagues and contacting specific investigators who are known to be active in the area can help identify additional studies and investigators.
An additional feature of the PBL approach in this context is that instead of only individual study during the self-directed learning phase, peer consultation and collaboration also takes place during this time.
Accounting for clinician biases: Awareness of and compensation for clinician biases can be addressed through peer consultation and application of reflective practices that incorporate knowledge of one's strengths and limitations.
Further, both the 2004 peer consultation workshop (U.S. EPA 2004) and the 2010 NRC peer review (NRC 2010) affirmed the conclusion that neurotoxicity is a sensitive end point because these effects were observed at lower concentrations and had substantial evidential support.
A 2002 EPA peer consultation unanimously agreed that for mesothelioma, a rare cancer of the lining of the lung, the carcinogenic potency of amphibole fibers is a minimum of two orders of magnitude greater than for chrysotile asbestos fibers (most likely because amphibole fibers persist longer in the body).
The clinical microbiologists prefer peer consultation by telephone, because it is the fastest way to reach the right person, it ascertains that the message has been conveyed correctly and it gives the opportunity to discuss diagnosis, treatment and any necessary infection control measures.
