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articles
We have 15 minutes today
We know that doctors of different types and stripes have different appointment lengths, and if you're working on an inpatient service you may not have a specific schedule. Regardless of whether you have eight, fifteen or thirty minutes (like I do in my clinic for...
What if my patient has too many issues to discuss during the visit?
The laundry list A common gripe from doctors is the patient who arrives with a never-ending list of issues. “These patients have unrealistic expectations,” they complain. “We can’t possibly address them all in the short time we have.” We might think that...
Agenda setting for the doctor-patient clinical encounter
Ask ‘What else?’ As doctors, there are few things more frustrating than attending a department or other meeting without a clear agenda, so it makes sense that we and our patients have the same expectation of why we are meeting and why we’re gathering and what we’re...
Ninety Seconds
A worsening doctor-patient communication problem Back in Medical school, we learned that doctors are quick to interrupt patients at the very start of the clinical encounter — my colleagues and I all committed to doing better. Interestingly, that study from the 1980s...
An extraordinary full-circle moment
Rest in Power, Mary Lou! Mary Lou smiled wide as she spoke to me. Sure, she would help teach a safe sex workshop to the Friday night LGBTQ+ youth group, but first I'd have to come by the clinic myself for a check up. That way I could talk from experience, she...
How to diagnose gender dysphoria.
how do I know if my patient is transgender? In my practice I work with many medical students and residents who we train in part to provide gender affirming care. I frequently speak with colleagues who know I have a transgender-inclusive family practice and field many...