Anne M. Hirsch, M.D. is an internal medicine specialist, physician coach, and medical coding expert. Her coaching expertise centers around medical communication. Her Medical Communication Mastery program helps physicians learn how to communicate effectively to improve patient outcomes and decrease physician burnout.
Medical appointments often feel rushed, leaving patients wondering if they’ve communicated everything they needed to. What if you could walk into your next visit prepared, confident, and ready to make the most of your time with your physician? This guide will show you how to prioritize your concerns, provide essential information, and collaborate with your doctor to achieve the best outcomes.
Understanding the doctor-patient dynamic
Modern healthcare is fast-paced, and most physicians juggle tight schedules. According to a 2021 study published in the Journal of General Internal Medicine, the average primary care visit lasts only 18 minutes. This limited time can make it challenging for patients to address all their concerns.
To bridge this gap, preparation is key. A well-organized approach not only ensures you’re heard but also helps your physician focus on delivering the care you need most. Here’s how to take control of your medical visits.
1. Start with a prioritized list of concerns
Before your appointment, jot down all the issues you’d like to discuss. Rank them in order of importance, placing urgent or life-impacting concerns at the top. This list helps you stay focused and ensures that your most pressing issues aren’t overlooked.
Why it matters: Physicians appreciate a clear roadmap of your concerns. Research in the British Medical Journal shows that structured communication leads to more accurate diagnoses and better outcomes.
2. Bring relevant medical history
Compile any pertinent medical records, including lab results, imaging reports, and summaries from previous visits. If you’ve seen other specialists, summarize their recommendations. Also, note any medications, supplements, or over-the-counter drugs you’re taking, including dosages and frequency.
Pro tip: A concise medication list can prevent errors and save valuable time.
3. Keep a symptom diary
If you’re experiencing symptoms, document them. Note when they started, their severity, any triggers, and remedies that help or worsen the situation. Be specific, instead of saying, “I have stomach pain,” describe it as “a sharp pain in the upper left abdomen that worsens after meals.”
Why it matters: Detailed descriptions enable your doctor to pinpoint potential causes more effectively.
4. Prepare questions in advance
List any questions or concerns you have about your diagnosis, treatment options, or lifestyle changes. For example, ask about potential side effects of a prescribed medication or alternative treatments for your condition.
Quick tip: Phrase your questions clearly and concisely to encourage straightforward answers.
5. Know your family medical history
Family history plays a crucial role in identifying genetic predispositions to certain conditions. Be ready to share details about chronic illnesses such as diabetes, heart disease, or cancer in your immediate and extended family.
6. Practice clear communication
During the appointment, be honest and direct. Avoid downplaying symptoms or withholding information out of embarrassment. Physicians are trained to provide nonjudgmental care and need complete data to help you.
Example: Instead of saying, “I’ve been feeling off,” describe specific symptoms, like fatigue, weight gain, or trouble sleeping.
7. Understand the role of tests and procedures
If your doctor recommends tests, ask about their purpose. Questions like “What are you looking for?” or “How will this impact my treatment plan?” can provide clarity and help you feel more involved in your care.
8. Bring a support person if needed
For complex issues or emotionally charged visits, consider bringing a trusted friend or family member. They can help remember key details, ask questions, or provide emotional support.
9. Take notes during the visit
Jot down important information your doctor shares, such as diagnoses, treatment plans, and follow-up instructions. If note-taking feels overwhelming, ask if you can record the conversation for personal use. However, be aware that not all physicians are comfortable with recordings.
Why it helps: Accurate notes reduce the risk of forgetting vital details once you leave the office.
10. Clarify next steps
Before leaving, confirm your treatment plan, including medications, follow-ups, or lifestyle adjustments. If something isn’t clear, don’t hesitate to ask for an explanation.
Final thoughts and call to action
Your health is a partnership between you and your physician. By preparing for appointments and communicating effectively, you empower yourself to make informed decisions and receive better care. Start implementing these steps for your next medical visit and notice the difference it makes.
For further reading on improving patient-physician communication, check out resources like the American Medical Association’s Patient Guide or studies published in Health Affairs. Ready to take charge of your health? Begin today by creating your prioritized list for your next appointment.
Read more from Anne M. Hirsch, MD, FACP
Anne M. Hirsch, MD, FACP, Certified Physician Coach
Anne M. Hirsch, MD, FACP is a physician coach who specializes in medical communication. Her work chairing her local hospital's Peer Review Committee has provided her with significant insight into how physicians communicate, particularly when they do so poorly. Her mission is to help other physicians master communication in a medical setting to improve patient outcomes and enhance the physician experience.
References:
Ahluwalia, S., et al. "Communication Gaps in Primary Care: Addressing Time Constraints." Journal of General Internal Medicine, 2021,
Epstein, R. M., et al. "Patient-Centered Communication in Diagnostic Accuracy." British Medical Journal, 2017, .
"Patient Guide to Physician Visits." American Medical Association,
Barry, M. J., C Edgman-Levitan, S. "Shared Decision Making – The Pinnacle of Patient-Centered Care." New England Journal of Medicine, 2012,
"Improving Patient-Provider Communication." Health Affairs, 2020, .
