7 ways to make patients like you

Patients want to be cared for by doctors who show an interest in them as individuals.  It has been a well-known statistic that the average doctor interrupts a patient within 16 seconds after the doctor-patient interview begins.  You know full well that few patients can learn to develop an emotional attachment in 16 seconds.  This article will discuss 7 steps to develop rapport that will make patients like you, will make them more compliant, and will have them leaving your office talking about you in a positive fashion.

1. Begin by walking into the room with a big smile on your face.  This is the first impression that you will be creating on your patients.  Your smile is a direct impact on how friendly you are and how receptive you will be.  Remember, you don’t get a second chance to make a good first impression.

2. Be easily impressed, entertained, and interested in your patients.  You will find that patients get more pleasure from wowing you in a friendly, open, and engaged demeanor than being wowed by you.   Most patients will be impressed with your degree, your white coat, and your reputation as a healer.  The first encounter with a patient is their time to impress you.  Be interested in their work, their family, their hobbies and other areas outside of their medial problems.  This only takes 30-60 seconds but it is time well spent to demonstrate interest in your patients that is outside of the chief complaint and past medical history.

3. Have a friendly, open, engaged demeanor.  This includes your body language as well as your verbal language.  Start by leaning forward in the direction of the patient.  Do not cross your legs or fold your arms as these are defensive postures.  Make every effort to make eye contact with the patient and not look at the chart or the computer if you have an electronic medical record.   Move your head up and down and nod recognition.  This clearly demonstrates that you are actively listening to the patient which they will appreciate.

4. Remember trait transfer.  Whatever you say about other people shapes the way people see you.  If you say positive things about other healthcare professionals, it is a positive reflection on you.  If you say your primary care doctor is a terrific doctor, you become terrific by osmosis or trait transfer.

5. Laugh at yourself.  This shows vulnerability and a sense of humor makes you more likeable and approachable.  For example, I’m an amateur magician and many patients will ask me to do a trick.  I always care a coin or a trick in my pocket just in case I’m asked to perform.  On occasion the trick does not work and I always smile and say, “That’s why I’m a physician instead of a magician!”  The patients laugh and although I didn’t dazzle them with my prestidigitation, I did show them I’m human, make mistakes, and can provide a little levity to their office visit.

6. Radiate positive energy and good humor.  Your patients catch your emotions.  If you walk into the room and appear hassled, in a hurry, and start out by using negative comments, you will radiate that negativity.  If on the other hand, you start out with a smile and a nice compliment directed toward the patient, they will begin liking you and will appreciate having you as their doctor.  Hippocrates said this so well over 2000 years ago, “Where there is love of humanity, there will be love of the profession.”

7.  Show your liking for others including your patients.  We are more apt to like someone if we think that person likes us.

Bottom Line: Patients don’t care how much you know as they if they know how much you care.  By following these 7 steps you can generate an improved rapport and become more than just a doctor treating a disease state or a sick organ.  You become a caring physician who likes you and will be glad you are caring for them.

Neil Baum is a urologist at Touro Infirmary and author of Marketing Your Clinical Practices: Ethically, Effectively, Economically. He can be reached at his self-titled site, Neil Baum, MDor on Facebook and Twitter.

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  • Steve Wilkins

    Neil,

    Great list!  One addition I would add is check any assumptions about patients at the exam room door.  It’s all too easy to assume that patient’s all want a quick fix, just want a prescription, won’t do what you tell them to do, etc.  Such assumptions can become self-fulfilling prophesies if you let them go unchecked.  Patient’s can and do readily pick-up on such attitudes.  Who knows…the very next patient may just surprise you.

    Steve Wilkins
    http://www.healthecommunications.wordpress.com 

  • Anonymous

    I can tell you what matters to me: a doctor who is respectful, listens to me and treats me as an individual – who also understands cancer screening is MY decision. Someone who practices or respects my choice for evidence based medicine and understands I have a right to make informed decisions about preventative healthcare, and that means warning me of risk if I pass on preventative steps and cancer screening AND the risks if I accept those things. I also expect my doctor to disclose financial incentives, target payments and royalties that may place her in a potential conflict of interest.
    I would report a doctor who used coercion to force me into screening or anything else – they would be my ex-doctor.
    I know many American women have a coercive relationship with their physician – I find that horrifying….to think a doctor could refuse you the Pill UNTIL you agree to their unnecessary, unhelpful and potentially harmful demands for routine pelvic and breast exams and force you into elective pap testing – and that often means OVER-testing. (which greatly increases the risk of a false positive and potentially harmful over-treatment for no additional benefit)
    Most Australian doctors would understand that sort of conduct would have them before the Medical Board.

    You might think all of that is a tall order – I disagree, I think it’s called the doctor-patient relationship, based on trust, respect and honesty – sadly, we’ve moved so far away from this sort of relationship , it’s almost laughable. 
    IMO, more and more doctors have sold out to profits and vested interests. In Australia our GPs receive target payments for pap tests, yet most women are unaware of this potential conflict of interest.
    I think doctors are now a threat to our health and well-being and we need to be alert to their motives…is this really in MY best interests or is he/she practicing defensive medicine, chasing a target payment or boosting profits.
    Dr Margaret McCartney, a Scottish GP and advocate for informed consent in cancer screening, wrote an article that appeared in the BMJ recently, “Doctors should not support unethical screening programs” – isn’t it a shame that most doctors have to be reminded that their first obligation is to their patient, their rights and health – and not to the Govt, pharmaceutical companies, screening authorities or anyone else?

  • James Freeman

    Great list. Although the average doctor interrups their patient’s opening monologue within 16 seconds most patients will run out of steam after a minute or two. I still have to remind myself to “shut up and listen”, but it’s amazing how much useful history offers itself up during those first 1-2 minutes. It’s also an instant empathy builder as you separate yourself into that rare group of doctors who “really listen”. Sometimes it’s better to do less…..

    Dr James Freeman
    https://gp2u.com.au/

  • http://www.facebook.com/people/Craig-Koniver/100001463176810 Craig Koniver

    Thanks for sharing this list! I think another item to add would be to leave the computer/ tablet and prescription pad out of the exam room. Patients don’t want to be talked down to and just handed a prescription–they want to be listened to and validated. We all want that. Doctors who take the time to develop rapport with their patients are able to develop deep and quick connections with their patients and that is where true healing can really occur.

  • http://twitter.com/LittlePatient Haleh

    Love the list- Now something of substance to truly make a difference: 8.  Respect what your patient has to say 9.  Be open to what you may not know.

    Haleh Rabizadeh Resnick is author of Little Patient Big Doctor encouraging doctor/patient partnerships.  http://www.littlepatientbigdoctor.com

  • Anonymous

    I can not escape the choice presented tome as a patient between compassion and competence as taught the medical schools.  Patients, despite their medical condition are able to identify a bad salesman when they meet one.  In our consumer oriented society, please doctor, don’t depreciate my intelligence, don’t market medicine, just practice ethically your medical knowledge and skills.

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