Monday, January 23, 2012

Patient comments about my age


I have gotten some interesting comments from patients regarding my age.

When I was a medical student, patients thought I was in high school.  When I was a resident, patients thought I was a college student.  Now, as an attending over five years out of residency, I get comments like "you sure know a lot for someone so young," well-intended compliments meant toward the resident I apparently appear to be.

An enviable problem to have, right?  Except I would like my patients' initial impression of me to be "professional and competent," not "nice and young."  I fear that patients will not trust me to manage their care if they think I'm so inexperienced.  I want them to have confidence in the recommendations I give them and the decisions we make together.  I have to admit, too, that a part of me wants my current station on the top of the medical training ladder to be acknowledged.

I wish it wasn't so, but it's true: I need my patients' affirmation as much as they may be looking for mine.  I'm ashamed of that confession; patients' duties should not include validating my insecurities.  I suspect, though, that I am not alone in constantly worrying about whether I am doing my best for my patients.

It's not so easy to evaluate your performance as a doctor, either.  No one is directly evaluating us, and the popular markers of success - productivity, income, government ratings - don't reflect the bulk of what our care with patients truly involves.   Patient satisfaction scores only go so far, since disgruntled patients can result when we correctly turn down unreasonable requests.  Quality improvement measures are a step in the right direction (1) but still don't answer the basic question: "did I follow the best path for this patient?"

It's all too easy to fall back on those numbers and patient affirmations to judge myself.  They each have their place in the overall picture of my practice, but I've got to center my focus on patient care where it belongs.

Just like the responsible 36-year-old I am.

(1) http://www.who.int/patientsafety/education/curriculum/who_mc_topic-7.pdf

4 comments:

  1. Dr.Jen, I'll wager your patients sense your sincerity & concern for them as much as they appreciate your quality care & counsel. Who you are makes you great at what you do. Keep up the great work.

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  2. It's funny, I am noticing almost all physicians are looking younger to me these days. Perhaps this is just because I'm getting older?

    I agree with Molly Talley, and I'm sure that any question they have about your age is of general interest and not a reflection of their concern about your practice.

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  3. Appreciate the perspectives from both of you along with Molly's very kind words! One of the great benefits of blogging is getting much-needed perspective on issues that I would otherwise ruminate on far longer than I should. :)

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  4. Every healthcare provider should switch to an EMR solution. Paper based records and prescriptions are a thing of the past now and it would be best for both doctors and patients to take advantage of their features and accessibility.

    Medical Billing I Free EMR

    ReplyDelete