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WebMD Health News

Monday, September 24, 2007

Do You Let Your Doctor Shake Your Hand?
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How much actual face time do you get with your doctor during clinic visits, especially during a first-time visit? It might be 15 minutes or less, depending on the clinic and the specific type of health concern: 15 minutes might be sufficient to handle a wart on the finger but totally inadequate for new-onset chest pain!

Since time is so brief, it is essential that the doctor and patient be able to quickly establish some type of rapport. Without mutual trust (however superficial) the exchange of patient information and the comprehension of treatment options will be severely limited.

Forgive this digression: Why is the 't' silent in rapport but spoken in support?

Anyway, what are the most effective icebreakers? (HINT: Whassup usually doesn't work!)

According to data collected by the Feinberg School of Medicine at Northwestern University (Chicago) a friendly greeting and handshake are the most-preferred techniques to quickly open communications between patients and their doctors. Sadly, today's rushed clinicians often arrive loaded down with charts and exam equipment. They may already be wearing gloves and everybody knows that nothing says "howdy" better than a moist rubber glove!

Telephone surveys were performed involving health consumers in every state except Alaska and Hawaii (not sure why they were excluded). Videotaped interactions involving hundreds of clinic encounters were also studied to observe the effect of different approaches used by physicians attempting to engage their new patients.

Here's how patients responded to the question: "How would you want doctors to greet you the first time you meet?"

  • 78% want the doctor to shake their hand (hopefully after it is washed!)

  • 50% want to be addressed by their first name

  • 56% want their doctors to introduce themselves by their first and last name

Analysis of the videotapes recorded handshakes 83% of the time, but in half of these initial visits the doctor never addressed the patient by their name in any form whatsoever, as in, 'This may feel cold, er, pal!'

What works for you? Do you care about creating a relationship or would you rather just get down to business? Do you suspect the doctor feels the same way? With so many visitors to this WebMD blog I bet we can generate our own statistical summary.

SOURCE: Archives of Internal Medicine (June 2007) pages 1172-1176.

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Posted by: Dr. Lloyd at 10:56 AM

4 Comments:

Anonymous Anonymous said...

I would feel confident the doctor had washed his hands before entering a new patient's room, so a warm handshake would be welcomed.

I would like for the doctor to introduce himself by both names. After all, we knew he was a doctor when we entered his office -- we didn't go there to buy bananas.

2:30 PM  
Blogger phillis said...

My doctor always shook my hand and addressed me by name. Recently he died, and I will have a hard time finding another one that I like and trust as I did him.

10:12 PM  
Anonymous Anonymous said...

well, i would love for the doctor to greet me by first name and then by walking over to the sink he has installed in his clinic exam rooms, because he knows how deadly infections can be, and washes his hands, because he knows how deadly infections can be, as he greets me with a smile and his first and last name, and proceeds to shake my hand with his clean hand, to show me he pays attention to details. but in never get that, and i have had 50 surgeries and decades of medical problems. they act like im from mars when i ask them to wash their hands.

2:16 AM  
Anonymous Anonymous said...

I like when the doctor shakes my hand and introduces himself. I don't have a preference on the names. I have found that younger doctors tend to give you their fist and last names and older doctors tend to say Dr. and their last name.

Most of my current doctors always greet me with a handshake. The exception is my PCP when I am seeing him for osteopathic manipulation.

I also prefer when doctors address me by my first name and not as Mrs and my last name.

1:47 PM  

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