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How to Get the Most out of
Your Doctor Visits
Jeffrey Potter, MD
Clinical Assistant Professor
University of Virginia
Division of Rheumatology
October 24, 2015
Disclosures
 None
Introduction
 Before Your Visit
 During Your Visit
 After Your Visit
 Discussion
Before Your Visit
Before Your Visit
 Appointment Times
 Chart Preparation
 Hospital Rounds
 Private Practice vs
University Clinic
Before Your Visit
 Arrive on-time / early
 Referral Status / Insurance Cards
 Abbreviated Medical Records
 Initial Visit
Before Your Visit
 Current Medications / Changes
 Dress Appropriately
 Take Pictures!!!
 Keep a list of questions / concerns
 Visit Goals
During Your Visit
During Your Visit
 History
 “What brings you in
today?”
 Physical
 “What does your lupus
look like?”
 Impression /
Recommendations
 “I think we should…and
this is why”
During Your Visit
 Describe symptoms chronologically
 Problems with ADL’s
 Sick contacts
During Your Visit
 “Honesty is the best Policy”
 Medication administration / affordability
 Social History
 “I don’t understand”
 “What’s your impression?”
After Your Visit
After Your Visit
 Documentation
 Correspondence
 Sharing of consult records with PCP
 EMR email system
 Lab / Imaging Results
 Recognizing Office Staff
 After Visit Summary
References
 The Lupus Encyclopedia: A Comprehensive Guide for Patients and
Families (A Johns Hopkins Press Health Book) 1st Edition Donald E.
Thomas Jr. MD FACP FACR
 Optimizing Adherence Through Provider and Patient Messaging.
Millman MD, Den Hartog KS. Popul Health Manag. 2015 Oct 9.
 Perspectives of Patients, Caregivers, and Medical Staff on Greetings
in Oncology Practice: A Prospective Survey. Limon D, et al J Oncol
Pract. 2015 Sep 15
 The Evolution of Patient Decision-Making Regarding Medical
Treatment of Rheumatoid Arthritis. Mathews AL, et al Arthritis Care
Res (Hoboken). 2015 Aug 28
References
 Why do patients with systemic lupus erythematosus take or fail to
take their prescribed medications? A qualitative study in a UK
cohort. Chambers SA, et al Rheumatology (Oxford). 2009
Mar;48(3):266-71
 Physician-patient interactions and outcomes in systemic lupus
erythematosus (SLE): a conceptual model. Beusterien K, et al
Lupus. 2013 Sep;22(10):1038-45
 Structuring the patient-physician encounter: Joint creation of an
actionable roadmap to health. Freedman SD, et al Healthc (Amst).
2014 Jul;2(2):94-8

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How to get the most out of your doctor's visits dr. potter

  • 1. How to Get the Most out of Your Doctor Visits Jeffrey Potter, MD Clinical Assistant Professor University of Virginia Division of Rheumatology October 24, 2015
  • 3. Introduction  Before Your Visit  During Your Visit  After Your Visit  Discussion
  • 5. Before Your Visit  Appointment Times  Chart Preparation  Hospital Rounds  Private Practice vs University Clinic
  • 6. Before Your Visit  Arrive on-time / early  Referral Status / Insurance Cards  Abbreviated Medical Records  Initial Visit
  • 7. Before Your Visit  Current Medications / Changes  Dress Appropriately  Take Pictures!!!  Keep a list of questions / concerns  Visit Goals
  • 9. During Your Visit  History  “What brings you in today?”  Physical  “What does your lupus look like?”  Impression / Recommendations  “I think we should…and this is why”
  • 10. During Your Visit  Describe symptoms chronologically  Problems with ADL’s  Sick contacts
  • 11. During Your Visit  “Honesty is the best Policy”  Medication administration / affordability  Social History  “I don’t understand”  “What’s your impression?”
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  • 17. After Your Visit  Documentation  Correspondence  Sharing of consult records with PCP  EMR email system  Lab / Imaging Results  Recognizing Office Staff  After Visit Summary
  • 18. References  The Lupus Encyclopedia: A Comprehensive Guide for Patients and Families (A Johns Hopkins Press Health Book) 1st Edition Donald E. Thomas Jr. MD FACP FACR  Optimizing Adherence Through Provider and Patient Messaging. Millman MD, Den Hartog KS. Popul Health Manag. 2015 Oct 9.  Perspectives of Patients, Caregivers, and Medical Staff on Greetings in Oncology Practice: A Prospective Survey. Limon D, et al J Oncol Pract. 2015 Sep 15  The Evolution of Patient Decision-Making Regarding Medical Treatment of Rheumatoid Arthritis. Mathews AL, et al Arthritis Care Res (Hoboken). 2015 Aug 28
  • 19. References  Why do patients with systemic lupus erythematosus take or fail to take their prescribed medications? A qualitative study in a UK cohort. Chambers SA, et al Rheumatology (Oxford). 2009 Mar;48(3):266-71  Physician-patient interactions and outcomes in systemic lupus erythematosus (SLE): a conceptual model. Beusterien K, et al Lupus. 2013 Sep;22(10):1038-45  Structuring the patient-physician encounter: Joint creation of an actionable roadmap to health. Freedman SD, et al Healthc (Amst). 2014 Jul;2(2):94-8