Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking

The simple, powerful question doctors should ask their patients

Suneel Dhand, MD
Physician
July 29, 2018
Share
Tweet
Share

As physicians, we are used to asking our patients lots and lots of questions. It’s our job to elicit information, listen, and then come up with a management plan. There’s a standard script every doctor goes through, based on the science of medicine, and we usually have this memorized to a tee. And that’s all very well and good. However, as with many things in life — especially those that involve human beings and an emotional (and dare I say, spiritual) component — it’s always more than just the science.

There’s one great question, however, that doctors utilize to a lesser degree than almost any other. And that’s a simple: “What are your goals?” This can come in a variety of different ways, such as: “What are you hoping for?” or “Where do you see yourself in one month?” It can be used at different points, depending on the circumstances — at the beginning of a discussion, before tests are ordered, or in the case of a hospital attending physician (which I am involved in most) — right upon discharge.

Asking this question has a number of positive effects:

1. It elicits extremely useful information

On a rudimentary level, this is obviously important information to know, for anyone involved in the patient’s care. Where are they coming from, and what are their goals? Do they expect to be pain-free in 1 week and back at work? Do they have to be up on their feet for their daughter’s wedding next month? This expectation level can then either be tempered, reinforced, or made even more optimistic!

2. It shows you care

Asking this basic question will immediately show that a doctor is curious and has a genuine interest in the patient. You are not just a “point-of-contact” person, but have taken the time to probe deeper. You are asking a question that helps foster empathy and compassion, the core of a better clinical interaction. Even in a social situation, anyone who is asked a question like this, responds positively because everyone likes and appreciates being able to articulate something that is important to them. And few things are more important than anybody’s health.

3. It gives the patient something to think about

Life is nothing without having goals and things to look forward to. Even if a patient struggles with this answer (rare), they will have something to ponder over. Hopefully, we are dealing with a reversible illness with light at the end of the tunnel. Even the thought of attending a Yankees game (sorry to anyone who is reading this not in New York, and hates this line), can motivate the patient immensely.

Time is a precious commodity in health care. It’s not something that any doctor has in abundance, or can afford to spend on random conversations (even if they really want to). But the above question may only take 2 or 3 minutes, and can have an immense effect, especially when a doctor is meeting a patient for the first time. And as with anything to do with communication, this does not mean asking a question in a robotic way! It has to come with the right level of emotional intelligence, and done with sincerity. If you are a doctor and already have this question in your repertoire, then well done. But as someone who coaches and teaches physicians communication skills, I am certain that very few ever make use of the simple “What are your goals?” question. Those goals or aspirations, may or may not otherwise come out organically during the discussion, but that’s left to chance.

So if you’re a doctor reading this, try it next time, even just once a day. You may be surprised with how much it’s appreciated. It’s one example of a small step that a physician (or any health care professional) can take, to improve their everyday communication skills. And there are dozens of more techniques like this that can help, many of which do not even involve asking questions, or take even a minute of extra time. All of these little things that help maintain the fast eroding doctor-patient human interaction, are healthy things to cultivate. Because they not only help make patients happier and more likely to have a better outcome, but also make the work of a doctor, a lot happier too.

Suneel Dhand is an internal medicine physician and author. He is the founder, DocSpeak Communications and co-founder, DocsDox. He blogs at his self-titled site, Suneel Dhand.

Image credit: Shutterstock.com

Prev

The most valuable lessons in life can be learned in oncology

July 29, 2018 Kevin 2
…
Next

Urgent care centers prescribe more antibiotics. Why is that?

July 30, 2018 Kevin 20
…

ADVERTISEMENT

Tagged as: Hospital-Based Medicine, Primary Care

Post navigation

< Previous Post
The most valuable lessons in life can be learned in oncology
Next Post >
Urgent care centers prescribe more antibiotics. Why is that?

ADVERTISEMENT

ADVERTISEMENT

ADVERTISEMENT

More by Suneel Dhand, MD

  • The dream patient that makes a doctor very happy

    Suneel Dhand, MD
  • When the family wants to speak to the doctor

    Suneel Dhand, MD
  • 3 reasons why patients are unhappy

    Suneel Dhand, MD

Related Posts

  • Here are some things that patients wish doctors knew

    R. Lynn Barnett
  • We are warriors: doctors and patients

    Michele Luckenbaugh
  • Are patients using social media to attack physicians?

    David R. Stukus, MD
  • Doctors and patients should be wary of health care mega-mergers

    Linda Girgis, MD
  • A perk of Medicare for all: More time for doctors and patients

    Rani Marx, PhD, MPH and James G. Kahn, PhD
  • Doctors and patients continue to search through the overgrown forest of corporate health care

    Michele Luckenbaugh

More in Physician

  • Rediscovering the soul of medicine in the quiet of a Sunday morning

    Syed Ahmad Moosa, MD
  • The broken health care system doesn’t have to break you

    Jessie Mahoney, MD
  • How a $75 million jet brought down America’s boldest doctor

    Arthur Lazarus, MD, MBA
  • The dreaded question: Do you have boys or girls?

    Pamela Adelstein, MD
  • When rock bottom is a turning point: Why the turmoil at HHS may be a blessing in disguise

    Muhamad Aly Rifai, MD
  • How grief transformed a psychiatrist’s approach to patient care

    Devina Maya Wadhwa, MD
  • Most Popular

  • Past Week

    • What’s driving medical students away from primary care?

      ​​Vineeth Amba, MPH, Archita Goyal, and Wayne Altman, MD | Education
    • Make cognitive testing as routine as a blood pressure check

      Joshua Baker and James Jackson, PsyD | Conditions
    • The hidden cost of delaying back surgery

      Gbolahan Okubadejo, MD | Conditions
    • The dreaded question: Do you have boys or girls?

      Pamela Adelstein, MD | Physician
    • Rethinking patient payments: Why billing is the new frontline of patient care [PODCAST]

      The Podcast by KevinMD | Podcast
    • The broken health care system doesn’t have to break you

      Jessie Mahoney, MD | Physician
  • Past 6 Months

    • What’s driving medical students away from primary care?

      ​​Vineeth Amba, MPH, Archita Goyal, and Wayne Altman, MD | Education
    • What happened to real care in health care?

      Christopher H. Foster, PhD, MPA | Policy
    • Internal Medicine 2025: inspiration at the annual meeting

      American College of Physicians | Physician
    • The hidden bias in how we treat chronic pain

      Richard A. Lawhern, PhD | Meds
    • A faster path to becoming a doctor is possible—here’s how

      Ankit Jain | Education
    • Residency as rehearsal: the new pediatric hospitalist fellowship requirement scam

      Anonymous | Physician
  • Recent Posts

    • Rediscovering the soul of medicine in the quiet of a Sunday morning

      Syed Ahmad Moosa, MD | Physician
    • An introduction to occupational and environmental medicine [PODCAST]

      The Podcast by KevinMD | Podcast
    • Does silence as a faculty retention strategy in academic medicine and health sciences work?

      Sylk Sotto, EdD, MPS, MBA | Conditions
    • Why personal responsibility is not enough in the fight against nicotine addiction

      Travis Douglass, MD | Conditions
    • How dismantling DEI endangers the future of medical care

      Shashank Madhu and Christian Tallo | Education
    • Alzheimer’s and the family: Opening the conversation with children [PODCAST]

      The Podcast by KevinMD | Podcast

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

View 6 Comments >

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

ADVERTISEMENT

ADVERTISEMENT

ADVERTISEMENT

  • Most Popular

  • Past Week

    • What’s driving medical students away from primary care?

      ​​Vineeth Amba, MPH, Archita Goyal, and Wayne Altman, MD | Education
    • Make cognitive testing as routine as a blood pressure check

      Joshua Baker and James Jackson, PsyD | Conditions
    • The hidden cost of delaying back surgery

      Gbolahan Okubadejo, MD | Conditions
    • The dreaded question: Do you have boys or girls?

      Pamela Adelstein, MD | Physician
    • Rethinking patient payments: Why billing is the new frontline of patient care [PODCAST]

      The Podcast by KevinMD | Podcast
    • The broken health care system doesn’t have to break you

      Jessie Mahoney, MD | Physician
  • Past 6 Months

    • What’s driving medical students away from primary care?

      ​​Vineeth Amba, MPH, Archita Goyal, and Wayne Altman, MD | Education
    • What happened to real care in health care?

      Christopher H. Foster, PhD, MPA | Policy
    • Internal Medicine 2025: inspiration at the annual meeting

      American College of Physicians | Physician
    • The hidden bias in how we treat chronic pain

      Richard A. Lawhern, PhD | Meds
    • A faster path to becoming a doctor is possible—here’s how

      Ankit Jain | Education
    • Residency as rehearsal: the new pediatric hospitalist fellowship requirement scam

      Anonymous | Physician
  • Recent Posts

    • Rediscovering the soul of medicine in the quiet of a Sunday morning

      Syed Ahmad Moosa, MD | Physician
    • An introduction to occupational and environmental medicine [PODCAST]

      The Podcast by KevinMD | Podcast
    • Does silence as a faculty retention strategy in academic medicine and health sciences work?

      Sylk Sotto, EdD, MPS, MBA | Conditions
    • Why personal responsibility is not enough in the fight against nicotine addiction

      Travis Douglass, MD | Conditions
    • How dismantling DEI endangers the future of medical care

      Shashank Madhu and Christian Tallo | Education
    • Alzheimer’s and the family: Opening the conversation with children [PODCAST]

      The Podcast by KevinMD | Podcast

MedPage Today Professional

An Everyday Health Property Medpage Today
  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

The simple, powerful question doctors should ask their patients
6 comments

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...