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

5 tips for ending office visits on time

Jennifer Shaer, MD
Physician
July 17, 2023
Share
Tweet
Share

The visit is winding down. You’re getting ready to go, hand on the doorknob, saying goodbye. And then you hear, “Doc, one more thing.” Or perhaps you’re more familiar with the patient who has a laundry list of issues all to be addressed in the fifteen-minute appointment slot.

These visits have in common that they are both certain to back you up. Have multiple in the day, and you are most certainly working through lunch. By the end of the day, you are exhausted, cranky, and overwhelmed, left with a pile of open charts to finish at home.

What if there was a way to prevent this? Psychiatrists seem to have mastered the art. They simply say, “Your time is up. I’ll see you next week.” Maybe we don’t need to be quite that regimented, but we have room to improve.

We can learn to better lead the flow of our visits. Here are five tips:

1. Challenge your beliefs. The problem we face is that we don’t want a patient to think that we are rude, dismissive, or that we are rushing them, especially when they waited so long for the visit. That makes sense. We are conditioned at a very young age to “be nice.” In medical school and residency, we are trained that patients come first. On top of that, we are natural givers, and many of us are people pleasers. These are wonderful qualities, but they can swing too far. Is it truly “nice” to let the patient control the timing of the visit? Isn’t it rude to let the patient continue while you are thinking about how to end the visit or about the next patient? Wouldn’t it be kinder to give your undivided focused attention to the patient in front of you for 10 minutes rather than distracted attention for twenty? How does allowing the patient to run over negatively impact the other patients waiting, your staff, and yourself? I am suggesting that it is actually kind to set visit expectations upfront and when communicated properly, is not rude or dismissive.

2. Set the visit agenda upfront. Start by asking the patient everything that’s on their list for the visit. Not the details, just the high-level points. When they are done, ask if there is anything else. Doing so will help you avoid the “Oh, by the way” comment as you are ready to leave. Once you have the entire list, you can say something like, “Great. We have fifteen minutes today. What would you like to prioritize?” Then you can dig into their prioritized list one at a time.

3. Plan a strong closing. If the visit doesn’t seem to be winding down and you are nearing the end, tell the patient something like, “We only have a few minutes left. What would be most useful for you in that time? We can schedule a follow-up office or telemed visit to discuss the rest of your concerns.”

4. Be present. Knowing that you are now skilled at ending the visit in a timely manner, commit to yourself that you will fully engage with the patient while you are in the room. Take a pause and a deep breath before you enter. Let the patient speak uninterruptedly and truly listen for the first 90 seconds. Sit down. Make eye contact. When you are fully present and engaged, your patient will feel like you gave them more time and better care.

5. Lean into discomfort. Acknowledge and recognize that ending the visit feels uncomfortable and do it anyway. Focus on the people you will let down if you avoid that discomfort and let the visit run over. The patients waiting, your staff, and yourself. It is impossible to please everyone. A little bit of discomfort now will save you a lot of discomfort later. Remind yourself that you can do hard things!

We all know that emergencies and other workflow snafus are inevitable. Running exactly on time is an unrealistic expectation. But practicing these skills can bring a bit more control and enjoyment to your day.

Jennifer Shaer is a pediatrician and chief wellness officer, Allied Physicians Group, and a certified executive and life coach. She is founder, Shaer Coaching, and can be reached on Facebook. She is available for one-on-one coaching and speaking engagements: Feel free to schedule a conversation with Dr. Shaer or reach out by email.

Prev

Can minors truly consent to reversible puberty blockers in gender-affirming health care?

July 17, 2023 Kevin 15
…
Next

Why digital health startups still need banking partners like SVB and First Republic

July 17, 2023 Kevin 0
…

Tagged as: Pediatrics, Primary Care

Post navigation

< Previous Post
Can minors truly consent to reversible puberty blockers in gender-affirming health care?
Next Post >
Why digital health startups still need banking partners like SVB and First Republic

ADVERTISEMENT

More by Jennifer Shaer, MD

  • Surviving an EHR upgrade

    Jennifer Shaer, MD
  • Reevaluating beliefs: the role of real doctors

    Jennifer Shaer, MD
  • Navigating patient requests: Balancing care and communication

    Jennifer Shaer, MD

Related Posts

  • It’s time for a comprehensive universal health care system in America

    Sagar Chapagain
  • Writing tips for physicians from a health care editor

    Debra A. Shute
  • TikTok in the time of COVID: an unexpected wellness tool for health care workers

    Manya J. Gupta, MD
  • How social media can help or hurt your health care career

    Health eCareers
  • Finding happiness in the time of COVID

    Anonymous
  • The solution to a crumbling primary care foundation is direct primary care

    Sara Pastoor, MD

More in Physician

  • How pain clinics contribute to societal safety

    Olumuyiwa Bamgbade, MD
  • Why frivolous malpractice lawsuits are costing Americans billions

    Howard Smith, MD
  • How AI helped a veteran feel seen in the U.S. health care system

    David Bittleman, MD
  • Why physician strikes are a form of hospice

    Patrick Hudson, MD
  • How a doctor defied a hurricane to save a life

    Dharam Persaud-Sharma, MD, PhD
  • Focusing on well-being versus wellness: What it means for physicians (and their patients)

    Kim Downey, PT & Nikolai Blinow & Tonya Caylor, MD
  • Most Popular

  • Past Week

    • Why pain doctors face unfair scrutiny and harsh penalties in California

      Kayvan Haddadan, MD | Physician
    • Love, birds, and fries: a story of innocence and connection

      Dr. Damane Zehra | Physician
    • How a doctor defied a hurricane to save a life

      Dharam Persaud-Sharma, MD, PhD | Physician
    • Why physician strikes are a form of hospice

      Patrick Hudson, MD | Physician
    • What street medicine taught me about healing

      Alina Kang | Education
    • The silent cost of choosing personalization over privacy in health care

      Dr. Giriraj Tosh Purohit | Tech
  • Past 6 Months

    • Why transgender health care needs urgent reform and inclusive practices

      Angela Rodriguez, MD | Conditions
    • COVID-19 was real: a doctor’s frontline account

      Randall S. Fong, MD | Conditions
    • Why primary care doctors are drowning in debt despite saving lives

      John Wei, MD | Physician
    • Confessions of a lipidologist in recovery: the infection we’ve ignored for 40 years

      Larry Kaskel, MD | Conditions
    • Why taxing remittances harms families and global health care

      Dalia Saha, MD | Finance
    • mRNA post vaccination syndrome: Is it real?

      Harry Oken, MD | Conditions
  • Recent Posts

    • Physician practice ownership: risks, rewards, and reality

      Paul Morton, CFP | Finance
    • How peer support can save physician lives [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why AI in health care needs the same scrutiny as chemotherapy

      Rafael Rolon Rivera, MD | Tech
    • The humanity we bring: a call to hold space in medicine

      Kathleen Muldoon, PhD | Conditions
    • The truth about fat in whole milk and your health

      Larry Kaskel, MD | Conditions
    • How pain clinics contribute to societal safety

      Olumuyiwa Bamgbade, MD | Physician

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

Leave a Comment

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

  • Most Popular

  • Past Week

    • Why pain doctors face unfair scrutiny and harsh penalties in California

      Kayvan Haddadan, MD | Physician
    • Love, birds, and fries: a story of innocence and connection

      Dr. Damane Zehra | Physician
    • How a doctor defied a hurricane to save a life

      Dharam Persaud-Sharma, MD, PhD | Physician
    • Why physician strikes are a form of hospice

      Patrick Hudson, MD | Physician
    • What street medicine taught me about healing

      Alina Kang | Education
    • The silent cost of choosing personalization over privacy in health care

      Dr. Giriraj Tosh Purohit | Tech
  • Past 6 Months

    • Why transgender health care needs urgent reform and inclusive practices

      Angela Rodriguez, MD | Conditions
    • COVID-19 was real: a doctor’s frontline account

      Randall S. Fong, MD | Conditions
    • Why primary care doctors are drowning in debt despite saving lives

      John Wei, MD | Physician
    • Confessions of a lipidologist in recovery: the infection we’ve ignored for 40 years

      Larry Kaskel, MD | Conditions
    • Why taxing remittances harms families and global health care

      Dalia Saha, MD | Finance
    • mRNA post vaccination syndrome: Is it real?

      Harry Oken, MD | Conditions
  • Recent Posts

    • Physician practice ownership: risks, rewards, and reality

      Paul Morton, CFP | Finance
    • How peer support can save physician lives [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why AI in health care needs the same scrutiny as chemotherapy

      Rafael Rolon Rivera, MD | Tech
    • The humanity we bring: a call to hold space in medicine

      Kathleen Muldoon, PhD | Conditions
    • The truth about fat in whole milk and your health

      Larry Kaskel, MD | Conditions
    • How pain clinics contribute to societal safety

      Olumuyiwa Bamgbade, MD | Physician

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

Leave a Comment

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

Loading Comments...