How To Make Your Doctor Appointment

The doctor in charge of your overall care is
called a primary care physician (PCP). Your first
office visit with a new doctor is the most
important one. This is when you get to know
your doctor and supply information about your
medical background. This visit may be for a
specific problem or for a complete checkup (that
is, a complete physical exam—CPE).

For a specific problem, you might only get an
examination of your complaints, symptoms
(what is bothering you), and of other areas that
the doctor knows to check depending on your
symptoms. In this case, you are usually given a
later appointment (typically in two to six weeks)
for the CPE, but ideally you would have the CPE
on your first visit. It is a good idea to make an
appointment with your doctor while you are
well. This will help you and your physician focus
on your total healthcare more clearly and without
distraction.

Schedules usually have 15-, 30-, and 60-
minute time slots. The longer times are usually
for patients who need a CPE. When you call for
your first appointment, let the doctor’s office
know if that is what you want. That way you will
not be put in a 15-minute slot, the time usually
allowed for a routine visit. Doctors’ schedules can
be very frustrating for patients, doctors, and staff.
This can lead to longer waits and shorter visits.
Being on time is important for both patients and
doctors.

Unless an emergency arises, the wait to see the
doctor should be no longer than thirty minutes.
If there is an emergency, waiting patients should
be given the option of continuing to wait,
rescheduling, or going elsewhere for treatment. If
you really have to see the doctor, just be prepared
to wait, and pray that the magazines are up-todate.
You can bring your own items to read, your
laptop, a CD or tape player with earphones, or
you can strike up conversation with other
patients. Listening and talking with others in the
waiting room is a great way to gather and share
information. Also, take the time to observe. Take
a look around the doctor’s office and watch how
things take place.

Some of the many reasons for a doctor’s
“tardiness” include overbooking patients, double
booking (scheduling two patients at the same
time), “pre-booking” (scheduling appointments
before the doctor gets in), and emergencies. If
you belong to a managed healthcare plan like an
HMO (Health Maintenance Organization), the
doctor usually has little, if any, say over the
schedule because success is equated with seeing
as many patients as possible. Also, the doctor
may be an employee. The doctor who works for
someone else cannot be solely blamed because
the staff also works for someone else.

Before managed care most doctors ran their offices and
hired employees themselves. This means that the
doctor was responsible for the whole office and
the way it was managed. If your doctor is an
employee and waiting is an issue, please let the
doctor, office supervisor, and health plan know
what has happened. The doctor will then be in a
position to let the employer know there is a
scheduling problem. This should help improve
wait time and any related problems.

Best health!

by J.L. Richardson, M.D., family medicine doctor and author of Patient Handbook to Medical Care: Your Personal Health Guide.

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