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Managing Patient Expectations
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"What was your name again?"
Remembering names
by Susan Keane Baker

Health care is a relationship business, so the ability to remember the names of your patients is important. When you are introduced to someone at a social event, do you forget the person’s name as soon as you hear it? When you are busy, do you have greater difficulty remembering names? Dr. Paula Hall of Indianapolis told me that if a physician remembers a patient’s name, it’s because of one of four things:

  1. The doctor is not busy enough.
  2. The doctor is really smart.
  3. The patient is really nice, and has probably plied the practice and the physician with food in the recent past.
  4. The patient is really challenging to work with and everyone in the practice knows his or her name.
While almost everyone can excuse an occasional memory lapse, patients do expect that their physicians will care enough to know and use their names. How can you increase the likelihood of being able to remember a patient’s name when you need it?

Standard operating procedure: Everyone reviews the schedule at the beginning of the day. Have you experienced the sinking feeling of having someone approach you on the street and you draw a complete blank on the person’s name? And if you have a relative or friend with you, you use him/her as a safety net. "Introduce yourself first - I can’t remember her name" you urgently gasp to your friend. If you had seen the name of the approaching person earlier in the day, you would be able to remember the name.

Everyone routinely uses patient names when greeting them and addressing them. Your colleagues can be a safety net. As you are entering the exam room, and you hear a colleague say, "Dr. Djerf will be right with you, Mrs. Fotiades," you are saved once again from the negative perceptions that could be created by your poor memory.

Discovering something personal about a patient increases your chances of remembering. Christine Beechner RN of Greenwich Hospital in Connecticut has found that learning something personal about a patient makes it easy to look beyond the physical reason that the patient has presented for care.

Have a system for recording information. Dr. Earl Miller of Williamsport, PA told me that his time-proven strategy for building rapport with patients was to write down the last thing that the patient told him before leaving his office. When the patient returned, he would glance at his note and remember the conversation. Remarking on that last conversation created the perception that he had been thinking about the patient since the last visit, or that he found the person very interesting. And glancing at the record to recall the last conversation also gave him an opportunity to remember the patient’s name.

But make sure that the system works. Dr. Richard Corson of Bound Brook, NJ told me about his experience as a patient when he was in college. His physician entered the exam room and asked "How are things at Rutgers?" Dr. Corson didn’t attend Rutgers, and said so. The physician continued on, commenting on topics that had no relation to Dr. Corson.

Don’t make assumptions. A gastroenterologist entered his office where a nurse was providing information to a new patient. "This is Mrs. Fairchild?" he asked the nurse. "No, this is Mrs. Copeland," she replied. "Well, I’ll see her while I am here," he said. Had he spoken directly to the patient, and introduced himself first, the patient would have given her name and he would have avoided the perception that one patient is the same as another to him.

Look for cues. A monogram on a shirt or pin; a name on a key chain, an insurance form for you to sign, can provide enough information to enable you to remember the person’s name. Just be careful in distinguishing whether you really remember the name, or are making a best guess. Best guesses on names don’t impress.

Create mental pictures. Kathy Phetaplace RN of Nova Scotia teaches people how to remember names and uses her own to illustrate how. She describes how feta cheese appears at a place setting on a table. Feta-place. Wendy Hilboldt, EMT, describes a hill with a bolt of lightning striking it to help people remember her name. If you have a name that lends itself to this technique, describe your name and then ask if the patient ever does something similar to help people remember his name.

Ask your patient about the meaning of his or her name. Darrell Panethiere told me that his name is French for maker or baker of bread, and as my married name was going to be Baker, discovering the similarity increased my ability to recall his name. (Then it got even easier to remember after he served as my husband’s best man.)

Use your patient’s name several times during the course of your conversation. Concentrating enough to use the name in conversation creates repetition, which aids memory.

Use the person’s name in six silent sentences. Your patient’s name is Tina Alcott. Silently use her name in six sentences. For example: "Her name is Tina Alcott, and Tina is my sister’s name. Her name is Tina Alcott and my first grade teacher’s name was Alcott. Tina Alcott - her records will always be easy to locate as her last name begins with ‘A.’ Tina Alcott - I wonder if Tina is a nickname for Athena; then she would be Athena Alcott, or AA for short. I wonder if Alcott Park is named for someone in Tina Alcott’s family. Tina Alcott - her nickname could be Tiny Tina as she is very petite." This is the best strategy I have learned to remember names!


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