Strategies for "Door Knob" syndrome
Dr. Sheila Laredo, the College’s Chief Medical Advisor, un- many physicians’ offices ask that patients state the prin-
derstands the frustration of “door knob syndrome,” those cipal reason for their visit upon scheduling appointments.
late-breaking questions that patients ask about a clinical They can also provide patients with a form in the wait-
concern just as they head out the office door. ing room asking them to list their concerns prior to their
visit with the physician. This not only gives patients an
“It is usually the question the patient had been wanting opportunity to list all of their issues, but also gives them a
to ask, but had to build up the nerve to ask. I was taught moment to reflect upon their health concerns so that they
in school to never ignore that ‘hand on the door knob’ can express them more clearly and coherently during the
question or concern,” she said. But she acknowledged encounter with their physician.
that their timing could be a source of frustration for the
doctor, who had thought the interview with the patient Another strategy, said Dr. Laredo, is for the doctor to sim-
was finished. ply get into the habit of asking the question at the begin-
ning of each visit – what are you most concerned about
She encourages physicians to use other strategies that today? This encourages open communication at the
could prompt patients to speak up earlier. Physicians, for outset, and importantly, enables the physician to prioritize
example, can use support staff to make the triaging and the investigation and treatment based on a better picture
prioritization of concerns more efficient. Support staff in of the patient's symptoms.
Nominate a colleague, or yourself, for the
opportunity to improve and strengthen your
Do you know a physician who shows initiative, shares knowledge and
inspires performance? Are you interested in educational and rewarding
experiences that will challenge you and enhance your professional
career? Then we want to hear from you!
On Friday, November 22, 2019 the
College will host its 8th annual Future
Leaders’ Day event in Toronto. We’re
looking for doctors who want to take a
leadership role in medical regulation!
If you or a colleague are interested,
send us your nominations! Contact
Nawaz Pirani, Senior External Relations
Coordinator, at 416-967-2600 ext. 765/
or email him at email@example.com.
The deadline for nominations is August 30, 2019, and space is limited to 35 participants.
DIALOGUE ISSUE 2, 2019