Ten Tips for Dealing with a Difficult Patient

Often, the front office is the "hot seat" for dealing withyou may not realize that you're speaking faster and
difficult patients. Some of us are better at handlinglouder. Take your time, and pick your words carefully.
these situations than others. Be aware of theBe aware of your body language. Don't cross your
members of your staff who are adept at dealing witharms or fidget. Stay in a relaxed posture.
angry, defensive, or just plain rude people. They can be6.  Forgive.
an asset on a busy day! When dealing with difficultRemember, the people coming into your office may
patients yourself, here are a few tips to keep in mind.not be feeling their best, or they may be scared or
1.  Listen.nervous about their current medical condition or going
Be patient. Take the time to answer all their questions,to the doctor in general. Give them the benefit of the
hear all of their complaints, and acknowledge how theydoubt, and be polite and in control of your emotions -
are feeling. You may find that the source of theeven if they're not.
problem is not what you expected. They may be7.  Be constructive.
concerned about what their insurance will actuallyWhen someone is insulting, it can be easy to throw
cover, or they may have misunderstood something thethose insults right back at them! Avoid personal
doctor requested.attacks and negative statements. Instead, focus on
2.  Communicate.ways that you can make things right for the patient,
The patient may not understand why you are askingwhile still following the rules and policies for the office.
for something or why a certain policy is in place. Take8.  Let go of your ego.
the time to explain, even if it seems obvious to you. IfRemember the end goal. Whether you're trying to get
they still seem confused or upset, offer to answer anythe patient to properly fill out a claim form or to resolve
questions they may have.a complaint, the point is not to "win" or "be right."  Ask
3.  Display your policies.yourself, what's the best possible outcome for this
Your patients are upset they have to pay theirsituation and how can I achieve it?
deductible while in the office instead of being billed. Or9.  Practice.
perhaps they complain that they can't get refills on theIt may seem cheesy, but taking time to role-play
weekends. Instead of explaining your policy each time,different patient scenarios can help you react better
post notices in the front office and exam rooms. Thenwhen they actually occur. Consider getting the staff
when someone puts up a fight, you can calmly point totogether for a brief training session where one
the sign and apologize for the inconvenience.employee plays the patient and another tries to
4.  Take a deep breath.resolve the situation.
Take a second to think before you reply to a difficult10.  Break off the relationship.
patient.  Your gut reaction may be to respondIf a patient is disrupting your business or causing a
defensively. Instead, try to find a way to respond thatserious problem for your staff, you can terminate the
will calm both you and your patient. If you need to,physician-patient relationship. This should always be a
make an excuse to step away from the situation, butlast resort and needs to be handled properly or it could
let the patient know that you will return shortly, so theybe considered patient abandonment. Consult your
doen't feel brushed aside.medical liability provider to ensure you follow the
5.  Exercise self-control.correct procedures for your area.
Easier said than done! If you are getting worked up,