Q&A: Approaching busy physicians

Q: What is the best way to approach a busy physician with a question about a patient’s chart? 

A: This is where knowing the physicians helps. I try to observe the physician's body language and his or her interactions with the staff. Does he or she seem abrupt, distracted, short-tempered?  I make a concerted effort to learn at least one personal thing about each physician: For example, do they have kids, and if so, what age? Do they have a hobby (running, skiing, sports cars)?  If they weren't a doctor, what would they be? When I don't have a question I use this information to further our relationship. If I run into these doctors in the hall I strike up conversations about these topics. I developed a close relationship with one physician who used to be difficult to approach by talking about his running and his grandchildren.  

If I absolutely have to ask a doctor a question and he's busy, I'll very politely ask if he has a minute and speed-ask the question in a very concise manner. Or just say, "When you next make rounds I left you a question.” They usually tell me that they already saw the query and answered it, or that they will look at it next time. When they're at the nurses' station and not looking busy I try to appeal to their desire to display their brilliance by asking them to teach me something. For example, I'll ask: “What is the best way to interpret a renal panel to diagnosis acute renal failure?" or "How does Apidra differ from regular insulin?" or "How is your new associate working out?" 

It's personal, it develops your connection, and they remember you. In other words, you have to lay the groundwork if you expect to get their cooperation.

(Lynne Spryszak, RN, coordinator, clinical documentation management program, Alexian Brothers Medical Center, Elk Grove Village, IL, answered this question.)