How to Find a Great Doctor

—Riess

With managed care, you’re seeing a patient every 20 minutes, and you’ve got a meeting to get to, and you’ve got stuff going on in your own life. Most people understand how busy doctors are, but they also want to know that, despite all that, the doctor’s still going to do what’s right by the patient. 

—Barron H. Lerner, M.D., professor of medicine, New York University’s Langone Medical Center

Slowing down is really hard. And many docs are driven by habit. But if we slow down and pay closer attention, we would pick up on many more things.  

—John Kugler, M.D., a clinical assistant professor, Stanford University’s School of Medicine 

Building a solid reputation 

Where you’re trained doesn’t always represent how good you are as a physician. When I look for a doctor, I also look to see whether they write journal articles in their field. I ask what their reputation is with their colleagues. There are measures out now of how well we do as a hospital system. You can look them up on the internet.  

—Martha Gulati, M.D., chief of cardiology, University of Arizona

In an emergency, great doctors are the ones who ask plenty of questions. It’s all about teamwork, so he or she will ask for our assessment, any medical history we’ve been able to gather and what we’ve done so far. Not-so-great doctors? They don’t ask much of anything at all. 

—D. Troy Tuke, assistant fire chief, EMS of Clark County, Nev.

It’s important that your doctor stays up with the literature. You don’t want someone who says, “I’ve always done it this way.” Medicine is always changing.

—Lorraine Withers, nurse practitioner, Novant, Charlotte, N.C.

Focus and perspective are essential

A good doctor wants you to understand as much as you can. They’ll help you learn. And don’t be shy about looking things up on the internet. You really don’t want anyone who says, “I’m the doctor, and I’ll do the thinking.” 

—Dave deBronkart, patient advocacy pioneer better known as “e-patient Dave,” Nashua, N.H.

What I learned by interviewing doctors who had been through serious illnesses is that it really changes their perspective. One was a gastroenterologist who told me, “I have treated abdominal pain for years, and then I developed abdominal pain. It was so much worse than anything I could imagine.” 

—Klitzman

I’ve taken care of thousands of patients with miscarriages. But I never really understood just how painful it was until my wife and I had three. We now have three healthy children, thank God, but it really taught me something. Now when I’m treating a woman after a miscarriage, I say, “I’m sorry for your loss. I know it’s awful.” I give them a moment. I don’t just jump into their medical care. It’s like that old saying: “Cure sometimes, treat often, comfort always.” You can’t undo a death, but you can still comfort. 

—Sullivan

One surgeon told me that, the night before he underwent surgery, his doctor said he had a 5 percent chance of dying on the table. And the surgeon-turned-patient couldn’t sleep that night. He told me later, “I never realized the difference between a 5 percent chance that you might die and a 95 percent chance that you’ll survive. They’re statistically the same, but they have such different emotional meaning.”

—Klitzman

Treating the whole person

A great doctor considers the whole person. If the patient is being treated for diabetes, the doctor must also be aware of the person’s home environment — do they have transportation to the grocery store for healthy food? Is there a safe place to walk in the neighborhood for exercise? Do they have money to buy their meds? 

—Hassmiller

Fancy tests are great, but doctors run more tests than they need to. Where I work, we believe that patients expect a hands-on examination. It creates a patient-centered experience. Doctors miss diagnoses when patients are not examined. 

—Kugler 

When somebody says, “I have chest pain,” a good doctor listens to their whole story so that they can determine the right path to take. Otherwise, every patient gets every test in the book. And then it’s not medicine, because that’s not using your head. Most people with chest pain don’t need an angioplasty. Most of them need some Zantac and exercise. 

—Kavaler

Be a more empowered patient. You’ll be helping make your doctor a better doctor. If you have a troubling symptom that your doctor is dismissive of, say something like, “But this is interfering with the quality of my life.” The doctor will hear you more clearly and think, Oh, this is a real symptom. Or if you have questions, bring a list and ask them. 

—Klitzman