You're faced with a physician challenging your diagnosis. How do you assert your expertise effectively?

First of all, always be open that there might be a different diagnosis. Once you hear the other thoughts together, you can come to a concrete diagnosis.

Understand what the disagreement is about. Verify sources and information leading to the opinions. Most difficult diagnoses or risky treatment plans fall in the gray zone of precision and effectiveness. Explain to the patient what you are thinking and why. Avoid disparaging colleagues in front of the patient. The choice of accepting the opinion should be left to the informed patient. If you are sure something about to be done to the patient is downright dangerous, sit down with the patient/family, explain, and document the conversation. Always express hope that the best outcomes follow regardless of the patient’s choice.

When faced with a physician challenging your diagnosis, it is important to assert your expertise firmly yet respectfully. Begin by calmly explaining the rationale behind your diagnosis, citing any relevant research or guidelines that support your assessment. Acknowledge the physician's concerns and invite them to share any insights or perspectives they may have. Engage in open dialogue to address any discrepancies or misunderstandings, and be prepared to provide additional evidence or justification for your conclusions. Remember to maintain a professional demeanor at all times, focusing on finding common ground and collaborating effectively for the benefit of the patient.

Explain with the reasons why you think differently...and reach together to a comon conclusion for the interest / benefit of the client.

Physicians are busy so I do not agree that you should never interrupt. So much of this is contextual. If you are interrupting to ask a clarifying question, that is fine. “Point of view” is less important in diagnosis than evidence and data. Two reasonable physicians can and will disagree at times based on what evidence or data they cite. Staying logical and scientific will make this simply a normal discussion between scientists.

Pay close attention to the physician's point of view, without interrupting, to fully understand their concerns. By doing so, you show respect for their expertise and foster a collaborative dialogue.

Ego should be left at the door. Respect for everyone is vital. I have solved patient diagnostic and treatment problems by conferring with housekeeping, and I always seek feedback from others in case I'm missing something. Remaining teachable is a requirement we should all take seriously. We don't know what we don't know, until we know it. A colleague who believes they are above that usually finds out the hard way eventually, and I don't want to be that person.

Segun mi experiencia, escuchar activamente, tratando de dejar de lado los prejuicios y tener humildad para entender que es lo que el otro esta tratando de decir. Podemos tener errores diagnosticos, y podemos charlar, discutir y aprender unos de otros.

When a physician questioned my assessment of a patient's depression, I focused on active listening to truly understand their perspective. I let them fully express their concerns without interrupting and then reflected back their points to ensure clarity. Using motivational interviewing techniques, I asked open-ended questions to explore their views further and acknowledged the validity of their experience. This de-escalated the situation and opened up a space for us to collaboratively consider the patient's needs. Listening actively and using motivational interviewing allowed us to reach a shared understanding, ultimately leading to a more comprehensive care plan that both of us supported.

La utilizacion de la evidencia cientifica como respaldo al accionar medico es la fuente mas acertada para poder explicar el diagnostico.

Don't forget the scientific literature that already exists on the issue! It is unlikely that you are the first person to ever see the problem you are discussing. What can we learn from people who have already researched similar cases or conditions?

Supporting your diagnosis with evidence, such as clinical guidelines or recent research, can reinforce your expertise. This approach not only backs up your claims but also shows that your diagnosis is grounded in the latest medical knowledge

Proporcionar pruebas con evidencia cientifica puede ayudar, y tambien puede hacernos dar cuenta de cuan importante es la actualizacion en el campo de la medicina.

Being open to receiving feedback from the other physician without being defensive is so important Often times the challenge may be that the other physician doesn’t have all the information and realizing that diseases may present itself in different ways Turn the conversation into a positive discussion and make it about a collaboration focused on the patient It is about “ the best outcome for the patient” not you So don’t take it personal.

When faced with a physician challenging your diagnosis, it’s crucial to remain calm and professional. Start by listening to their concerns, then present the evidence and clinical guidelines that support your diagnosis. Explain your thought process clearly, focusing on the clinical reasoning behind your conclusions. Acknowledge their perspective to foster a collaborative atmosphere, but maintain confidence in your expertise. If possible, suggest a review of the case together to reach a consensus. Always document the interaction and your rationale for future reference.

The physician is the clinician. I am merely the interpreter of the guidelines and coding rules. Manage with facts and supporting documentation. I have learned more from physicians presenting their case for using a certain diagnosis and I feel they have learned from me how to appropriately link and specify to to the most detailed code supported in their documentation. It is a collaboration.

I had a situation where a physician disagreed with my recommendation for a cognitive rehabilitation plan. I took it as an opportunity to reflect and engage in a deeper conversation using motivational interviewing techniques. I asked open-ended questions to understand the physician's concerns and explored the underlying reasons for their hesitation. By affirming their expertise and expressing empathy, I created a collaborative environment where we could discuss the best approach for the patient. I learnt the value of incorporating feedback into my practice and the importance of being open to continuous learning. It also highlighted how motivational interviewing can be a powerful tool in fostering shared decision-making in healthcare.