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February, 2016

Build New-Patient Rapport With the Three Essentials

By Matthew Enright, DOM

Have you ever noticed that two chiropractors can graduate from the same school, practice in the same town, use the same technique and share the same philosophy, but experience dramatically different levels of success? Many DCs think charisma, confidence or marketing plays the biggest role. Others believe it depends on how many new patients a practice gets every month or the quality of results delivered. While those factors do play a role, there is another set of factors often not considered in today's practice, or taught in school, practice-management or continuing-education classes: The Three Essentials.

Preparation First: Find Out What Isn't Working

Of course, strategic patient communication is key. Most chiropractors are good at it. But a look at the evidence suggests it hasn't made much difference in retention or referrals. The utilization rate in chiropractic has changed over the past 30 years; however, third-party reimbursement continues to decline, and DCs need the latest tools to maintain and grow their practices effectively.

Before incorporating the Three Essentials into your consult, you have to know what isn't currently working for you. For example: Do you begin a new-patient consult by describing your specific technique or approach, your background, and what chiropractic is? Many DCs do this and think their patients are listening when, in fact, they're not.

If you begin a consult this way, the patient may not remember what you say later – what their problem is and how you might be able to help. You don't want to jeopardize that part of their visit. And if you don't start by listening to your prospective new patient, you dramatically reduce the chance of them listening to you, following your recommendations and telling others about you.

At the beginning of a new-patient visit, tell the patient what to expect. Let them know how long it's going to take. Don't leave a new patient in suspense. They're likely in pain and already anxious as to whether or not you can help. Consider asking your patient questions about their referrer or something else that establishes common ground and builds rapport.

new patient - Copyright – Stock Photo / Register Mark Then do the thing most practitioners fail to do: Listen carefully to your new patient and find out why they have come to see you, paying particular attention to the specific language the patient uses. Only after you fully listen to your new patient is it possible to use The Three Essentials.

Essential #1: Use Your Patient's Words

Usually, when a person is sharing health concerns with you, they will use descriptive adjectives. They may describe their "excruciating headaches" or "stabbing sciatica." The words your patients use are not accidental. If you say, "sharp sciatica," after they said, "stabbing sciatica," or you say, "horrible headaches," when they said, "excruciating headaches," you'll leave the patient feeling that you didn't listen or don't understand what they're going through.

As a practitioner, remember the words your patients use. Communicate with them using those terms. This is the first level of building rapport with your new patients. The more rapport you create, the more trust is established and the more likely your patients will follow your recommendations and refer to you thereafter.

Essential #2: Ask How They Feel

Next, move from words to emotions to connect with your new patient. Most new patients, especially men, won't disclose how their health issue is making them feel emotionally. Women may be more inclined to volunteer this information.

Regardless, find out how your patient's health concern is making them feel in emotional terms, such as "frustrated," "old" or "desperate." Emotional feelings can count even more than physical ones do. Get to level two or three of building the best possible connection with new patients by understanding their emotional states.

You want every new patient to think, "This doctor actually cares about me and knows how I feel." If they don't voluntarily share feelings with you, ask them. Neither assume nor guess. Incorrectly stating or describing how they feel is worse than saying nothing.

Essential #3: Find Out What They Want Resolved

People come into your office with back and neck pain, fibromyalgia and a host of other issues you can help with, but the issue alone is not entirely what the person wants resolved. They may be missing a vital part of their lives due to their health issue(s). Examples of patient losses could be the elderly man who can't play 36 rounds of golf every weekend due to back pain, or the woman who can't give her children enough attention because of her migraines and low energy.

For everyone, regardless of their physical condition, the loss will be different. You'll have to dig for it. But when you discover what a patient's larger desire is when it comes to healing and you frame your basis of care around it (instead of around your findings), you'll see a significant difference in retention and referrals. Some patients will start telling others about you before they get the results they're seeking.

Make Each Visit Count

Doctors are more rushed and stressed than ever – and that means shorter visits. But if you listen to your patients and apply The Three Essentials, you'll need fewer new patients and less costly marketing. That's the type of practice every chiropractor deserves.


Matthew Enright is a licensed acupuncturist who currently practices in Boca Raton, Fla. and New York, N.Y. He is also an adjunct professor at NOVA Southeastern University, teaching Integrative medicine and the fundamentals of Traditional Chinese Medicine, and an adjunct professor at the Atlantic Institute of Oriental Medicine, teaching practice and business management.

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