Why it's important to find the right one
Your gynecologist may be the most important partner in health
you have. These days, gynecologists not only are called upon to
maintain a woman's sexual, reproductive and postmenopausal
health, but also to act as her primary care physician -
overseeing all her healthcare needs. That means your
gynecologist must be broadly trained in all aspects of medicine,
know which types of diagnostic and laboratory tests you may need,
and recognize when you need a referral to another medical
specialist.
Getting started
Because gynecologists play such an important role in your
health and well-being - and because they play such a central role
in one of the most private aspects of your life - finding the
right one takes some time and planning. You might want to begin
by asking a friend about her gynecologist and how well she likes
him/her. But don't stop there. You may respond to the same doctor
differently, and if you do your homework, you may find that
particular doctor is not as good as your friend thinks.
Before you begin your search, give some thought as to whether
you prefer a male or female gynecologist. That will help you
narrow your search and save time. Once you make that decision,
use the following checklist to help find a gynecologist who is
just right for you.
Checklist: What to look for in a gynecologist
- Professional certification. First, you want to make
sure your doctor is board-certified in gynecology. That means
that the doctor has passed the accreditation tests to practice in that
medical specialty. Don't make the mistake of thinking a physician
who is board-eligible is also board-certified.
Board-eligible means the doctor is qualified to take the
test, but has not yet passed the test. Board-certified means the
doctor is fully credentialed.
You can check on your doctor's status by calling the American
Board of Medical Specialties at 1-800-776-2378 or at
www.certifieddoctor.org. This group allows the public to
verify - free of charge - the board certification status,
location by city and state and specialty of any physician. They
will even provide you with a list of board certified physicians
close to where you live if you give them your zip code. You can also check with the American Medical Association's web site at www.ama-assn.org to find credential information about licensed physicians.
- Red flags: complaints or disciplinary actions. If the
doctor has had any problems with his/her medical practice, you'll
want to know. To find out, contact your state medical licensing
board. For the number in your area, look in your phone book under
"State Government Offices - Medical Board." You may also wish to
check local court records to find out if your doctor has ever
been charged with malpractice.
- Call the doctor's office. Pay attention. How the
person on the other end of the line speaks to you can tell you a
lot about the overall practice style of that physician. What's
more, if you get a busy signal repeatedly, that will tell you
that you may have trouble reaching the doctor when you need to.
Your first question should be whether the practice accepts your
particular form of insurance. Next, ask to schedule an
appointment. If they offer you an appointment four or more weeks
away, that's a signal that your doctor is probably too busy.
- Getting to know you. If you've gotten this far, you
may want to schedule an introductory visit. There's a chance you
may be charged for consultation time, but if getting the right
doctor is really important to you, it may be worth it. Some
things to talk about during your visit:
- Practice style. Does the physician readily prescribe
medications for problems, or adopt more of a wait-and-see
approach? What's the doctor's experience with and attitude toward
alternative medicine? If you are planning to have a baby, you'll
want to find out how your doctor approaches labor and delivery.
If you are in midlife, your doctor's opinions about hormone
replacement therapy will be good information to have.
- Attitude. Does the physician seem to encourage you to
freely communicate, or does he/she seem too busy to listen? Does
the physician make any effort to learn about your needs and
concerns? Does he/she seem more like an authority figure or a
partner? Finally, do you like the doctor? Remember,
you'll be discussing the most intimate details of your life with this person. Your gut feeling about the doctor is often what's most important.
- Meet the doctor's partners. You may end up spending
more time with them than you thought. Find out if partners are
available when you doctor isn't, or whether you will be referred
to another medical practice. While you're at it, find out what to
do if you have an after-hours medical emergency and who will be
available to care for you then.
- Phone calls. Find out whether your doctor will take a
phone call if you have a simple question, or whether you must
come in for a visit. You may wish to find out if your doctor will
respond to e-mail questions as well.
Making up your mind
Now that you've done your homework, go ahead and make your
decision. You can feel good that you've done everything you could
to find a medical partner best suited to you. And remember, if
over time you feel uncomfortable with your choice of physician,
then find another. You're in charge!