How do you choose specialists?

stepford

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One of those joys of ER with which most of us are unfortunately familiar is that as early retirement gets less early more and more of our body parts start to break down - and we need to find the right specialist to deal with it.

When I was with an HMO I didn't really need to think about this. I was just directed to a specialist of their choosing and that was that. I prefer the flexibility of my current PPO that gives me the ability to choose almost anyone (at least in the rather broad PPO network), but puts the onus of choice on me.

When I was working I would generally ask both my primary physician and some work colleagues for recommendations, cross-check with reviews from places like healthgrades and yelp and go from there. I always ended up with a good doctor and effective treatment eventually but sometimes had to try 2-3 before finding right one.

I could still do something like that, but wonder if there's a better approach to home in on the most effective person without the time and money loss of my previous hit and miss approach.

I know that in most cases lots of different doctors would be good enough, but I've had a couple of situations over the years with misdiagnoses and incorrect treatments and really want to avoid that in the future. I'm (perhaps naively) hopeful that finding the best doctor right off the bat will prevent that.

So how do you, the esteemed ER.org brain trust, choose your specialists?
 
I ask my trusted GP, put out a query on Facebook, and check online reviews like what you mentioned. The last one in particular I take with a grain of salt, as people will give poor reviews about things like bedside manner, getting billed when they canceled an appointment at the very last minute and so on, but reading the reviews gives me some insight. I know a lot of people hate Facebook but this is a pretty good use of it (subject to the same shortcomings online reviews have).
 
Consult people you trust

I start off by asking my PCP... of course, I go to her because she's also my wife's PCP. So I guess I really began by asking DW.

It's worth noting that almost all physicians these days are in group practices. So although I may be referred to a particular individual, over time I might bounce around among different doctors within the practice. For example, I have a history of skin cancer, and I'm on my fourth dermatologist in 15 years. The first two retired and the third was just unpleasant.
 
Talk to PCP and find someone who has a conservative treatment philosophy.
 
My PCP is no help at all, and just will not give me recommendations.

I ask around, and then when several people tell me one specialist is good, I check and make sure he got his MD someplace reputable, that he has some experience, that he has privileges at the hospital I prefer, and that he is board certified in his specialty. Not that any of those guarantees anything.
 
My PCP, there's not a lot of options and she knows what and where they are. I've found most specialists to be very good.
 
I only ask my urologist because he is in the big city and my PCP only knows the staff at her little hospital. She did give me a referral for my colonoscopy doctor and I do like her, just so happens that they pal together and do volunteer work overseas together.
 
My PCP is no help at all, and just will not give me recommendations.

I ask around, and then when several people tell me one specialist is good, I check and make sure he got his MD someplace reputable, that he has some experience, that he has privileges at the hospital I prefer, and that he is board certified in his specialty. Not that any of those guarantees anything.

Yep. One could still end up with this guy:
 

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Unless something potentially severe arises I just go with the person my Physician recommends. She has been great for DW and me so far...
 
I always remind myself that someone had to be last in their medical school class, and it could very well be the person taking care of my health condition. So I do a lot of my own research, consulting Dr. Google to get references. It's remarkable how many high quality refs you can find online, often with the full text available but almost always with at least an abstract/summary of findings.
 
I ask my trusted GP, put out a query on Facebook, and check online reviews like what you mentioned. The last one in particular I take with a grain of salt, as people will give poor reviews about things like bedside manner, getting billed when they canceled an appointment at the very last minute and so on, but reading the reviews gives me some insight. I know a lot of people hate Facebook but this is a pretty good use of it (subject to the same shortcomings online reviews have).

+1 to the bolded part of this comment.

As a college teacher, I have lots of experience receiving anonymous online reviews from my students. Since I taught those classes, I generally have full knowledge of the reality of the situations being reviewed.

In my experience, the factual accuracy of these anonymous reviews is often low. For example, a student may complain that I didn't do something, when in fact I usually did it, and did it multiple times.

Based on my experiences, the credibility of anonymous reviews is so questionable that I almost never pay any attention to them.
 
I ask my friends who are retired Rn's but still know Rn's in the field .I then check their credentials and reviews and go from there .
 
We have a next door neighbor who's an anesthesiologist. She won't tell us who to use, but she will tell us who not to use locally.

My sister was on the board of a regional children's hospital and many of her closest personal friends are a radiologist, a cardiologist, a neurosurgeon and a heart surgeon. One of her closest friends was a research nurse practitioner in a top 10 cancer center in the U.S. One phone call and she can come up with the finest local specialists' names.

We prefer to get the names of specialists by asking around.
 
I always remind myself that someone had to be last in their medical school class, and it could very well be the person taking care of my health condition. So I do a lot of my own research, consulting Dr. Google to get references. It's remarkable how many high quality refs you can find online, often with the full text available but almost always with at least an abstract/summary of findings.
+1

A buddy says the same thing. His wife bleed to death after a tubal ligation.
 
I have a very thorough, conservative PCP and have been with him for many years. I trust his referrals and have not had any bad experiences. I am also in the medical field, so know most of the names/practices referred too.
 
Mostly I go wherever my PCP sends me.

If there is any question, then I go online to my health insurance website to see who is in the network. Sometimes I have looked at the hospital website to search for specialties and read the bios.
 
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