What specialties are known for patients with the best and worst patient compliance?

[JPFC]

Which specialties tend to see high and low patient compliance? I would imagine that oncology would see relatively high patient compliance (in terms of following prescribed treatments, not missing appointments in outpatient, etc.). Just curious! Thanks.

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[JoaoMoutinho]

I'm not a clinician, but I believe that pulmonologists would probably deal the most with compliance issues. All of those emphysema/COPD cases have high compliance, while the fibrosis ones probably wouldn't have as much.

 

[Goro]

Anything relating to obesity and diabetes, I'll wager.

 

[Cornfed101]

Money is a pretty strong and universal motivator. I've seen a lot of people not renew prescriptions for glaucoma drops because they were too expensive, and their vision subsequently turned to ****.

 

[nimbus]

Anesthesia....all my patients comply with propofol.

 

[deleted407021]

Anything relating to obesity and diabetes, I'll wager.

So all of adult primary care.

 

[deleted966164]

I think that intensive care has the worst patient compliance

 

[AnatomyGrey12]

Vascular surgery for worst.

 

[OrthoTraumaMD]

*waves* hi

 

[Tenk]

I literally treat patients covered in their own feces.

One patient was so obese they just started pooping where they were sitting and throwing it in a corner of their home, making a poop pile. We were wondering what the breaking point was from taking more effort to get up and use the toilet as opposed to just throwing poop around the house.

 

[VA Hopeful Dr]

If patient compliance is an issue with you, pathology is your only hope.

Every other field relies on patients to cooperate to some degree.

 

[VA Hopeful Dr]

Anesthesia....all my patients comply with propofol.

NPO status

 

[ThetisAntithesis]

I literally treat patients covered in their own feces.

One patient was so obese they just started pooping where they were sitting and throwing it in a corner of their home, making a poop pile. We were wondering what the breaking point was from taking more effort to get up and use the toilet as opposed to just throwing poop around the house.

What the fudge?!!
I just wanna know if they wash their hands.

 

[nimbus]

NPO status

I’m sure they lie all the time. I once had a guy show up at a surgery center holding an ice cream cone.

 

[Instatewaiter]

Which specialties tend to see high and low patient compliance? I would imagine that oncology would see relatively high patient compliance (in terms of following prescribed treatments, not missing appointments in outpatient, etc.). Just curious! Thanks.

I'll add cardiology for highest compliance. Because if they're not compliant they're not your patient for long...


'cause they dead

 

[Angus Avagadro]

Pain management?

 

[Matthew9Thirtyfive]

I’m sure they lie all the time. I once had a guy show up at a surgery center holding an ice cream cone.

Helped with an EGD once where the pt said she was npo after midnight. Stuck the scope in and found a completely undigested burrito in her stomach.

 

[Matthew9Thirtyfive]

What the fudge?!!
I just wanna know if they wash their hands.

I’m guessing if they would have made the effort to go wash their hands, they probably would have just shat in the toilet in the first place.

 

[Epilepsy365]

Best compliance is Derm bc everyone is self conscious of their appearances.

 

[Tenk]

What the fudge?!!
I just wanna know if they wash their hands.

Doubtful. I’ve treated a few hoarders too. Sometimes they will bring collections of stool and urine with them in bags.

The show “Hoarders” is pretty interesting and you can see the deep running psychiatric illness manifest in the house.