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My favourite part about taking a social history is when I ask people about their work status & they say "retired", expecting that I will move on with the next question...but then I pause, look away from the screen, put down my pen & ask, "What did you do before retirement?" 1/
They're genuinely delighted that someone cares to know. Their eyes smile as they start telling me about their past careers. They seem grateful for the opportunity to reconnect with that important part of their identity...some haven't been asked that question in 20 or 30 years. 2/
I've gotten some fascinating answers: I was a pilot, worked in nuclear energy, in intelligence, news anchor, fire chief, travel nurse.. & I've gotten more common answers too, often told with so much pride: "I was a steel worker for 43 years & 3 months & enjoyed every minute!" 3/
While getting their past work history doesn't change my management in ortho, it humbles me as a clinician & helps me build incredible, therapeutic relationships with my patients. I want them to know that I'm willing to listen & to create a care plan that's tailored to them. 4/
Surprisingly, this hasn't slowed me down in clinic at all. In showing my patients that I value their story, they reciprocate & show that they value me & my time. Their responses are brief yet impactful... and the connections made are rewarding & therapeutic for both. 5/
Orthopaedic clinics are fast-paced & exhausting, but making it a habit to truly get to know my patients has helped improve job satisfaction. I hope when I retire, someone asks me about my career so I can smile & say: I was an ortho PA for many years... & loved every minute.
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