The Clinical Excellence Podcast The Doctor–Patient Relationship in Mid-Career Primary Care
Oct 21, 2025
Dr. Jason Alexander, an associate professor at the University of Chicago and a specialist in evidence-based medicine, joins to discuss the evolving doctor-patient relationship in mid-career. He shares insights on transitioning from new physician to experienced clinician, emphasizing the importance of authenticity and listening. Jason highlights the challenges of treating colleagues and their families while maintaining boundaries. He also discusses how embracing uncertainty fosters trust and the vital role of reflective practice in reinforcing successful care.
AI Snips
Chapters
Books
Transcript
Episode notes
Evolving From Wide Net To Decisive First Visit
- Jason describes how his approach shifted from wide-net curiosity to more decisive first visits as his panel matured.
- He now tailors encounters based on long-term relationships and accumulated experience for more nuanced care.
Inheriting A Panel And Earning Referrals
- Jason recounts inheriting a panel after a long-tenured physician retired and later receiving many referrals from current patients and colleagues.
- He says those referrals come with preconceived notions and require clear boundary-setting about the clinical relationship.
Authenticity Amplified By Experience
- Jason emphasizes authenticity: injecting more of himself when he senses rapport because patients respond to genuineness.
- He links this move to confidence born of a trove of patient experiences, not certainty about having all answers.
