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Your First Impression Matters: How Front Office Staff Impact Your Medical Practice's Success

Lisa Dye • April 12, 2025

Why That Initial Phone Call Can Mean the Difference Between Patient Loyalty and Lost Revenue

Last night, I found myself scrolling through TikTok when a video stopped me in my tracks. A young woman, tears streaming down her face, shared how an OB/GYN office had made her feel unwelcome and dismissed when she called to make her first prenatal appointment at just under 4 weeks pregnant. Having managed medical practices in a previous life, including an OB/GYN office, and being a mom myself, I know firsthand how much a first pregnancy means to a young woman. I guess that's why this video hit me so hard that I had to write about it.


Today, as the owner of a medical marketing agency, I find myself reflecting on an uncomfortable truth: what good is exceptional marketing if patients have a disappointing experience when they actually reach out to your practice? I've spent years helping physicians craft compelling websites, engaging social media presences, and targeted advertising campaigns—but all of that carefully crafted messaging falls apart in an instant when front-office interactions fail to deliver on those promises. The reality is that patient experience begins long before the clinical encounter. That first phone call is often the true first impression, and as this young woman's tearful TikTok video demonstrates, those initial touchpoints can make or break your practice's reputation and success.




When Policy Trumps Compassion

A young woman experiencing her first pregnancy, barely four weeks along and filled with the natural excitement and anxiety of an expectant mother, called an OB/GYN office to schedule her first prenatal appointment. Instead of being met with congratulations and support, she was treated as an inconvenience. The staff member spoke to her with a dismissive tone that made her feel as though she should have somehow known better than to call so early. While the office explained they don't see patients until they reach eight weeks of pregnancy, it was the cold delivery of this information—and refusal to even schedule a future appointment—that left the deepest impact.


The result? This patient hung up in tears, feeling dismissed during what should have been one of the most joyful moments of her life. She chose another practice for her care – and shared her negative experience with thousands of viewers on social media.

This scenario reveals a critical breakdown that happens in medical practices every day: when policies are enforced without empathy, patients feel devalued, and practices lose not only that patient but potentially many others who hear about the experience.


The Real Cost of Poor Front Office Interactions

When front office staff interactions go wrong, the consequences can be severe:


  1. Patient Loss: The most immediate impact is losing the patient to a competitor who offers a more welcoming experience.
  2. Reputation Damage: In today's digital world, negative experiences spread quickly. One viral social media post about poor treatment can influence thousands of potential patients.
  3. Revenue Impact: Every patient who chooses another practice represents lost revenue – not just for a single visit, but potentially for years of care.
  4. Staff Morale: Poor patient experiences can create internal tension between clinical and administrative staff, affecting workplace culture.
  5. Physician Reputation: Regardless of your clinical excellence, patients will associate negative front-office experiences with the physicians themselves.


Turning Policy into Positive Experience

The eight-week policy itself isn't necessarily the problem. Many practices have similar guidelines based on clinical rationale. The issue lies in how the policy was communicated. Consider these alternative approaches:


Instead of: "We don't see patients until they're 8 weeks along. You're too early to make an appointment."


Try: "Congratulations on your pregnancy! Our doctors typically schedule the first prenatal visit around 8 weeks, which allows us to perform the most meaningful initial assessments. I'd be happy to schedule that appointment for you right now, so you'll have it on your calendar. In the meantime, I can send you some information about early pregnancy care and our practice, and if you have any concerns before your appointment, please don't hesitate to call us."


This alternative response:

  • Acknowledges and validates the patient's excitement
  • Explains the policy with a patient-centered rationale
  • Offers a solution (advance scheduling)
  • Provides interim support
  • Keeps the door open for communication


Training for Compassionate Communication

Even the most experienced front office staff can benefit from regular training on compassionate communication. Consider implementing:


  1. Role-playing exercises that help staff practice handling common scenarios with empathy
  2. Patient journey mapping to help staff understand the emotional context of different patient interactions
  3. Clear scripts for communicating policies that emphasize the "why" and offer solutions
  4. Regular feedback sessions where physicians and clinical staff can share how front-office interactions affect patient care
  5. Recognition programs that reward staff members who exemplify compassionate communication


The Bottom Line

Your practice may have world-class physicians and cutting-edge treatments. Still, if patients feel unwelcome or disrespected in their first interactions, they may never experience the quality care you provide. Front office staff aren't just scheduling appointments—they're building the foundation of your patient relationships and shaping your practice's reputation.


By investing in training that emphasizes both efficiency and empathy, you protect your practice's reputation, retain more patients, and ensure that those who need your clinical expertise get to experience it.


Remember: In healthcare, first impressions don't just matter – they can be the difference between a thriving practice and one that struggles to maintain its patient base. Make sure your front-line staff understands that they are the face of your practice, and that every interaction has the potential to heal or harm.


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