Creating a Safe Space at the Doctor’s Office: A Guide for Black Women

When it comes to our health, we must be our own biggest advocates. We were born with these bodies, so we will be the first to notice when something is off or not right. However, navigating the healthcare space can be overwhelming and frustrating at times. Historically, Black Americans have a dark past with medicine in our country. From Henrietta Lacks to the Tuskegee Syphilis study, there is a history of using black bodies to benefit others and advance medical knowledge. In addition, systemic discrimination and a patriarchal setup can lead to a cycle of patient’s concerns being discarded and patient distrust of the healthcare system. 

It sounds scary, but I promise it’s not all bad. The underlying mission for most healthcare providers is to help people who are hurting or in need. There are great physicians and providers who are dedicated to caring for your health needs. Here are some tips to create a safe space at the doctor’s office. 

Speak up about your needs 

Even before you walk into the office, you should decide what experience is important to you. Often, your time with the doctor is limited. So, consider what situations will make you feel more empowered and informed. This may include initiating your visit with your clothes on before getting undressed for the exam. You can also lay out your concerns or fears in the beginning to make sure those issues are prioritized. When talking with your doctor, remember that this is your time to focus on YOU. Use this opportunity with your doctor to ask any questions that come to mind. And if you do not understand something, it’s important to ask for clarification. Most importantly, make sure you know how to communicate with your provider once the appointment is over. You may have additional questions, concerns, or may expect to have any lab results reviewed. It is vital that you know how to get in touch with them after you leave the appointment.  

Choose a doctor that you connect with 

Healthcare is a team sport, and don’t forget you are the most important part of that team. Choosing the right doctor is crucial to making sure you feel safe, comfortable, and understand the details of your healthcare. When selecting a doctor, consider what style of care you prefer. Some people want to be directly instructed on how to manage their ailments and not be so involved in the details. Others want someone who gives a detailed explanation of every aspect of their care. To find the right provider for you, consider using word of mouth or reading online reviews. When meeting with this person, make sure to assess how they communicate with you. Are they using your preferred pronouns, actively listening, and considerate of your concerns? It’s okay to ask tough questions in order to advocate for yourself. Consider initiating a conversation about the provider’s approach to culturally important topics. For example, ask your OBGYN how she cares for all her patients, considering the disproportionate rate of maternal mortality among black mothers. 

Get a second opinion 

Sometimes the first choice isn’t the right choice for you. It is always okay to seek a second opinion or find a different provider that fits your needs best. If you find that the doctor you’ve met with makes assumptions about your experiences, brushes past your comments, or minimizes your concern, it’s time to walk (no… run) in the other direction. When meeting with another doctor as a second opinion, let them know negative past experiences you may have had with previous providers. Be direct about past concerns and goals for this encounter. Just like any working relationship, you’ll know when it’s the right fit.  

Going to the doctor may feel nerve-wracking, but it does not have to be. Find the right doctor for you, come prepared to verbalize your concerns, and remember this appointment is the time to focus on YOU.