I worked as a medical secretary for 25+ years. The people on the other end of the line are often rude to us, demanding that we fit our schedule to theirs, and lack understanding of how medical offices work. However, my tactic was to “kill them with kindness”. No matter how testy they got with me when there were no appointments available on the day they demanded, or no matter how many times they rescheduled for frivolous reasons (Christmas shopping was my favorite to reschedule a child’s appointment for), I tried to accommodate as best I could within the parameters the practitioner outlined. That’s the key, we are working within someone else’s parameters. A Clinician may only see patients on Tues mornings and Thursday afternoons due to being in surgery the rest of the time. In those cases, the patient has to be available when the Dr has office hours. Not all offices have evening or Saturday hours. Those that do have long wait times for those hours.
My tactic as a patient is to ascertain the doctor’s availability from the beginning. Does he/she have evening Saturday hours? If so, I schedule 2-3 appointments in advance if I am going to be seen consistently. If not, then I ask for first in the am, or last in the pm, so that I miss the least amount of work. If all else fails I take what I can get. I am always friendly to the staff, because I know that they aren’t making the rules and complaining to them is like preaching to the choir, they get sick of hearing it, and they can’t do anything about it.