Already a member or subscriber? Sign in now

The right (and wrong) way to make sure patients understand your instructions

FPM Editors
June 6, 2019

An estimated 50 percent of patients leave their medical visits without understanding what their physician told them.1

In an attempt to avoid this problem, many physicians present their instructions and then ask the patient, “Do you understand?” But most patients will say “yes” to this question even if they don’t understand.

A better approach is to use the teach-back technique and ask, “Just to be sure I was clear, how will you do X?” — as in “How will you take your new medicine,” “help control your diabetes,” or “use your inhaler?”

If the patient’s explanation is not correct, repeat the instruction and ask him or her to explain it again.

1. Bodenheimer T. A 63-year-old man with multiple cardiovascular risk factors and poor adherence to treatment plans. JAMA. 2007;298(17):2048–2055.

Read the full FPM article: “Teach-Back: A Simple Technique to Enhance Patients’ Understanding.”

Posted on Jun 06, 2019 by FPM Editors

Copyright © 2026 by the American Academy of Family Physicians.

This content is owned by the AAFP. A person viewing it online may make one printout of the material and may use that printout only for his or her personal, non-commercial reference. This material may not otherwise be downloaded, copied, printed, stored, transmitted or reproduced in any medium, whether now known or later invented, except as authorized in writing by the AAFP. See permissions for copyright questions and/or permission requests.