DEAR MISS MANNERS: I’m a physician, so I am used to people addressing me as "Dr. Jones." That includes both patients and non-physician staff in the hospital where I work. Even out in public, if I run into someone from the hospital, it is common for them to address me as "Dr. Jones."
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However, when I go to a medical office as a patient, whether it is my primary care physician, the dentist, the optometrist or another specialist, they invariably address me by my first name. It is my impression that I am nonetheless expected to address them as “Dr. Smith,” whether in person or in subsequent correspondence.
What is the etiquette for a patient who is a physician addressing the doctor providing care? Is it acceptable for me to use their first name, or should I always address them as “Dr. Smith”?
GENTLE READER: Did you just now notice this inequity? Or have you always addressed your patients with titles and surnames, since you expect them to use yours?
Because that is the rule. Respect should be reciprocal.
It rarely is, in these situations. Doctors tell Miss Manners that they should be so addressed because they earned the right to that title, and that they use patients’ first names to be friendly and put them at ease.
But patients are also entitled to honorifics, just by virtue of being adult human beings. Furthermore, they do not consult doctors because they are looking to make friends.
So these are formal situations, in which patients are in need of dignity and professional distance. As Miss Manners has pointed out, when people are friends, they either both have their clothes on or neither of them do.
You could use the ploy of responding in kind, using your physician's given name. Or, slightly more tactfully, you could ask, “Shall we call each other 'doctor,' or do you prefer to use first names?”
But this would only establish that you, too, are on that august level they assume. You could make both points by pleasantly saying, “I don’t call my patients by their first names -- it seems fairer and more dignified to call them 'Mr.' or 'Ms.' Or 'Doctor,' as the case may be.”