Hi, in her book Different . . . Not Less: Inspiring Stories of Achievement and Successful Employment from Adults with Autism, one of the people Temple Grandin includes is a medical doctor in New England. This doctor is not yet ready to be out of the closet with her patients and co-wokers, and that's fine. That's her own personal choice and her own personal time table.
===================
Working at H&R Block, I got very good at the more formal interaction of interviewing a client. And I even found places where I could go quicker, for example, I can briefly ask "Presidential election fund?" And I tried to disclose to clients that there is a risk when they use Block loan and bank products that they might loss their entire refund to third-party bank cross-collection (yes, really!). I did this by underlining something on the bank application and being matter-of-fact, and I think that was more effective than if I had made a big deal about it. The only way a client can avoid this risk is if they pay up front for the tax prep only.
An analogy from medical might be that at one time there was a 1% mortality rate from getting an angiogram. Yes, a one percent chance of dying from a piddly diagnostic procedure. I don't think there's anyway you can't tell patients and their families this, and in fact, there's a big risk that will come back and bite you in the butt if you don't. And hopefully, this procedure is now safer.
Interestingly, one challenge you might face is from nurses and other support personnel who might think you "take too long" with patients. At this other tax place, I had a co-worker directly tell me that I'm "too nice to these people" (who presumably are less intelligent than he is). And this, too, is solvable. I actually all in favor of going at a nice fast clip, and checking back to see how progress is going (in medical care, I guess), and some people and situations just might take a little more time. So, one solution is with matter-of-fact confidence to stand up for yourself, 'Sometimes I like to spend a little more time with a patient,' and leave it at that. And if you're caught off guard, as I sometimes am, it's fine to ignore it the first one or two times, even strategic to, and then briefly and matter-of-factly respond if it continues to be an issue. Additionally, in a tax interview, I like a couple, three minutes of casual conversation at the end.
PS Obviously, I like medicine. If I were a doctor, I think I might go into infectious disease.
Last edited by AardvarkGoodSwimmer on 17 Jan 2013, 12:48 am, edited 1 time in total.