Second opinions: Agendas and ego

When we see a new patient we usually assume that we know why they presented. A standard consultation is focused on making a diagnosis or recommending a treatment. However patients presenting for a second opinion may have a broad variety of agendas. Enquiring explicitly what the initiator of the referral wishes to get out of the visit can be very informative. This article explores approaches to some common agendas, with suggestions for making these consultations beneficial for all concerned.