Aside from teaching me golf etiquette, my golfing friends were highlighting a tricky question we face in life when we reach a pinnacle of accomplishment. Do we toot our own horn, or do we wait, head bowed, to be showered with accolades?

Multiple studies in multiple health care settings suggest that information flow between the provider (doctor, nurse practitioner, physician’s assistant, etc.) and the patient is frequently limited and ineffective. Research also suggests that we aging amateurs often fail to even get our major concerns on the table. In adult primary care (family and internal medicine, and geriatrics, too), about half the time the caregiver and patient do not agree about what the main complaint or concern is for the visit.