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Comment & Response
July 4, 2017

Physicians Interrupting Patients—Reply

Author Affiliations
  • 1Department of Family Medicine, University of Washington, Seattle
JAMA. 2017;318(1):94-95. doi:10.1001/jama.2017.6497

In Reply Dr Herstoff suggests that my recommendations demonstrate insincerity and inappropriate focus on physician needs. In my early years teaching physician-patient communication, I ignored physician time management anxiety, attending only to patient needs. I failed as an educator and raised the blood pressure of residents. When physicians are anxious about time, quality of care is likely compromised. Non-anxious physicians learn better, listen better, and provide better, more efficient care. My interruption examples do not convey tone, cadence, or body language. Each physician must choose words and a manner that feel genuinely respectful.