Given the topic of this powerful essay, I can’t help but begin by thanking our expert commentators for dedicating their time to this discussion. I am enthused to see the variety of perspectives represented within this group, and I look forward to engaging with you over the next several days as we reflect upon Dr. Koven's powerful essay.
Dr. Koven identifies time and emotional energy as the factors that limit her ability "to take the plunge" with her patients. Several of our expert commentators have created models of care delivery that attempt to improve clinicians' reserves of time. I'd therefore like to begin our conversation by inviting reflections on what, if any, clinic models/delivery systems you have encountered that successfully allow clinicians to spend more time with their patients. Furthermore, have you noticed improvements in the clinician-patient relationship once time is restored, or are there additional factors that also need to be addressed?