The above is even more problematic considering that this study found that, on average, patients are interrupted by medical providers after only 11 seconds when they are trying to explain the reason for their visit. https://t.co/ndOWUv9ykw Unless our appearance, social skills,
Eliciting the Patient's Agenda- Secondary Analysis of Recorded Clinical Encounters.
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Jan 2019 – Sep 2026Where it's discussed
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AI synopsis
What people are saying
The discussion centers on the 11-second interruption finding from Singh et al. (2018/2019) and its implications for eliciting the patient’s agenda. Posts consistently highlight that clinicians interrupt quickly, with stronger emphasis in specialty care and potential gender pain biases. While many respondents express agreement that listening is essential and call for more patient-centered dialogue, some also push back or frame the topic as a broader systemic issue, rather than a simple practice fix. Word choices like 'interrupted', 'listen', 'agenda', and 'unhurried conversation' reinforce a shared concern for communication quality in clinical encounters.
Overall sentiment leans toward acknowledgment of the study's findings and some sympathy for patients, with some posts framing this as a problem to be fixed rather than disputed. A few posts dismiss concerns or challenge the tone but not the core data.
High interest is evident: many posts quote or reference the 11-second finding, share links, and discuss implications for practice and policy.
Moderate engagement: numerous posts react, retweet, and paraphrase, but few go into deep analysis or propose concrete remedies.
Moderate impact: consensus that the issue matters for patient experience and quality of care, though explicit calls for change vary and are sometimes aspirational.
Abstract in brief
- The study found that clinicians only elicited patient concerns in about 36% of encounters, with primary care doctors doing so more frequently than specialists.
- Using shared decision-making tools did not significantly improve the chances of eliciting the patient’s agenda.
- When clinicians did ask for patient concerns, they often interrupted within about 11 seconds, which can cut patients off before fully sharing their concerns, especially in specialty care.]
Top posts
Most liked on X and Bluesky@kaylejh Was it this one from 2018 that found that most doctors only listen to their patient for the first 11 seconds? https://t.co/3z62Xi9UFe
"Clinicians seldom elicit the patient’s agenda; when they do, they interrupt patients sooner than previously reported." https://t.co/JUcZQLbiHM
@ml_pdh @exist_bread @DrCarolineMWF Have you seen this study that found that patients get cut off an average of 11 seconds into explaining the reason for their visit during a medical appointment? https://t.co/ndOWUv9ykw Not surprising, but clearly a massive problem!
En promedio interrumpimos al paciente en los primeros 11 seg. y solo necesita 30 seg para explicarse. Singh Ospina, N. et al (2018). Journal of General Internal Medicine DOI: 10.1007/s11606-018-4540-5
Many patients get interrupted very quickly and many don’t get the chance to say what they want to say! https://t.co/Tcwoe8LxC2 https://t.co/uyyYNsmXLM And I can understand why this happens as physios are very busy, seeing lots of patients, in short constrained time slots! https://t.co/xWAL1q4hn3
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@thomas_pottier Parce que c’est un « interrogatoire » avec des questions fermées et que quand enfin le médecin se tait, ils parlent ? Singh O. Eliciting the Patient's Agenda- Secondary Analysis of Recorded Clinical Encounters. J Gen Intern Med. 2019 Jan;34(1):36-40.
Source: https://t.co/I9nXMLFbzO
A 2018 study found that when doctors invite patients to share their concerns, they interrupt them after a median of just 11 seconds of speaking. (The study: https://t.co/DKFQqmVNOT)
RT @morgancheatham: before dismissing this as a future paradigm, consider that the median doctor cuts patients off after 11 seconds https:…
改めて読んでる やっぱり面白い https://t.co/iyEiF08c6k 「当たり前」のことをするだけで、秀でた人になれるかもしれない
RT @CaulfieldTim: Here is the iconic study I referred to about physician listening: https://t.co/O25NIBUHs9 "...the clinician interrupted t…
before dismissing this as a future paradigm, consider that the median doctor cuts patients off after 11 seconds https://t.co/TGatw85O1F
In most interactions, patients have just 11 seconds to speak before a physician interrupts them, research has shown. https://t.co/K3xwGR9uPW
RT @DisabledDoctor: The above is even more problematic considering that this study found that, on average, patients are interrupted by medi…
RT @DisabledDoctor: The above is even more problematic considering that this study found that, on average, patients are interrupted by medi…
RT @DisabledDoctor: The above is even more problematic considering that this study found that, on average, patients are interrupted by medi…
RT @DisabledDoctor: The above is even more problematic considering that this study found that, on average, patients are interrupted by medi…
RT @DisabledDoctor: The above is even more problematic considering that this study found that, on average, patients are interrupted by medi…
RT @DisabledDoctor: The above is even more problematic considering that this study found that, on average, patients are interrupted by medi…
RT @DisabledDoctor: The above is even more problematic considering that this study found that, on average, patients are interrupted by medi…
RT @DisabledDoctor: The above is even more problematic considering that this study found that, on average, patients are interrupted by medi…
RT @DisabledDoctor: The above is even more problematic considering that this study found that, on average, patients are interrupted by medi…
RT @DisabledDoctor: The above is even more problematic considering that this study found that, on average, patients are interrupted by medi…
RT @DisabledDoctor: The above is even more problematic considering that this study found that, on average, patients are interrupted by medi…
RT @DisabledDoctor: The above is even more problematic considering that this study found that, on average, patients are interrupted by medi…
RT @DisabledDoctor: The above is even more problematic considering that this study found that, on average, patients are interrupted by medi…
RT @DisabledDoctor: The above is even more problematic considering that this study found that, on average, patients are interrupted by medi…
RT @DisabledDoctor: The above is even more problematic considering that this study found that, on average, patients are interrupted by medi…
RT @DisabledDoctor: The above is even more problematic considering that this study found that, on average, patients are interrupted by medi…
RT @DisabledDoctor: The above is even more problematic considering that this study found that, on average, patients are interrupted by medi…
RT @DisabledDoctor: The above is even more problematic considering that this study found that, on average, patients are interrupted by medi…
RT @DisabledDoctor: The above is even more problematic considering that this study found that, on average, patients are interrupted by medi…
RT @DisabledDoctor: The above is even more problematic considering that this study found that, on average, patients are interrupted by medi…
RT @DisabledDoctor: The above is even more problematic considering that this study found that, on average, patients are interrupted by medi…
RT @DisabledDoctor: The above is even more problematic considering that this study found that, on average, patients are interrupted by medi…
RT @DisabledDoctor: The above is even more problematic considering that this study found that, on average, patients are interrupted by medi…
RT @DisabledDoctor: The above is even more problematic considering that this study found that, on average, patients are interrupted by medi…
RT @DisabledDoctor: The above is even more problematic considering that this study found that, on average, patients are interrupted by medi…
RT @DisabledDoctor: The above is even more problematic considering that this study found that, on average, patients are interrupted by medi…
RT @DisabledDoctor: The above is even more problematic considering that this study found that, on average, patients are interrupted by medi…
RT @DisabledDoctor: @ml_pdh @exist_bread @DrCarolineMWF Have you seen this study that found that patients get cut off an average of 11 seco…
RT @DisabledDoctor: The above is even more problematic considering that this study found that, on average, patients are interrupted by medi…
RT @DisabledDoctor: The above is even more problematic considering that this study found that, on average, patients are interrupted by medi…
RT @DisabledDoctor: The above is even more problematic considering that this study found that, on average, patients are interrupted by medi…
RT @DisabledDoctor: The above is even more problematic considering that this study found that, on average, patients are interrupted by medi…
RT @DisabledDoctor: The above is even more problematic considering that this study found that, on average, patients are interrupted by medi…
RT @DisabledDoctor: The above is even more problematic considering that this study found that, on average, patients are interrupted by medi…
RT @DisabledDoctor: The above is even more problematic considering that this study found that, on average, patients are interrupted by medi…
RT @DisabledDoctor: The above is even more problematic considering that this study found that, on average, patients are interrupted by medi…
RT @DisabledDoctor: The above is even more problematic considering that this study found that, on average, patients are interrupted by medi…
RT @DisabledDoctor: The above is even more problematic considering that this study found that, on average, patients are interrupted by medi…
RT @DisabledDoctor: The above is even more problematic considering that this study found that, on average, patients are interrupted by medi…
RT @DisabledDoctor: The above is even more problematic considering that this study found that, on average, patients are interrupted by medi…
RT @DisabledDoctor: The above is even more problematic considering that this study found that, on average, patients are interrupted by medi…
RT @DisabledDoctor: The above is even more problematic considering that this study found that, on average, patients are interrupted by medi…
The above is even more problematic considering that this study found that, on average, patients are interrupted by medical providers after only 11 seconds when they are trying to explain the reason for their visit. https://t.co/ndOWUv9ykw Unless our appearance, social skills,
@ml_pdh @exist_bread @DrCarolineMWF Have you seen this study that found that patients get cut off an average of 11 seconds into explaining the reason for their visit during a medical appointment? https://t.co/ndOWUv9ykw Not surprising, but clearly a massive problem!
@DisabledDoctor @aftab_usa It might be this one. https://t.co/HGLeuPNBAu
RT @joncheah: @nanchanglu suggests we : 1. stop interruption. Clinician interrupt patients ~ at a median of 11 seconds. Eliciting the Patie…
@nanchanglu suggests we : 1. stop interruption. Clinician interrupt patients ~ at a median of 11 seconds. Eliciting the Patient's Agenda- Secondary Analysis of Recorded Clinical Encounters #acem23 https://t.co/O0cd1hm96c
https://t.co/IMQbY9tPMZ
RT @sloppybarris: @surrealwhore It’s not you. 67% of the time doctors interrupt you in about 11 seconds. It gets so much worse when pain ex…
RT @sloppybarris: @surrealwhore It’s not you. 67% of the time doctors interrupt you in about 11 seconds. It gets so much worse when pain ex…
@surrealwhore It’s not you. 67% of the time doctors interrupt you in about 11 seconds. It gets so much worse when pain experienced by women is treated by doctors. https://t.co/Cst6yD20dl https://t.co/pK5eQO5frO
Y es que ya son varios los estudios que han demostrado que el personal sanitario interrumpe a los pacientes dentro de los 11 a 18 segundos desde que comienza a hablar en la consulta. (Eliciting the Patient’s Agenda- Secondary Analysis of Recorded Clinical Encounters).
30 years ago, Doctors used interrupt patients after 18 seconds. A more recent study (2018) shows that doctors are down to 11 seconds before interrupting their patients. Listening has potential in the medical space too… https://t.co/uQwuaQZmMW
RT @StacieFruth: @GavinPrestonMD Thank you...did a little digging and this is the link to the full article (from which several letters to t…
RT @StacieFruth: @GavinPrestonMD Thank you...did a little digging and this is the link to the full article (from which several letters to t…
@GavinPrestonMD Thank you...did a little digging and this is the link to the full article (from which several letters to the editor were then published): https://t.co/T7mIwhFuek Appreciate the info - helpful (and yes...patients deserve better).
https://t.co/a1VPLjNY3t
@JamieBoisvenue Industrial healthcare gives you 11 secs (https://t.co/jzGi6XOKDX) This is why the unhurried conversation is the most important innovation in healthcare. Why we pursue elegance (no waste, no haste) not efficiency. Otherwise patients are a blur and care an illusion. @patientrev
https://t.co/TGnynEOY55 Interruptions, listening and eliciting the patients "agenda". 11s Vs 90s https://t.co/iEKJl1fhBQ
"Clinicians seldom elicit the patient’s agenda; when they do, they interrupt patients sooner than previously reported. Physicians in specialty care elicited the patient’s agenda less often compared to physicians in primary care." Ospina, et al., 2018 https://t.co/4sID1f2yAA
@askdrstephanie @JonathanShedler https://t.co/4sID1f2yAA "In 27 of the 40 (67%) encounters in which clinicians elicited patient concerns, the clinician interrupted the patient after a median of 11 seconds .... Uninterrupted patients took a median of 6 s to state their concern."
@emollick Some lessons here for the medical community during patient consultations. Apparently, it’s common for doctors to interrupt their patients within 11 seconds https://t.co/Z8aglJLcqX
RT @sgdambrauskas: Los médicos somos muy buenos hablando. Pero no sabemos escuchar. De hecho, interrupimos en promedio a nuestros pacientes…
Los médicos somos muy buenos hablando. Pero no sabemos escuchar. De hecho, interrupimos en promedio a nuestros pacientes en 11 segundos (https://t.co/e48Dx4c675). Esto no es hablar de PEEP, ni de como manejamos el shock. Pero quizàs sea de las más importantes tareas: ESCUCHAR
@GFebles No fue opinión el dato, sino evidencia colega. Lea: https://t.co/e48Dx4c675 11 segundos de mediana.
Most docs
RT @AdamMeakins: Many patients get interrupted very quickly and many don’t get the chance to say what they want to say! https://t.co/Tcwo…
Many patients get interrupted very quickly and many don’t get the chance to say what they want to say! https://t.co/Tcwoe8LxC2 https://t.co/uyyYNsmXLM And I can understand why this happens as physios are very busy, seeing lots of patients, in short constrained time slots! https://t.co/xWAL1q4hn3
@JHospMedicine Physicians interrupt patients after just 11s (median)!! https://t.co/kWfRAeT5Qo
Patients are experts at guiding you to the source of their problem. They just need to be given a chance. Not interrupting them is a good start.
RT @NorthTxMSG: --- 11 Seconds --- The median time patients have before being interrupted by the physician. https://t.co/UHHcUkIjdR https…
--- 11 Seconds --- The median time patients have before being interrupted by the physician. https://t.co/UHHcUkIjdR https://t.co/ksjrVka7WB
@Abby_NYC @physiodetective Often we don't give the patient the opportunity to speak and he heard https://t.co/n4uU2gXzk7
@MikeMakher This is great. Most patients won't have an opportunity for an active dialogue. Too frequently interrupted by clinicians. https://t.co/i9tFuwd4LP
RT @TheDryhtscipe: @kaylejh Was it this one from 2018 that found that most doctors only listen to their patient for the first 11 seconds?…
RT @TheDryhtscipe: @kaylejh Was it this one from 2018 that found that most doctors only listen to their patient for the first 11 seconds?…
RT @TheDryhtscipe: @kaylejh Was it this one from 2018 that found that most doctors only listen to their patient for the first 11 seconds?…
RT @TheDryhtscipe: @kaylejh Was it this one from 2018 that found that most doctors only listen to their patient for the first 11 seconds?…
RT @TheDryhtscipe: @kaylejh Was it this one from 2018 that found that most doctors only listen to their patient for the first 11 seconds?…
@kaylejh Was it this one from 2018 that found that most doctors only listen to their patient for the first 11 seconds? https://t.co/3z62Xi9UFe
#Empathie #Médecine Temps de parole initial des personnes consultants un médecin de soin ambulatoire (primaire) USA
RT @DrAdal_Pena: En promedio interrumpimos al paciente en los primeros 11 seg. y solo necesita 30 seg para explicarse. Singh Ospina, N.…
RT @DrAdal_Pena: En promedio interrumpimos al paciente en los primeros 11 seg. y solo necesita 30 seg para explicarse. Singh Ospina, N.…
RT @DrAdal_Pena: En promedio interrumpimos al paciente en los primeros 11 seg. y solo necesita 30 seg para explicarse. Singh Ospina, N.…
RT @DrAdal_Pena: En promedio interrumpimos al paciente en los primeros 11 seg. y solo necesita 30 seg para explicarse. Singh Ospina, N.…
RT @DrAdal_Pena: En promedio interrumpimos al paciente en los primeros 11 seg. y solo necesita 30 seg para explicarse. Singh Ospina, N.…
RT @DrAdal_Pena: En promedio interrumpimos al paciente en los primeros 11 seg. y solo necesita 30 seg para explicarse. Singh Ospina, N.…
En promedio interrumpimos al paciente en los primeros 11 seg. y solo necesita 30 seg para explicarse. Singh Ospina, N. et al (2018). Journal of General Internal Medicine DOI: 10.1007/s11606-018-4540-5
(1) https://t.co/AnAAcBvsXu (2) https://t.co/XpKHBk830J (3) https://t.co/ZyJStawWvi (4) https://t.co/KOS0MzyjnO (5) https://t.co/sJFibYyxlH (6) https://t.co/ZyJStawWvi
RT @ClinMedJournals: Read, share and download this month's #OpenAccess article highlight from Journal of General Internal Medicine: Eliciti…
https://t.co/E606eV1hNY
We often go into healthcare to "help people", which implies we listen to them and address their needs. Then why do we interrupt our patients' concerns after an average of 11 seconds? #ListenToThem #LetThemTellYouWhatsWrong #FOAMed #FOAMems https://t.co/jTv9XOokSm
@docteurniide @kinefact Effectivement je voulais mettre les liens intégraux dans la publication et j'ai oublié ! https://t.co/1j8SR4H7W3 https://t.co/yz8tLMoRnP https://t.co/Z8r0FztHub Voici les liens vers les 3 articles utilisés
Evidence is mounting supporting the importance of communication in all sorts of health care encounters...including chiropractic! "Eliciting the Patient’s Agenda- Secondary Analysis of Recorded Clinical Encounters" (J Gen Int Med 2019) Read more: https://t.co/uX46WGk5Zx https://t.co/nNbbqJzBdP
RT @Peter_Stilwell: "Clinicians seldom elicit the patient’s agenda; when they do, they interrupt patients sooner than previously reported."…
RT @Peter_Stilwell: "Clinicians seldom elicit the patient’s agenda; when they do, they interrupt patients sooner than previously reported."…
RT @Peter_Stilwell: "Clinicians seldom elicit the patient’s agenda; when they do, they interrupt patients sooner than previously reported."…
RT @Peter_Stilwell: "Clinicians seldom elicit the patient’s agenda; when they do, they interrupt patients sooner than previously reported."…
RT @Peter_Stilwell: "Clinicians seldom elicit the patient’s agenda; when they do, they interrupt patients sooner than previously reported."…
RT @Peter_Stilwell: "Clinicians seldom elicit the patient’s agenda; when they do, they interrupt patients sooner than previously reported."…
RT @Peter_Stilwell: "Clinicians seldom elicit the patient’s agenda; when they do, they interrupt patients sooner than previously reported."…
RT @Peter_Stilwell: "Clinicians seldom elicit the patient’s agenda; when they do, they interrupt patients sooner than previously reported."…
RT @Peter_Stilwell: "Clinicians seldom elicit the patient’s agenda; when they do, they interrupt patients sooner than previously reported."…
RT @Peter_Stilwell: "Clinicians seldom elicit the patient’s agenda; when they do, they interrupt patients sooner than previously reported."…
"Clinicians seldom elicit the patient’s agenda; when they do, they interrupt patients sooner than previously reported." https://t.co/JUcZQLbiHM
Read, share and download this month's #OpenAccess article highlight from Journal of General Internal Medicine: Eliciting the Patient’s Agenda- Secondary Analysis of Recorded Clinical Encounters https://t.co/xoMdufO7FY
https://t.co/2csxJ6Nw6g #Eliciting the #Patient’s #Agenda- #Secondary #Analysis of #Recorded #Clinical #Encounters
@alanwsteel @angelahaupt @TheLizArmy @myopennotes Sorry you missed it too! Here is the resource for the "10 second" data: https://t.co/nSxg3NfstF
@mikejohansenmd @GavinPrestonMD @JAMA_current here's the JGIM study link: https://t.co/fTmxpXAh5n "Eliciting the Patient’s Agenda- Secondary Analysis of Recorded Clinical Encounters"
RT @marks_science: @GavinPrestonMD @jama @JournalGIM #Servicetweet Singh Ospina et al. Eliciting the Patient’s Agenda- Secondary Analysis o…
@GavinPrestonMD @jama @JournalGIM #Servicetweet Singh Ospina et al. Eliciting the Patient’s Agenda- Secondary Analysis of Recorded Clinical Encounters J Gen Intern Med. 2019 Jan;34(1):36-40. doi: 10.1007/s11606-018-4540-5. @JournalGIM https://t.co/nU2ZGVCj2I
@DrNRoberts Thank you, Nicola! This evidence for the tweet might be helpful: Eliciting the Patient's Agenda- Secondary Analysis of Recorded Clinical Encounters. - PubMed - NCBI https://t.co/gDa4vMcx6g
RT @ClinMedJournals: Congratulations to Dr. Ospina et al. for their article "Eliciting the Patient's Agenda- Secondary Analysis of Recorded…
RT @ClinMedJournals: Congratulations to Dr. Ospina et al. for their article "Eliciting the Patient's Agenda- Secondary Analysis of Recorded…
RT @ClinMedJournals: Congratulations to Dr. Ospina et al. for their article "Eliciting the Patient's Agenda- Secondary Analysis of Recorded…
Congratulations to Dr. Ospina et al. for their article "Eliciting the Patient's Agenda- Secondary Analysis of Recorded Clinical Encounters", published in @JournalGIM - it became one of Springer's top 10 downloaded articles in 2018! https://t.co/2Uc3ywRviw
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