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Is clinical communication the one area of clinical oncology that needs no new ideas?

Silverman and colleagues and we seek the same thing: clinical relationships in which clinicians are sensitive to the needs of the specific clinical context, the specific patient and the specific moment in that patient’s trajectory of care. But we have different views of the potential value of the evidence and theory in our review for clinicians wanting to learn how to achieve this sensitivity. Our reading of their letter suggests three potential reasons for this divergence.