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Once in a while, when my career as a journalist brings me to a large working area, I like to spend a day or so listening to others’ feedback loops. It’s a “give and take” in which I often get my own ideas.

For example, I’ve read many accounts of a new, hot, friendly doctor who sets the standard for experience. But there are also many stories of doctors who don’t reach the level of care expected.

Sometimes, I hear more about where a doctor is failing because he or she hasn’t invested in adequate training or classroom instruction. Other times, it’s because the doctor didn’t stay on top of e-mails and messages sent in the traditional, print form to the practice or clinic office, such as billing or follow-up requests.

I then spend time with the doctor to try to understand the nature of those failures. I’m also privy to many of the healthy conversations that the doctors share with each other. Sometimes, it takes an extraordinary effort for a new doctor to get comfortable in a practice. There are always circumstances in which too much is left undone, and the doctor turns away from another patient who doesn’t feel appreciated.