Patient Perception of Physician's Compassion, Communication Skills, and Professionalism During Clinic Visits: a Randomized Controlled Trial (EHR Study #3)

Primary Objectives 1. To compare participants' perception of physicians' compassion after they watch two scripted-video vignettes of physicians: one portraying a traditional face to face clinical visit without the use of examination room computer, and the other one portraying a physician using an integrated model of EHR use for communication during the visit.

Secondary Objectives

• Study To compare participants' perception of physicians' communication skills after they watch two scripted-video vignettes of physicians: one portraying a traditional face to face clinical visit without examination room computer use, and the other one portraying a physician using an integrated model of EHR use during communication.

Eligibility Criteria

• Participants with a diagnosis of cancer either early disease or advanced cancer defined as locally advanced, recurrent, or metastatic disease.
• Outparticipants (either new referrals or follow-ups) seen in the Supportive Care Clinic.
• Age >/= 18 years old.
• Able to read, write, and speak English.
• Participants with normal cognitive status (Memorial Delirium Assessment Scale (MDAS) </= 6/30) who can understand the nature and purpose of the study and have the ability to complete the consent process.

Exclusion criteria

• Participants who are experiencing severe symptom distress, including severe emotional distress, which may interfere with study participation. This will be measured by the Edmonton Symptom Assessment Scale (ESAS). Eligibility of participants with ESAS score >/= 7 on any item will be determined by the principal investigator and/or attending physician who is caring for the patient during that visit.
• Participants with cognitive dysfunction (Memorial Delirium Assessment Scale (MDAS) >/= 7/30 will be excluded from the study.