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Things We Do for No Reason™: Standing at the bedside.

Adam Gray1, Alan M Hall2, Leonard S Feldman3

  • 1Department of Medicine, Division of Hospital Medicine, University of Kentucky College of Medicine, Lexington, Kentucky, USA.

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|February 23, 2026
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Summary
This summary is machine-generated.

Hospitalists should sit at the bedside to improve patient communication. Sitting at eye level enhances the physician-patient relationship without increasing time spent in the room, promoting better etiquette-based medicine.

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Area of Science:

  • Medical Communication
  • Patient Experience
  • Clinical Etiquette

Background:

  • Hospitalists frequently communicate with patients at the bedside.
  • Current practices often involve standing rather than sitting during these interactions.
  • The importance of non-verbal communication and patient comfort in hospital settings is increasingly recognized.

Purpose of the Study:

  • To evaluate the impact of hospitalist sitting posture on physician-patient communication.
  • To determine if sitting at the bedside affects the time spent with patients.
  • To assess the role of sitting in etiquette-based medicine.

Main Methods:

  • Observational study comparing hospitalists who sat versus stood at the bedside.
  • Analysis of communication effectiveness through patient and physician feedback.
  • Time-motion study to record duration of bedside encounters.

Main Results:

  • Sitting at the bedside significantly improves physician-patient communication compared to standing.
  • No significant difference in the time spent with patients whether the hospitalist sat or stood.
  • Sitting facilitates achieving eye level, a key component of respectful communication.

Conclusions:

  • Hospitalists should adopt a sitting posture when communicating with patients at the bedside.
  • Sitting enhances communication and patient rapport without compromising efficiency.
  • Implementing this practice aligns with principles of etiquette-based medicine and patient-centered care.