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Three different office spatial designs were identified and named `open,' `closed' and `blocked'. The `open' arrangement put physicians in a position to establish better eye contact and physical orientation than did the alternative `closed' and `blocked' office configurations. Physicians who accessed the EMR and took `breakpoints' (short periods of no computer use and sustained eye contact with patients) used more nonverbal cues than physicians who tended to talk with their patients while continuously working on the computer. Long pauses in conversational turn taking associated with EMR use may have positively influenced doctor\u2014patient communication. High EMR use interviews were associated with patients asking more questions than they did in low EMR use interviews. Implications for medical education and future research are discussed.<\/jats:p>","DOI":"10.1177\/1460458207076466","type":"journal-article","created":{"date-parts":[[2007,5,17]],"date-time":"2007-05-17T17:38:35Z","timestamp":1179423515000},"page":"105-118","source":"Crossref","is-referenced-by-count":71,"title":["The influence of electronic medical record usage on nonverbal communication in the medical interview"],"prefix":"10.1177","volume":"13","author":[{"given":"John M.","family":"McGrath","sequence":"first","affiliation":[{"name":"Department of Communication Trinity University One Trinity\rPlace San Antonio, TX 78212, USA,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nedal H.","family":"Arar","sequence":"additional","affiliation":[{"name":"Veterans Evidence-Based Research Dissemination and Implementation\rCenter Audie L. 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