By Bob Chestnut, MD In patient-provider interactions, the provider holds almost all the cards. The provider is on her home turf. She has years of medical training and experience and ultimately holds decision power in pursuing further diagnostic tests or prescribing therapeutic interventions. In contrast, the patient is placed in a small exam room. He … More When a provider systematically surrenders power to a patient – verbally, structurally and physically – the patient is empowered and trust is developed.