Discussing psychosocial issues and forgoing clinician domination of the encounter increase patient satisfaction Any diagnostic procedures ordered at this time should be chosen after consideration of the test characteristics(sensitivity and specificity ), disease incidence and prevalence, potential risk, and cost- benefit profile•Discussing psychosocial issues and forgoing clinician domination of the encounter increase patient satisfaction. •Any diagnostic procedures ordered at this time should be chosen after consideration of the test characteristics (sensitivity and specificity), disease incidence and prevalence, potential risk, and cost￾benefit profile