[mindslight]

Explaining diagnosis and treatment recommendations decisions inherently involves explaining away the alternatives. In this world where patients are ultimately responsible for our own care, explaining your rationale is a straightforward part of the job - otherwise there is nothing for patients to base their decisions on apart from how the options make them feel. If visits haven't been allotted enough time to get the job done, then that is something you need to take up with health plan bureaucrats rather than taking it out on patients.