<p>“Is not engaging in a lot of smalltalk the same as being a jerk?” </p>
<p>In a lot of cases, yes but in reality it is bad doctoring. If they are not talking to the patient, then they have no idea what clues they are missing.</p>
<p>Multiple choice test has no bearing and interviews have even less bearing on how one treats a patient or how a patient wants to be treated.</p>