This is a sample of how one my develop the existence of a communication problem. Borrowed from J. McEwen in 2002.

An average of 108 million patients visit U.S. emergency departments each year, presenting problems ranging from colds and ear infections to gunshot wounds, unintentional amputations, and heart attacks (McCaig & Ly, 2002). Patients are treated by an estimated 32,000 emergency physicians (American College of Emergency Physicians, 2000a; Moorhead et al., 1998). The work is very stressful; emergency physicians believe the number one issue facing the specialty is personal wellness, including burnout, stress, and conflicts (American College of Emergency Physicians, 2000b; Hall, Wakeman, Levy, & Khoury, 1992). The burnout may lead to a shortage of physicians trained to treat these patients, with estimates of expected five-year retirement rates ranging from 7 to 26% (American College of Emergency Physicians, 2000b; Doan-Wiggins, Zun, Cooper, Meyers, & Chen, 1995; Gallery, Whitley, Klonis, Anzinger, & Revicki, 1992; Reinhart, Munger, & Rand, 1999). This study focuses on identifying the personality style of the emergency physician and determining whether style can predict satisfaction with the career. By linking style with satisfaction, it may be possible to encourage physicians with a certain personality to consider a career in emergency medicine, thus spending training resources on those who are most likely to stay in the specialty. This national study of practicing emergency physicians will measure both style and career satisfaction along with demographic characteristics.