Darling Huguenot, It is impossible to deliver "clinical excellence" without listening to the patient. Everything that a clinician does, from assessment, diagnosis to treatment depends on their ability to listen. People are not machines. Sometimes - particularly vulnerable or elderly patients require a little time to "warm up", to establish a rapport, before they wade in and tell you about an embarassing condition or symptom. No clinician can claim to deliver "clinical excellence" without the ability to take a history and communication skills are a large part of medical training.