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What do more patients, less time, patient self-diagnosing via the Internet, and an instant-gratification electronic age have in common? They create tension for physician assistant Harrison Reed and other clinicians. As he sums it up in this week's In Practice blog, “Our fuses are half as long and burn twice as fast.” Harrison considers how the clinician role has changed (or has it?) and the clinician–patient relationship in today's healthcare settings.