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Research suggests that some Christian colleges function as moral communities that can help sustain religious belief and practice (Hill in J Sci Study Relig 48:515–534, 2009 ). In this paper, we explore several mechanisms by which this phenomenon may occur. Using a survey of college students from 31 institutions belonging to the Council for Christian Colleges and Universities, we examine how institutional characteristics influence changes in religiosity throughout college, finding that religious homogeneity and the availability of spiritual mentors consistently have significant effects on changes in religious belief and practice. The results are discussed in light of the existing literature on religious homogeneity and pluralism, as well as their implications for administrators at Christian colleges and universities.

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Anecdotal evidence suggests that communication issues are one of the primary reasons for physician complaints, but quantitative studies have yet to examine this assertion. The North Carolina Medical Board's Complaint Department maintains data on physician complaints and categorizes each complaint based on its primary cause. Using data from 2002–2012, our research focused on complaints against physicians licensed by the North Carolina board to determine the extent to which communication issues contribute to complaints against physicians. An analysis of this data reveals that physician complaints based on communication issues are consistently the most prevalent reason for complaints against physicians in the state of North Carolina. In addition, communication-based complaints account for more than one in five complaints made against North Carolina physicians. These results are discussed in light of their implications for the field of medicine as it seeks to improve patient care.