“…18,28,46,50,59,83 It is difficult to separate personal discomfort from lack of training and a number of other barriers cited: lack of a vocabulary to discuss spirituality, 50,51,59 belief that R/S enquiry may violate professional boundaries or that the doctor was not the best person to provide such care. 18,32,35,43,45,50,52,57,59,60,62,63,73,76 R/S discussions were avoided at times because of a difference in religious and/or cultural positions of the doctor and patient 50 or because the doctor was not religious. 32,33 Some doctors were concerned that discussion in the context of differing belief systems may distance the patient from the doctor.…”