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The paper by Redelmeier and Shafir1 resonated strongly with me because I have always believed that there are important factors that motivate some physicians to wash their hands while others behave differently. I agree completely that this is a more complex issue than has been previously noted. I always wash my hands in front of the patients and have done so for over 40 years. This has very little to do with the risks of healthcare-associated infections and much more to do with respect for the patients and a commitment to patient-centred …
Competing interests None declared.
Provenance and peer review Not commissioned; internally peer reviewed.