The program for the 4th international OCHER workshop is soon under way. We have participants from the US, Canada, Germany, the Netherlands, Finland, Sweden, Denmark, and Norway. The abstracts span a wide range of communication issues and methods, including shared decision-making challenges, conversation analytic and microanalytic approaches, studies on training issues, patient activation, and use of electronic support. 49 participants have registered. Due to the high number of participants, presenters will have only 35 minutes time slots.