Recently, we published a paper in Patient Education and Counseling, where we document that hospital physicians’ insight in own performance improved after a 20 hour communication skills course. Moreover, we also found that 3 1/2 years after the course, 59% of the physicians said this course changed their practice with lasting effect. This is the first paper evaluating communication skills training several years after. Again the power of the FOUR HABITS approach to effective clinical communication has been demonstrated.