The purpose of this study is to learn about how patients who have looked up cancer-related information on the internet talk with their doctors. We are interested in these conversations even if the patients do not think they will talk about the information with their doctor during their visit. We will audio record doctor-patient visits and listen to these recordings to learn about how patients who have looked up cancer-related internet information talk to their doctors and how their doctors talk to them. We will also give patients questionnaires before and after their appointments to learn about what they think about communicating with their doctors.

Inclusion Criteria:

Subject Inclusion Criteria for Patients

• Female
• Diagnosis of breast cancer
• Pre-surgery (*for breast surgeon patients only)
• Report that they have read breast cancer-related internet information since their diagnosis with breast cancer.
• Provide informed consent

Subject Inclusion Criteria Physicians

• Breast surgeon or breast medical oncologist
• Agree to participate in study and one of 10 selected participants
• Provide inform consent

Exclusion Criteria:

Exclusion Criteria for Patients

• Less than 21 years of age
• Cognitive or physical impairment rendering patients incapable of providing informed consent to participate in the study
• As the measures and coding system are all written in English, subjects who are not fluent in English will be excluded.

Exclusion Criteria for Physicians

• None

physicians at the Breast Service and their patients will be recruited to participate in this study.