I guess this is all ideas. I think it makes a big difference whether you are FP, Peds, IM, specialist. I just couldn't see someone sitting across from me with an office desk in between. That just seems like the time when you are giving some type of news.
I actually cannot envision any other way but a desk, a desktop computer and sitting there while looking at the patient or parent. The exam table is to my left in one room and behind be in the other. But with the stool, I can turn and look at everyone.