Thanks for the input guys, and I'm curious if more people can chime in about how they do it. I've just never had a desk in the room before, as the previous offices just used laptops. So many designs you see out there really are not practical for keeping any kind of eye-to-eye contact with patients.
Here's a fancy new office the illustrates my point.
http://www.msasf.com/healthcare/#sutter-east-bay-orinda-healthcare
