Published in Journal of General Internal Medicine, this study investigates associations between clinician stress and patient-clinician communication in primary HIV care. Verbal dominance and more medical information dialogue was associated more strongly for moderate- and high-stress clinicians compared with low-stress clinicians. More psychosocial dialogue and a higher excellent rating for quality of care was associated with moderate- and low-stress clinicians compared with high-stress clinicians. However, moderate-stress clinicians offered more partnering statements and positive affect than low-stress clinicians. The results suggest further examination of health communication and complexity of relationships across the continuum of clinician well-being.