Workers, employers and claims payers expect physicians to make decisions and determinations about issues that are not part of a standard medical education and that physicians do not consider “medical.” As a result, many doctors feel uncomfortable answering questions about SAW/RTW and view them as administrative irritants. A pro-active posture, respect for the physician’s time pressures and professional priorities, and a collaborative approach can make a big difference in the quality and timeliness of the physician’s opinions.