Patch Adams is in a meeting with his therapist; however, his therapist shows no engagement in the conversation and exemplifies poor listening skills. This is the opposite of what a therapist should do when talking to a client.
Patch visits Arthur to find out the answer to his question, "how many fingers am I holding up?" When others guess the correct answer, Arthur states that they're wrong. Arthur suggests that Patch look at a different way of approaching the problem and stresses the importance of thinking differently.
Dr. Adams is confronted by the board, who tells him that practicing medicine without a license is unlawful. His response reminds everyone of the fundamental role of doctors: to open your door to those in pain, care for patients, and listen to patients.
A medical student treats patients, illegally, using humor and gets accosted by his peer who reminds him the seriousness of his occupation. His roommate encourages him to the situation from another perspective- as a patient- would he really want to be treated by a doctor who barely skimmed his textbooks? The root of this discussion comes from the roommate's pressure from himself and his family to become the best doctor possible.