When, why, and how osteopaths and physicians communicate: Lessons learned from the results of a mixed methods study

•Communication interaction between osteopaths and physicians often do not fit the intention behind the communication attempt.•In-depth description of when, why, and how osteopaths and physicians communicate points identifies communication challenges.•Results have implications for training, including initiatives to help develop interprofessional communication skills.•In clinical practice, an effort is needed to increase interactions and establish a language that reflects both disciplines.