Quality of communication? No, you can still have quality in communication while stuttering.. by adding more words. Sometimes people try to be as brief as possible: Don't be brief or short.. I guess one has to give their self permission to stutter (to add more words). But that briefness can hamper the quality of conversation, or rapport. More words is always better even if disfluent, even if the patient eventually says okay okay I got it now. You have years to practice the skills. And with the med degrees, people will be more patient. You'll be at the top of the "food chain." Also note that fluent people do not automatically have good communication.