GREAT RESOURCES FOR RESIDENCY
WHAT IS SHARED DECISION MAKING?
SDM is a conversation between clinicians and patients in which they work together to understand the patient’s situation and to determine how best to address it.
It is based on the following pillars:
Redefining traditional roles - Physicians are traditionally seen as the "experts", but patients are experts in themselves and know what things can and can't work for them
Human-to-human interaction - SDM is best practiced when clinician and patient can discuss treatment options, with their benefits, harms, fears in person
Making patients aware of all the available treatment options (including not doing anything) and recognizing that oftentimes there is uncertainty in the evidence and no treatment option is clearly better than other
Incorporating patients’ values
Bringing the best evidence to the table
WHAT ARE DECISION AIDS?
Decision Aids are evidence-based tools that facilitate SDM by developing information, choice, and/or conversations.
Bring best evidence to the table
Assisst in the deliberation process
Conversation aids (those used by clinicians during the encounter with the patient) are particularly interesting:
They are designed to encourage and directly support conversations between patients and clinicians
Their aim is to improve the quality of SDM rather than surrogate outcomes such as patient knowledge
WHAT DOES THE EVIDENCE SAY FOR SDM?
For patients, SDM leads to:
Increased participants' knowledge about their medical condition
Increased accuracy of risk perceptions
More active participation in decision making
Decreased conflict feeling uninformed about their decisions
Decreased proportion of undecided patients
Positive effect on patient-clinician communication
SDM has also been associated with less physician burn-out, more enjoyable clinician-patient interactions, and more meaningful encounters
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