Original Publication
Open Access

Shared Decision-Making (SDM) Toolkit: Train-the-Trainer Tools for Teaching SDM in the Classroom and Clinic

Published: May 10, 2013 | 10.15766/mep_2374-8265.9413

Included in this publication:

  • Appendix A - SDM Teaching Guide.docx
  • Appendix B - Reminder Pocket Card.docx
  • Appendix C - SDM Cue Poster.pdf
  • Appendix D - Activation Pamphlet.docx
  • Appendix E - Assessment Checklist.docx
  • Appendix F - Things to Anticipate-Barriers.docx
  • Appendix G - Resources.docx
  • Appendix H - Evaluation Survey.docx
  • Instructor's Guide.doc
  • SDM Physician Training Toolkit.docx

To view all publication components, extract (i.e., unzip) them from the downloaded .zip file.

Editor's Note: This publication predates our implementation of the Educational Summary Report in 2016 and thus displays a different format than newer publications.


This toolkit is designed for use by attending physicians to teach residents, fellows, medical students, and other healthcare providers and staff how to effectively apply core elements of shared decision-making in clinical encounters with patients regardless of practice setting. Shared decision-making is a two-way strategy to empower the patient to actively make an evidence-based treatment choice with the physician. Incorporating both medical and personal criteria into decisions allows for the deliberation of decisions to include all relevant parties.

The toolkit includes self-study materials for trainers, tools for in-situ clinical training for providers, and references for additional resources. Field testing of this training included observation of five providers in the clinic with a total of 16 patients. Observation during training revealed that the most common shared decision-making elements absent from clinical encounters were input from trusted others, patient role, teach back, eliciting preferences, and presenting uncertainties.

Educational Objectives

By utilizing this resource, educators will be able to:

  1. Train providers in shared decision-making.
  2. Observe, assess, and provide on-the-fly coaching feedback to providers during training.
  3. Incorporate tools such as reminder cards, cue posters, decision aids, and other tools into training and implementation of shared decision-making.
  4. Access other resources to improve understanding of shared decision-making in order to enhance training capability.

Author Information

  • Shawn Mincer: University of Washington
  • Saint Adeogba, MD: University of Washington
  • Richard Bransford, MD: University of Washington
  • Pornsak Chandanabhumma, MPH: University of Washington
  • Michelle Lam: University of Washington
  • Micheal Lee, MD: University of Washington
  • Karen Posner, PhD: University of Washington
  • Lynne Robins, PhD: University of Washington
  • Karen Domino, MD, MPH: University of Washington

None to report.

None to report.


Mincer S, Adeogba S, Bransford R, et al. Shared decision-making (SDM) toolkit: train-the-trainer tools for teaching SDM in the classroom and clinic. MedEdPORTAL. 2013;9:9413. https://doi.org/10.15766/mep_2374-8265.9413