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