Using incorpoRATE to examine clinician willingness to engage in shared decision making: A study of Family Medicine residents

Grad, Roland; Sandhu, Amrita; Ferrante, Michael F.; D’Souza, Vinita; Puterman-Salzman, Lily; Rostom, S.; Stevens, Gabrielle; Elwyn, Glyn

doi:10.1016/j.pec.2022.08.012

Cited by 4 publications

(14 citation statements)

References 16 publications

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“…There is evidence that the willingness of clinicians to practice SDM varies, especially in the face of strong clinical practice recommendations. 20 Cost-effectiveness and regulatory restraints Some countries restrict access to therapies that do not meet agreed-on thresholds of cost-effectiveness or place restrictions to effective care on other grounds (i.e., abortion bans). Conversely, some forms of screening, such as newborn screening, may be mandated by the law.…”

Section: Scientific Evidence Of Inferioritymentioning

confidence: 99%

“…Clinicians may also be unwilling to consider SDM when evidence exists in favour of some options compared with others, or where situations have high stakes and the use of effective treatment is considered imperative or is widely viewed as a standard of care, even if individual patient preferences vary. Clinicians report feeling a moral and professional obligation to recommend superior versus inferior options in such situations 20. They may feel the need to follow clinical guidelines and harbour concerns that they will be viewed as either incompetent or negligent for not adhering to professionally held norms.…”

Section: Absence Of or Insufficient Evidence Of Benefitmentioning

confidence: 99%

“…Clinicians report feeling a moral and professional obligation to recommend superior versus inferior options in such situations. 20 They may feel the need to follow clinical guidelines and harbour concerns that they will be viewed as either incompetent or negligent for not adhering to professionally held norms. There is evidence that the willingness of clinicians to practice SDM varies, especially in the face of strong clinical practice recommendations.…”

Section: Absence Of or Insufficient Evidence Of Benefitmentioning

confidence: 99%

“…There is evidence that the willingness of clinicians to practice SDM varies, especially in the face of strong clinical practice recommendations. 20 …”

Section: Absence Of or Insufficient Evidence Of Benefitmentioning

confidence: 99%

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The limits of shared decision making

Elwyn

Price

Franco

et al. 2022

BMJ EBM

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Section: Scientific Evidence Of Inferioritymentioning

confidence: 99%

Section: Absence Of or Insufficient Evidence Of Benefitmentioning

confidence: 99%

Section: Absence Of or Insufficient Evidence Of Benefitmentioning

confidence: 99%

“…There is evidence that the willingness of clinicians to practice SDM varies, especially in the face of strong clinical practice recommendations. 20 …”

Section: Absence Of or Insufficient Evidence Of Benefitmentioning

confidence: 99%

See 2 more Smart Citations

The limits of shared decision making

Elwyn

Price

Franco

et al. 2022

BMJ EBM

Self Cite

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“…Of the six studies, four studies [20][21][22][23] were conducted in Canada and two studies 1,24) in the Netherlands. All studies were published after 2000, and half of them were published between 2021 and 2022.…”

Section: Characteristics Of the Included Studiesmentioning

confidence: 99%

Shared Decision-Making Training in Family Medicine Residency: A Scoping Review

Wattanapisit,

Nicolle,

Ratnapalan

2024

Korean J Fam Med

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Shared decisions, in which physicians and patients share their agendas and make clinical decisions together, are optimal for patient-centered care. Shared decision-making (SDM) training in family medicine residency is always provided, but the best training approach for improving clinical practice is unclear. This review aims to identify the scope of the literature on SDM training in family medicine residency to better understand the opportunities for training in this area. Four databases (Embase, MEDLINE, Scopus, and Web of Science) were searched from their inception to November 2022. The search was limited to English language and text words for the following four components: (1) family medicine, (2) residency, (3) SDM, and (4) training. Of the 522 unique articles, six studies were included for data extraction and synthesis. Four studies referenced three training programs that included SDM and disease- or condition-specific issues. These programs showed positive effects on family medicine residents’ knowledge, skills, and willingness to engage in SDM. Two studies outlined the requirements for SDM training in postgraduate medical education at the national level, and detailed the educational needs of family medicine residents. Purposeful SDM training during family medicine residency improves residents’ knowledge, skills, and willingness to engage in SDM. Future studies should explore the effects of SDM training on clinical practice and patient care.

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