What Motivates Family Physicians to Participate in Training Programs in Shared Decision Making?

2012 ◽  
Vol 32 (2) ◽  
pp. 98-107 ◽  
Author(s):  
Anne-Sophie Allaire ◽  
Michel Labrecque ◽  
Anik Giguere ◽  
Marie-Pierre Gagnon ◽  
France Légaré
Keyword(s):  
Decision Making ◽  
Shared Decision Making ◽  
Training Programs ◽  
Family Physicians ◽  
Shared Decision

Prenatal screening for Down syndrome: a survey of willingness in women and family physicians to engage in shared decision-making

2011 ◽  
Vol 31 (4) ◽  
pp. 319-326 ◽  
Author(s):  
France Légaré ◽  
Sylvie St-Jacques ◽  
Susie Gagnon ◽  
Merlin Njoya ◽  
Michel Brisson ◽  
...  
Keyword(s):  
Decision Making ◽  
Down Syndrome ◽  
Shared Decision Making ◽  
Prenatal Screening ◽  
Family Physicians ◽  
Shared Decision

scholarly journals Physician Attitudes and Self-reported Practices Toward Prostate Cancer Screening in Black and White Men

2022 ◽  
Vol 54 (1) ◽  
pp. 30-37
Author(s):  
Nicholas Shungu ◽  
Vanessa A. Diaz ◽  
Suzanne Perkins ◽  
Ambar Kulshreshtha
Keyword(s):  
Prostate Cancer ◽  
Decision Making ◽  
Cancer Screening ◽  
Black Men ◽  
Shared Decision Making ◽  
Prostate Cancer Screening ◽  
Prostate Cancer Risk ◽  
Family Physicians ◽  
Shared Decision ◽  
Black Patients

Background and Objectives: Updated 2018 prostate cancer screening guidelines recommend informed decision-making discussions, which should include education on prostate cancer’s disproportionate impact on Black men. It is unknown whether academic family physicians follow these guidelines. Methods: Family physicians were surveyed as part of the 2020 Council of Academic Family Medicine Educational Research Alliance (CERA) survey. We used χ2 to compare physicians’ knowledge and screening practices stratified by physician age, gender, and percentage of Black patients in patient panel. We calculated logistic regressions predicting shared decision-making conversations, barriers to shared decision-making, inclusion of race in prostate cancer screening approach, and prostate-specific antigen (PSA) testing adjusted for physician age, gender, and percentage of Black patients. Results: Physicians reported engaging in shared decision-making for prostate cancer screening in half of eligible men. Only 29.2% of physicians reported routinely informing Black men of their increased prostate cancer risk. In logistic regressions, physician gender (female) and fewer Black patients in panel (<25%) were associated with lower frequency of shared decision-making with Black patients. Physician age (<40 years) was associated with not discussing race during screening discussions (OR 2.24, 95% CI 1.55–3.23). Conclusions: Most academic family physicians do not appropriately inform Black men of increased prostate cancer risk, with younger physicians less likely to discuss race than older physicians. Female physicians, and physicians who see fewer Black patients, are less likely to have shared decision-making conversations with Black patients. This suggests educational efforts for these groups are needed to address health disparities in prostate cancer.

scholarly journals Core Competencies for Shared Decision Making Training Programs: Insights From an International, Interdisciplinary Working Group

2013 ◽  
Vol 33 (4) ◽  
pp. 267-273 ◽  
Author(s):  
France Légaré ◽  
Nora Moumjid-Ferdjaoui ◽  
Renée Drolet ◽  
Dawn Stacey ◽  
Martin Härter ◽  
...  
Keyword(s):  
Decision Making ◽  
Shared Decision Making ◽  
Working Group ◽  
Training Programs ◽  
Core Competencies ◽  
Shared Decision

The Development and Evaluation of Personalized Training in Shared Decision-making Skills for Rheumatologists

2019 ◽  
Vol 47 (2) ◽  
pp. 290-297
Author(s):  
Sehrash Mahmood ◽  
Johanna M.W. Hazes ◽  
Petra Veldt ◽  
Piet van Riel ◽  
Robert Landewé ◽  
...  
Keyword(s):  
Decision Making ◽  
Patient Satisfaction ◽  
Training Program ◽  
Shared Decision Making ◽  
Communication Skills ◽  
Training Programs ◽  
Shared Decision ◽  
Communicative Skills ◽  
Patients Satisfaction ◽  
Before And After

Objective.Many factors influence a patient’s preference in engaging in shared decision making (SDM). Several training programs have been developed for teaching SDM to physicians, but none of them focused on the patients’ preferences. We developed an SDM training program for rheumatologists with a specific focus on patients’ preferences and assessed its effects.Methods.A training program was developed, pilot tested, and given to 30 rheumatologists. Immediately after the training and 10 weeks later, rheumatologists were asked to complete a questionnaire to evaluate the training. Patients were asked before and after the training to complete a questionnaire on patient satisfaction.Results.Ten weeks after the training, 57% of the rheumatologists felt they were capable of estimating the need of patients to engage in SDM, 62% felt their communication skills had improved, and 33% reported they engaged more in SDM. Up to 268 patients were included. Overall, patient satisfaction was high, but there were no statistically significant differences in patient satisfaction before and after the training.Conclusion.The training was received well by the participating rheumatologists. Even in a population of rheumatologists that communicates well, 62% reported improvement. The training program increased awareness about the principles of SDM in patients and physicians, and improved physicians’ communicative skills, but did not lead to further improvement in patients’ satisfaction, which was already high.

The Role of Shared Decision-Making in Audiologic Rehabilitation

2014 ◽  
Vol 21 (1) ◽  
pp. 15-23 ◽  
Author(s):  
Helen Pryce ◽  
Amanda Hall
Keyword(s):  
Decision Making ◽  
Shared Decision Making ◽  
Behavior Changes ◽  
Shared Decision ◽  
Patient Centered ◽  
Treatment Information ◽  
Centered Care ◽  
Potential Risks ◽  
Audiologic Rehabilitation

Shared decision-making (SDM), a component of patient-centered care, is the process in which the clinician and patient both participate in decision-making about treatment; information is shared between the parties and both agree with the decision. Shared decision-making is appropriate for health care conditions in which there is more than one evidence-based treatment or management option that have different benefits and risks. The patient's involvement ensures that the decisions regarding treatment are sensitive to the patient's values and preferences. Audiologic rehabilitation requires substantial behavior changes on the part of patients and includes benefits to their communication as well as compromises and potential risks. This article identifies the importance of shared decision-making in audiologic rehabilitation and the changes required to implement it effectively.

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