Evaluating Attitudes of First-Year Residents to Shared Decision Making

Objective - Shared decision making (SDM) is recognized as an ideal model of patient-physician interaction, yet clinical application occurs infrequently. The current study evaluated attitudes of first-year residents to identify potential barriers and opportunities regarding SDM.Methods - A total of 70 residents attending orientation at the University of Utah completed a questionnaire that elicited their understanding of SDM, perceptions about the importance of SDM, confidence in utilizing SDM, and reasons for lacking confidence.Results - Most residents reported no prior SDM education (N=42, 60%) or training (N=46, 66%), yet 67 (96%) of them could recognize it in a clinical vignette. Using a Likert scale, the majority of residents (91% to 99%) attributed importance to SDM principles, and most (79% to 90%) indicated confidence in applying them. Lack of training was reported as a barrier by 40 (57%) residents.Conclusions - A minority of residents reported formal education or training in SDM, yet the vast majority recognized and valued the model. A large percentage of residents expressed confidence in their abilities to incorporate SDM into patient care, but many also identified a need for more education and training

Confidence interval · Family medicine · Likert scale · Medical education · Perception · Scale (ratio · Vignette · Empathy and Medical Education · Medicine · Nursing · Patient Satisfaction in Healthcare · Patient-Provider Communication in Healthcare · Psychology · Social Psychology · Internal Medicine

• Partnerships with Patients

  Open Access•Angela Coulter•Journal of Health Services…•1997

  Incluir item

• Decision aids for patients facing health treatment or screening decisions

  Open Access•A M O'Connor, A Rostom et al.•BMJ•1999

  Incluir item

• Four Models of the Physician-Patient Relationship

  Ezekiel J Emanuel•JAMA•1992

  Incluir item

• Self‐reported use of shared decision‐making among breast cancer specialists and perceived barriers and facilitators to implementing this approach

  Open Access•Cathy Charles, Amiram Gafni et al.•Health Expectations•2004

  Incluir item

• Implementing shared decision‐making in routine practice

  Open Access•Margaret Holmes‐Rovner, Diane Valade et al.•Health Expectations•2000

  Incluir item

• Putting informed and shared decision making into practice

  Open Access•Angela Towle, William Godolphin et al.•Health Expectations•2006

  Incluir item

• The Option scale

  Open Access•Glyn Elwyn, Hayley Hutchings et al.•Health Expectations•2005

  Incluir item

• Missed Expectations

  Amy L Mcguire, Laurence B Mccullough et al.•Medical Care•2005

  Incluir item

• Decision-making in the physician-patient encounter

  Open Access•Cathy Charles, Amiram Gafni et al.•Social Science & Medicine•1999

  Incluir item

• When is a shared decision not (quite) a shared decision? Negotiating preferences in a general practice encounter

  Open Access•Richard Gwyn, Glyn Elwyn•Social Science & Medicine•1999

  Incluir item