Our Blog

October 10th, 2017

Open Communication and Shared Decision-Making in Pharmacy

By Victor M. Montori manosin

As pharmacists are now embedded in many healthcare teams with responsibilities for medication therapy management, teaching shared decision-making skills is essential in our pharmacy curriculum. In the 2nd year of a 4-year longitudinal evidence-based medicine (EBM) doctor of pharmacy school curriculum, student pharmacists are taught how to communicate evidence to patients and health care team […]

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July 20th, 2017

Shared Decision Making: from Buenos Aires to Lyon

By Victor M. Montori manosin

Submitted by Paula Riganti We were very thrilled to participate at the ISDM conference in Lyon. We were honored to had been invited to contribute in the Special ISDM ZEFQ Issue regarding the state of implementation of SDM in different countries. The development of SDM in our country is challenging, as Mariela Barani, our lead […]

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May 2nd, 2017

A case of the best, worst, and most likely

By Victor M. Montori manosin

  Dr. Margaret Schwarze, a surgeon from the University of Wisconsin, and her colleagues published a proof of concept study “A Framework to Improve Surgeon Communication in High-Stakes Surgical Decisions—Best Case/Worst Case.”1 (https://www.ncbi.nlm.nih.gov/pubmed/28146230) This article was recently the topic of discussion during our bi-weekly Shared Decision Making working group. Schwarze and colleagues described that hospitalized […]

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April 14th, 2017

On Cars and Caring: How metaphors can be (un)helpful

By Victor M. Montori manosin

Submitted by Marleen Kunneman, PhD; Michael R. Gionfriddo, PharmD, PhD; Victor M. Montori, MD, MSc Metaphors are common in clinical medicine and can be helpful in discussing and understanding the complexities of health and illness. Blood vessels are like plumbing, the brain is like a computer, and when facing illness we use all weapons available to […]

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March 24th, 2017

Shared decision making in immigrant patients

By Victor M. Montori manosin

Authors: Claudia C. Dobler, Gabriela Spencer-Bonilla, Michael R. Gionfriddo, Juan Pablo Brito Shared decision making (SDM) has been widely advocated [1] and called the pinnacle of patient-centered care [2]. Translating this ideal into reality has proven challenging [3]. Several papers have identified barriers to the translation of SDM into practice [4-6]. A number of challenges […]

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August 29th, 2016

The many paths to weight loss: Helping patients to find the treatment for obesity that fits their needs, preferences, and values

By Victor M. Montori manosin

Submitted by Jennifer Clark, M.D.   Obesity is a complex condition that places a substantial burden on patients. Not only does excess weight gain increase one’s risk for many serious health issues, including coronary artery disease, obstructive sleep apnea, type 2 diabetes, stroke, and various malignancies, but obesity and its associated health problems also result […]

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July 14th, 2016

Communication is a challenge

By Victor M. Montori manosin

Submitted by Jennifer Barton, M.D. Communication is a challenge in my practice. As a rheumatologist in a busy, public hospital clinic, I had the privilege of caring for patients who spoke Spanish (a third), Cantonese (a third), Vietnamese, Russian, Lao, Tagalog, or English. Much can be conveyed in a smile or a warm handshake, but […]

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June 23rd, 2016

Diary post of a visiting researcher

By Victor M. Montori manosin

Dear Diary, Sat May 7th. All set, ready to go! Excited to visit the KER Unit for a few weeks and to join them at the SAEM SDM Consensus Conference in New Orleans. This will be my first visit to the Mayo Clinic, and one I’ve been looking forward to since I became a research […]

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March 30th, 2016

Making a difference one clinician at a time

By Victor M. Montori manosin

Submitted by Renee Herman   I wanted to start my day by sending you a “thank you!” for your work.  I have no awards to give you, live applause from the audience, or notations that reference your terrific work in journals. Today, from me, I can only give you the experiential, warm hearted “thank you!” […]

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March 16th, 2016

Helping to reduce the burden of taking 83 pills a week – A nurse’s perspective

By Victor M. Montori manosin

Submitted by Renee’ Herman I had a patient recently (a male in his late 60’s), whose treatment plan includes taking 83 pills a week! Pills he cannot easily afford and often neglects to take. I met with him to do a medication reconciliation recently and started by asking him what “matters to you”. He said […]

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