Our Blog

April 19, 2018

KER Unit 2017 Annual Report

By Victor M. Montori manosin

We are pleased to present our 2017 Annual Report.  A special thank you to Keven Shaw for putting it together.  KER_Unit_Annual_Report

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March 21, 2018

“Problem-solving”…?

By Victor M. Montori manosin

Submitted by Dorothea Lagrange I am a practicing physician in Sweden, where I have lived for many years. Often, I travel back to my home country of Germany and during my travels I enjoy looking at postcards. Most are quite funny, but sometimes beyond the humor is a message more profound. My favorites involve problem […]

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March 7, 2018

Fostering choice awareness for shared decision making

By Victor M. Montori manosin

Marleen Kunneman, PhD; Megan Branda, MS; Ian Hargraves, PhD; Arwen Pieterse, PhD; Victor Montori, MD, MSc Two roads diverged in a yellow wood, And sorry I could not travel both – Robert Frost “The Road Not Taken” Although recommended, shared decision making (SDM) is still hard to implement in routine care. This is, we believe, […]

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February 21, 2018

Measuring shared decision making: how valid and reliable are our instruments?

By Victor M. Montori manosin

Recently, a systematic review that my colleagues and I started working on two years ago, was published in PlosONE (link to paper). Here, we will provide a summary of the methods and results and share our conclusions and recommendations. The aim of this review was to rate the psychometric quality of existing instruments measuring the […]

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February 20, 2018

My experience in KER unit

By Victor M. Montori manosin

Short, deep, and intense are the three words that best describe my experience in KER unit. I learned a lot from each and every one of the incredible members of this family, they’re all admirable. Everybody loves to work and I love that. The work environment is at its finest. They’re highly productive, very kind, […]

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February 13, 2018

Shared Decision Making in advanced dementia care – from a patient representative’s perspective

By Victor M. Montori manosin

Every year, about 10 million people worldwide develop dementia – one person in every three seconds.1 Dementia is a progressive brain-disease for which no curative treatment is available. Patients with dementia endure cognitive decline and will eventually not be able to take care of themselves anymore. In the early stages of dementia, patients may still […]

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October 10, 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 20, 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 2, 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 14, 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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