SDM in practice

May 2, 2017

A case of the best, worst, and most likely

By Victor M. Montori Victor M. Montori

  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 Victor M. Montori

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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June 23, 2016

Diary post of a visiting researcher

By Victor M. Montori Victor M. Montori

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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August 5, 2015

Shared Decision Making Called for by the Situation of Suffering

By Victor M. Montori Victor M. Montori

By Ian Hargraves, Maggie Breslin, Nassim Jafarinaimi Healthcare, like any care, is the product of what people can do and who they can be for each other in the midst of suffering. The relationship of people attending to suffering finds its most direct expression in contemporary healthcare in the relationship of patient and clinician.  The […]

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Tags: shared decision making, shared-decision making


July 22, 2015

Reflections after the 2015 Sydney ISDM-ISEHC Conference: The Triumph of the Patient

By Victor M. Montori Victor M. Montori

I was not able to stay until the last day of the event so my reflections are limited to what I saw directly and through discussions in persons and twitter posts (using the hashtag #ISDMISEHC). I will not belabor the obvious: this was a resounding success for the organizing committee – Lyndal Trevena, Kirsten McCaffery and […]

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April 30, 2015

For Empathic Decision Making

By Victor M. Montori Victor M. Montori

By Victor M Montori, Ian Hargraves, Annie LeBlanc Policymakers fashionably prescribe shared decision making for patients who face fateful decisions. These patients have two or more medically reasonable courses of action that differ in important aspects. The extent to which these aspects differ in ways that matter to each individual patient justifies patient involvement in […]

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Tags: empathc, Mayo Clinic, Montori, sdm, shared-decision making


February 17, 2015

Was a decision made? An assessment of patient-clinician discordance in medical oncology encounters.

By Victor M. Montori Victor M. Montori

Oncology encounters are highly complex. Communication is suboptimal and there is evidence that patients and clinicians often fail to “get on the same page.” Shared decision making is being promoted as a means of facilitating effective and patient-centered communication in oncology. Here, Dr. Aaron Leppin and colleagues survey patients and clinicians immediately after an oncology […]

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November 19, 2014

The New Statin Choice Decision Aid

By Victor M. Montori Victor M. Montori

With a new interface that includes versions in English, Spanish, and Chinese, the Statin Choice decision aid (http://statindecisionaid.mayoclinic.org) is out. With over 70,000 uses worldwide year-to-date and new policy endorsements for its use (JAMA Article), the Statin Choice decision aid is helping patients and their clinicians have meaningful conversations about whether to use statins to […]

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Tags: AHA/ACC guidelines, shared decision making, statin choice


April 2, 2013

Share decisions because it is the right thing to do

By Kasey Boehmer Kasey Boehmer

Written by Victor M. Montori, MD and Jon C. Tilburt, MD Lee and Emanuel raise the profile of the shared decision making (SDM) provisions in the Patient Protection and Affordable Care Act. We concur that those provisions should spur research and development in SDM. However, their claims, that we already know how to implement SDM […]

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October 2, 2012

What is shared decision making?

By Mystery User

Mayo Clinic’s Dr. Montori recently spoke with IHI Open School regarding shared decision making.  The discussion was captured in two brief videos that can be viewed here. In the first video Dr. Montori discusses the impact of shared decision making on healthcare, and decision aid tools are described in the second video.

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