After a technologically challenging but successful first primary care journal club (#1carejc), it is now time for a second journal club!
On Wednesday 9th April at 8pm GMT, a panel will discuss the paper “Shared Decision Making: A Model for Clinical Practice”. This open access paper, written by nine authors from nine different centres, stretching from Palo Alto in California to Newcastle Upon Tyne in the United Kingdom was published in the Journal of General Internal Medicine in October 2012, having first been published online in May of the same year. The full paper is available at the following link: – http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3445676/
We are delighted that joining us to review the paper will be one of the authors, Professor Adrian Edwards, Director of the Institute of Primary Care and Public Health of Cardiff University School of Medicine. Also joining the panel to give her unique perspective will be Ms Lindsay Fallow, better known to the online Twitter Community as @betabetic. Dr Anne Marie Cunningham, Clinical Lecturer and Academic Lead for eLearning at the School of Medicine of the University of Cardiff, and Dr Peter A Sloane, GP in the West of Ireland, will complete the panel.
For a flavour of the article, the abstract is below. We look forward to discussing the paper on 9th April and hope you will both follow the Google Hangout on Air as well as feed in any questions you may have. The panel will field questions from the audience and after the journal club a video clip will be available on the #1carejc YouTube channel: – http://www.youtube.com/channel/UCgJJIX2VFJyLvTkgD1bCOOw
The principles of shared decision making are well documented but there is a lack of guidance about how to accomplish the approach in routine clinical practice. Our aim here is to translate existing conceptual descriptions into a three-step model that is practical, easy to remember, and can act as a guide to skill development. Achieving shared decision making depends on building a good relationship in the clinical encounter so that information is shared and patients are supported to deliberate and express their preferences and views during the decision making process. To accomplish these tasks, we propose a model of how to do shared decision making that is based on choice, option and decision talk. The model has three steps: a) introducing choice, b) describing options, often by integrating the use of patient decision support, and c) helping patients explore preferences and make decisions. This model rests on supporting a process of deliberation, and on understanding that decisions should be influenced by exploring and respecting “what matters most” to patients as individuals, and that this exploration in turn depends on them developing informed preferences. Key Words: shared decision making, patient centered care