No Perfect Answer: Partnering for a Shared Decision

Credits: 1


Shared decision making and evidence-based medicine are both essential to quality health care, yet the interdependence between these two approaches is not generally appreciated. Doctors and patients should cooperate in a joint decision-making process that incorporates the doctor’s medical knowledge and the patient’s values and preferences. However, it is difficult for a physician to understand those values and preferences when the patient may not consciously understand them or be able to articulate them.
This is where the development of decision aids has helped. Resources such as booklets and videos demonstrate how a procedure is performed, what to expect during recovery, and how real people have adapted to prescribed treatments and procedures.
This one-hour course incorporates videos contrasting a patient visit using the traditional approach with the same visit using shared decision-making and decision aids. The course includes a dynamic presentation on the principles of shared decision-making by Dr. David Arterburn, a pioneer in research and use of decision aids.

Learning Objectives

Participants will leave this activity able to:

  • Apply best shared decision-making practices to improve patient engagement, as well as patient outcomes, safety, and satisfaction.
  • Employ shared decision-making strategies that take into account patient values, preferences, and circumstances.
  • List three legal documentation requirements of shared decision making in the medical record.

Faulty Information

David Arterburn, MD, MPH, FACP, is a general internist and a health services researcher who holds positions as an Associate Investigator at the Group Health Research Institute and as an Affiliate Associate Professor with the University of Washington School of Medicine in Seattle. Dr. Arterburn has been awarded numerous federal and foundation grants and has published more than 80 scientific manuscripts in the areas of obesity and shared decision making. His current research covers a broad range, including comparative effectiveness of weight-management interventions, pharmacoepidemiology, and shared decision making related to elective surgery. For the past decade, he has served as a medical editor for the Informed Medical Decisions Foundation, where he has collaborated on the development, implementation, and evaluation of patient decision aids and provider-training programs to support shared decision making.

Planning Group

Robbie Sherman, MD, Medical Director, Patient Experience, The Polyclinic, Seattle, WA
Marcy Hipskind, MD, Family Care Network, Bellingham, WA
Debora Sciscoe, MD, Edmonds Family Medicine/Puget Sound Family Medicine, Edmonds, WA
Cryss. Toycen, CME Specialist, Physicians Insurance, Seattle, WA

Original release: August 2015
Last reviewed: June 2017
Expiration: August 2018

CME Information
This CME activity was planned and produced in accordance with the ACCME Essentials.
Category 1 credit is applicable throughout the United States.
Estimated time to complete this activity:  1 hour
Physicians Insurance members in Washington State who complete this course will fulfill the risk management-education requirement mandated by the Washington Health Services Act of 1993.

Physicians Insurance/Experix is accredited by the Washington State Medical Association to provide continuing medical education for physicians.
Physicians Insurance/Experix designates this enduring material for a maximum of 1 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
This activity meets the criteria for up to 1 hour of Category I CME credit to satisfy the relicensure requirements of the Washington State Medical Quality Assurance Commission.

At the time this course was developed and presented, the principal author, David Arterburn, MD, disclosed the following financial relationships:
    Research funding: Informed Medical Desicions Foundation
    Salary support: Healthwise

His presentation will include discussion of the use of patient decision aids from Healthwise as well as those from other companies.
All planning and peer-review group members have certified that neither they nor their spouses/partners have, nor have had within the past year, any financial arrangements or affiliation with any commercial organization involved in the health care goods or services consumed by or used on patients, with the exemption of nonprofit or government organizations and non-health care related companies.
The content will not include mention of unapproved or investigational uses of products or devices.

Resolution of Conflicts of Interest
To help ensure content objectivity, independence, fair balance, and content that is aligned with the interest of the public, Physicians Insurance/Experix has implemented a process to resolve conflicts of interest for each continuing medical education activity. Conflicts, if any, are resolved through a peer-review process.

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