Question special
Lead Moderator

Karen Sepucha and I run a program at our hospital to train physicians and office staff in the skills of shared decision making. We hear from our doctors several common themes about the challenges in having shared decision making conversations with their patients. Many of our physicians describe this scenario: A patient comes to your office and is already convinced about their diagnosis or best tests and treatments (e.g. "I need surgery" or "I should have an MRI"). How do you start an open conversation to understand the patient's goals and concerns?