P&L

Question 1

In what situations does shared decision making not apply?

Answer 1

• Unconsciousness
• Advanced Care Directive
• Top-down regulation

Question 2

Name three models that can be used to facilitate shared decision making

Answer 2

1. SHARE method
2. Teach back
3. Five question model

Question 3

Outline the SHARE model of shared decision making

Answer 3

Seek participation
Help explore options
Assess values/preferences
Reach a decision
Evaluate decision

Question 4

What are the five questions of the five question model for shared decision making?

Answer 4

1. What are the consequences of inaction?
2. What are the options?
3. What are the pros and cons?
4. How do those weigh up for the patient?
5. Do you have enough information to choose?

Question 5

What IS patient centered healthcare

Answer 5

(Basically: a market-first approach)

Take into account the unique situations, priorities, and needs of the patient when making healthcare decisions.

Question 6

What are the five steps of a consultation in terms of the Calgary-Cambridge model?

Answer 6

1. Initiate consultation
2. Gathering information
3. Physical examination
4. Explanation and planning
5. Closing the session

(All throughout, patient-centred communication is used to build relationship and provide structure)

Question 7

Are communication skills a personality trait?

Answer 7

No; they are a skill that can be taught, learned, and improved over time. This is a crucial aspect of practice for all medical students and practitioners.

Question 8

What are the components of the doctor’s “Professional Toolkit”?

Answer 8

1. Reflective Practice
2. Communication skills
3. Knowledge of the rules
4. Commitment to lifelong learning