How do we level the playing field for patients and clinicians to enable shared decision-making? Social psychologist Kathryn Pollak asks two experts in shared decision-making, Angela Fagerlin and Victor Montori, for concrete examples.

Many times, the situation is emergent and leaves little room to prepare, says Fagerlin. Yet preparation is crucial for improved shared decision-making and should be worked in wherever possible.

Fagerlin describes how a former colleague would give prostate cancer diagnoses over the phone. When she learned about this practice, Fagerlin initially thought it unethical. But over time, she saw its value. Calls were scheduled in advance so that patients weren’t caught off-guard, and the person calling had done the biopsy. ….more