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Training physicians in shared decision-making-who can be reached and what is achieved?
Christiane Bieber1, Jennifer Nicolai, Mechthild Hartmann
1University of Heidelberg, Department of Psychosomatic and General Internal Medicine, Heidelberg, Germany. Christiane.Bieber@med.uni-heidelberg.de
Patient Education and Counseling
|May 1, 2009
Summary
A voluntary shared decision-making (SDM) physician training program in Germany was effective. The training improved physicians' SDM knowledge and confidence, even for those highly motivated to use SDM.
Area of Science:
- Medical Education
- Health Professions Education
- Shared Decision-Making
Background:
- Shared Decision-Making (SDM) is crucial for patient-centered care.
- Physician training programs are essential for implementing SDM effectively.
- Understanding physician experiences with SDM training is vital for program development.
Purpose of the Study:
- To evaluate a general Shared Decision-Making (SDM) physician training program in Germany.
- To assess the impact of SDM training on physician knowledge, confidence, and attitudes.
- To identify physician characteristics associated with training success.
Main Methods:
- 150 physicians participated in an 8-hour SDM training program.
- Standardized instruments assessed physicians before and after training.
- Key variables included professional attributes, personality, attitudes, and training success measures.
Main Results:
- The SDM training received positive quality ratings and improved objective SDM knowledge (p<.001).
- Physicians' confidence in SDM competencies significantly increased (p<0.001).
- The program attracted experienced, middle-aged physicians, primarily general practitioners and internists; those with conflicting personality traits benefited most.
Conclusions:
- Voluntary SDM training is appealing and effective for practicing physicians.
- The training enhances SDM-related confidence and knowledge.
- Dissemination of SDM training programs is recommended to further improve physician skills.
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