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Core competencies for shared decision making training programs: insights from an international, interdisciplinary

France Légaré1, Nora Moumjid-Ferdjaoui, Renée Drolet

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Shared decision making (SDM) training for clinicians is growing, but core competencies lack consensus. Experts identified relational and risk communication skills as essential for effective patient involvement in healthcare decisions.

Keywords:
educationimplementation sciencepatient-centered carerisk communicationshared decision makingtheory

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Area of Science:

  • Health Professions Education
  • Patient-Centered Care
  • Clinical Communication

Background:

  • Shared decision making (SDM) is increasingly integrated into healthcare professional education.
  • A lack of consensus exists regarding the core competencies required for clinicians to effectively implement SDM.
  • Existing SDM training programs exhibit significant variability in theoretical underpinnings, duration, and content.

Purpose of the Study:

  • To discuss theoretical approaches to health-related decision-making.
  • To compare existing SDM training programs and stakeholder concerns.
  • To deliberate on the core competencies necessary for effective clinician training in SDM.

Main Methods:

  • An international, interdisciplinary group of 25 experts convened in 2012.
  • Discussions focused on theoretical models, existing training programs, and stakeholder perspectives.
  • The group deliberated on essential competencies for SDM implementation.

Main Results:

  • Some participants felt existing models suffice for large-scale competency-based SDM training.
  • Others argued for more research due to undefined SDM definitions and insufficient evidence for specific competencies.
  • All agreed on two broad competency categories: relational and risk communication skills.

Conclusions:

  • Relational and risk communication competencies are crucial for clinicians practicing SDM.
  • Further multidisciplinary research is needed to refine and expand the understanding of core SDM competencies.
  • Standardization of SDM training requires further consensus on definitions and evidence-based competencies.