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Shared Decision Making for the Emergency Provider: Engaging Patients When Seconds Count.

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Summary

Physicians can improve patient engagement using shared decision making (SDM). A role-playing workshop effectively trained emergency medicine residents in SDM communication skills.

Keywords:
Case-Based LearningCommunication SkillsEmergency CareEmergency MedicineFlipped ClassroomPatient-Centered CommunicationShared Decision MakingSimulation

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Area of Science:

  • Medical Education
  • Communication Skills
  • Emergency Medicine

Background:

  • Effective patient communication is crucial in fast-paced emergency departments.
  • Shared decision making (SDM) enhances patient engagement and care.
  • Role-playing offers a practical method to learn SDM.

Purpose of the Study:

  • To evaluate a workshop for teaching SDM to emergency medicine residents.
  • To assess the effectiveness of role-playing in improving SDM skills.

Main Methods:

  • A flipped classroom workshop combined precourse materials with an in-class session.
  • Residents participated in role-playing scenarios, receiving feedback.
  • Skill attainment was assessed via simulated patient encounters.

Main Results:

  • The workshop effectively taught SDM to 28 residents.
  • Over 75% of first-year residents mastered SDM elements in simulations post-workshop.
  • Four residents demonstrated full SDM proficiency without prompting.

Conclusions:

  • A role-playing workshop is an effective method for teaching SDM in emergency medicine.
  • Early-career residents benefit significantly from simulated SDM practice.