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Use and Perceptions of Shared Decision-Making by General Surgery Faculty and Trainees
Maham Javaid1, Melanie Fritz1, Mollie O'Brien2
1Boston University School of Medicine, Boston, Massachusetts.
The Journal of Surgical Research
|April 15, 2022
Summary
Most surgeons and residents support shared decision-making (SDM), but inconsistent practice and patient factors hinder its implementation. Structured education is needed to improve SDM engagement.
Area of Science:
- Medical Education
- Surgical Practice
- Patient-Centered Care
Background:
- Shared decision-making (SDM) is crucial for patient-centered care.
- Understanding current SDM practices and perceptions among surgical trainees is essential.
Purpose of the Study:
- To assess shared decision-making (SDM) practices and perceptions among faculty and residents at Boston Medical Center.
- To identify barriers and facilitators for SDM implementation in surgical settings.
Main Methods:
- An online survey was distributed to assess provider demographics, training, SDM experiences, and perceptions.
- Descriptive statistics and univariate analysis were used to summarize data and identify associations.
Main Results:
- A 49% response rate from 15 surgeons and 19 residents was achieved.
- High awareness (91%) and positive attitudes (76%) towards SDM were reported, but only 35% had SDM training.
- Inconsistent engagement with SDM practices was observed, with patient health literacy, language, and socioeconomic factors cited as barriers.
Conclusions:
- General surgery faculty and residents hold positive views on SDM but exhibit inconsistent application.
- Barriers identified are consistent with other specialties, emphasizing the need for targeted interventions.
- Further research and structured SDM education are recommended to enhance provider-patient engagement in surgical decision-making.
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