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GPs' perceptions of teaching methods in shared decision-making training: a qualitative study.

Taona Nyamapfene1, Joanne Butterworth2, Haider Merchant3

  • 1University of Exeter Medical School, University of Exeter, Exeter; Royal Cornwall Hospital NHS Trust, Truro.

The British Journal of General Practice : the Journal of the Royal College of General Practitioners
|October 17, 2022
PubMed
Summary
This summary is machine-generated.

General Practitioners (GPs) found role-play, feedback, and on-the-job learning beneficial for shared decision-making (SDM) training. Training should reflect real-world uncertainties and individual needs for better SDM implementation.

Keywords:
continuing professional developmentgeneral practicepostgraduate educationprimary health carequalitative researchshared decision making

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Area of Science:

  • Medical Education
  • General Practice
  • Patient-Centered Care

Background:

  • Shared decision-making (SDM) is crucial for patient-centered care but faces implementation barriers in general practice.
  • General Practitioners' (GPs) perceptions of SDM training delivery are underexplored.
  • Organizations like the Royal College of General Practitioners are developing SDM training.

Purpose of the Study:

  • To explore GPs' perceptions of teaching methods used in SDM training.
  • To identify effective components of SDM training for GPs.
  • To inform the development of future SDM training programs for general practice.

Main Methods:

  • Qualitative study involving 14 GPs with teaching roles at the University of Exeter Medical School.
  • Purposive sampling and semi-structured interviews to explore SDM educational experiences.
  • Thematic framework analysis of interview data.

Main Results:

  • Three key themes emerged: role-play, feedback, and on-the-job learning positively influenced SDM in practice.
  • Learning from experts and using realistic patient cases were valued, but much learning was implicit.
  • GPs emphasized training should mirror real-life decision-making uncertainty and address individual learning needs.

Conclusions:

  • This is the first UK study exploring GPs' views on SDM training and offering practice recommendations.
  • Future research should integrate patient perspectives into SDM training evaluations.
  • Effective SDM training should be practical, reflective, and tailored to individual GP needs.