Evaluating Shared Decision-making in Periviable Counseling Using Objective Structured Clinical Examinations

Lead Author: Brownsyne Tucker Edmonds
Submitted by: Kerensa Peterson, NBOME Chicago

Shared Decision Making (SDM) has been widely endorsed as a favorable practice for patient-centered care.  However, it is underutilized in clinical practice and has lacked tools for assessment.  There are studies which support the use of shared decision-making tools in advanced care planning, but few tools for SDM have been tested in a periviable setting.

A group of Midwestern researchers conducted an OSCE with a group of residents to assess their use of SDM when counseling a pregnant patient who was at risk of delivering preterm.  Their findings give us a lot to think about and discuss in how we can train medical learners and assess their abilities in “the advanced communication skills needed for navigating ethically- and medically-complex clinical decision making…”

Read the full article in the Journal of Perinatology here.

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