How to make a shared decision with a patient
Other platforms explain it with text and video. In VMS you practice it on the patient.
When more than one reasonable option exists, the best choice depends on the patient's values. Shared decision-making brings evidence and preferences together.
Step by step
Invite the patient in
Say there is more than one good option and that their view matters. [1]
Present the options
Lay out each reasonable option, including watchful waiting when it is safe. [1]
Explain benefits and harms
Use simple numbers such as 5 in 100 people, and use a decision aid if one exists. [1]
Explore values
Ask what matters most to them and what worries them about each option. [2]
Decide together
Help the patient reach a choice, or agree to take more time. [2]
Check understanding
Use teach-back to confirm they understand the chosen option. [1]
Plan follow-up
Agree when you will review the decision together. [2]
Common errors
- Presenting only your preferred option.
- Using relative risk numbers only.
- Assuming you know the patient's values.
Practice it in VMS
In VMS you do this on the patient, not on paper: every step goes on the checklist with a score, and in Teach mode Blocky tells you what comes next.
Sources
- AHRQ Health Literacy Universal Precautions Toolkit (Teach-Back)
- AAMC Core Entrustable Professional Activities (Core EPAs)
Facts and steps follow AAMC Core Entrustable Professional Activities (Core EPAs); AHRQ Health Literacy Universal Precautions Toolkit (Teach-Back). VMS is not affiliated with these organizations. Updated: 2026-10-11.