PDF(Pubmed)
Abstract：
In the field of healthcare delivery, shared decision making (SDM) refers to a collaborative process, wherein both patients and the healthcare professionals mutually work to make informed and consensus decisions with reference to the kind of medical care that will be administered to patients. The purpose of the current review is to explore SDM in health care, ascertain the role of medical education, and identify the ways to train and assess undergraduate medical students in competencies pertaining to SDM. An extensive search of all materials related to the topic was carried out on the PubMed and Google Scholar search engines and a total of 29 articles were selected based on their suitability with the current review objectives and analyzed. Keywords used in the search include learning resources in the title alone only (viz. shared decision making [ti] AND patient [ti]; shared decision making [ti] AND medical education [ti]; shared decision making [ti] AND assessment [ti]; shared decision making [ti] AND self-assessment [ti]; shared decision making [ti]; shared decision making [ti]). In the domain of medical education, the promotion of SDM essentially will require a multipronged approach to enable its integration into the medical curriculum. However, we must remember that mere teaching-learning methods would not improve it unless they are supplemented with assessment methods, otherwise, we will fail to deliver sustained results. In conclusion, SDM in medical education and healthcare industry represents a transformative shift from the traditional paradigm to a patient-centered approach that empowers both patients and healthcare providers, including budding medical students. The need of the hour is to advocate and encourage structured integration of SDM in the medical curriculum and support the same with periodic assessments.
摘要：
在医疗保健领域，共享决策(SDM)是指协作过程，其中患者和医疗保健专业人员相互合作，就将对患者实施的医疗护理种类做出知情和共识的决定。本综述的目的是探索医疗保健中的SDM，确定医学教育的作用，并确定培训和评估本科医学生与SDM相关能力的方法。在PubMed和GoogleScholar搜索引擎上对与该主题相关的所有材料进行了广泛搜索，并根据其与当前评论目标的适用性选择了29篇文章并进行了分析。搜索中使用的关键字仅包括标题中的学习资源（即共享决策[ti]和患者[ti]；共享决策[ti]和医学教育[ti]；共享决策[ti]和评估[ti]；共享决策[ti]和自我评估[ti]；共享决策[ti]；共享决策[ti]）。在医学教育领域，SDM的推广基本上需要多管齐下的方法，以使其融入医学课程。然而,我们必须记住，除非有评估方法的补充，否则仅仅是教学方法不会改善它，否则,我们将无法取得持续的成果。总之,医学教育和医疗保健行业的SDM代表了从传统范式到以患者为中心的方法的变革性转变，赋予患者和医疗保健提供者权力。包括初露头角的医学生.小时的需要是倡导和鼓励SDM在医学课程中的结构化整合，并通过定期评估来支持这一点。
