Shared decision-making and personalised care in general practice, ,with Dr Sam Finnikin

In this episode of the Clinical Update podcast, academic GP Dr Sam Finnikin speaks to MIMS Learning’s medical editor Sangeeta Krishnan about the essential role of shared decision-making  in modern primary care. 

Sam talks about why shared decision-making is a legal and ethical responsibility, and how GPs can effectively integrate it into the standard 10-minute consultation. They also discuss the unique challenges of polypharmacy, the art of ‘not doing’ as an active clinical choice, and how to communicate complex risks to patients in a way they can best understand.

Educational objectives

After listening to this podcast, healthcare professionals should be better able to:

• Evaluate the role of shared decision making as a fundamental, non-optional approach to every clinical decision.
• Implement strategies to achieve shared decision-making within 10-minute consultations by leveraging continuity of care and splitting decisions over time.
• Apply evidence-based medicine with care to individual patients, particularly those with multimorbidity and polypharmacy who are often excluded from research populations.
• Understand the concept of ‘not doing’ (active watchful waiting) and how it can improve healthcare efficiency and patient outcomes.
• Communicate risks effectively using absolute numbers, natural frequencies, and positive/negative framing to aid patient deliberation.
• Encourage patient autonomy while providing tailored recommendations that incorporate a patient’s individual values and preferences.

You can access the website version of this podcast, along with a list of key learning points, on MIMS Learning - and make notes for your appraisal. MIMS Learning offers hundreds of hours of CPD for healthcare professionals, along with a handy CPD organiser.

Please note: this podcast is presented by medical editors and discusses educational content written or presented by doctors, nurses and other healthcare professionals on the MIMS Learning website and at live events.

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