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The Importance of Shared Decision-Making

      To the Editor:
      Thank you for publishing the outstanding and important article, “Sense and Sensibility”
      • Schattner A
      Sense and sensibility.
      in the December 2021 issue of The American Journal of Medicine. The story Dr. Schattner related in "Sense and Sensibility" resonates with me in that, in my role in undergraduate and graduate medical education, learners (students and residents) should ALWAYS be reminded that, in her words, “Once the patient's individual circumstances are acknowledged, shared decision-making may achieve optimal comprehensive health outcomes, and this is particularly true in old patients.” I have found this to be true in virtually all patients, and in the United States, particularly in veterans. Teaching the critical importance of shared decision-making needs to be intentional and, whenever possible, by bedside role modeling, as I have seen even experienced physicians fall short in this critically important area.
      Thank you, Dr. Schattner and the AJM for taking the lead in embracing humanism and working in partnership with our patients.

      Reference

        • Schattner A
        Sense and sensibility.
        Am J Med. 2021; 134: 1570-1571