title: Attitudes toward shared decision-making and risk communication practices in residents and their teachers.
abstract: BACKGROUND
  Health professionals' attitudes toward shared decision-making (SDM) are an important facilitator of SDM, but information on these attitudes is limited.
  
  
  OBJECTIVE
  The purpose of this study is to examine attitudes, education and practices around SDM and risk communication in residents and their teachers.
  
  
  METHODS
  A questionnaire was mailed to residents in Swiss hospitals in postgraduate medical training programs assessing risk communication education and SDM. In an Internet survey, teachers of the medical training programs answered questions on SDM and risk communication practices. Data were analyzed with ANOVAs and paired samples t-tests.
  
  
  RESULTS
  Significant differences in residents' and teachers' opinions regarding SDM were found between specialties and number of residents in a residency (1-3, 4-10, ≥11 residents). Teachers showed a high use of verbal risk communication. Neither residents nor teachers expressed a strong feeling that they lacked the time for decision-making. Residents were significantly more negative about the ability of patients to participate in decision-making compared to their teachers.
  
  
  CONCLUSIONS
  As residents are more negative about SDM compared to teachers and teachers do not always use the preferred and best methods for risk communication, more education for teachers and residents is needed to improve communication practices in the future.
authors.affiliation: ETH Zurich, Consumer Behavior, Switzerland. kvanderhorst@ethz.ch
authors.forename: Klazine
authors.initials: K
authors.lastname: van der Horst
authors.forename: Max
authors.initials: M
authors.lastname: Giger
authors.forename: Michael
authors.initials: M
authors.lastname: Siegrist
mesh_terms: D001291:Attitude of Health Personnel; D003142:Communication; D003657:Decision Making; D006801:Humans; D010358:Patient Participation; D012308:Risk Management; D011795:Surveys and Questionnaires