title: Shared decision making and the internist.
abstract: In this narrative review, we locate within the tradition of great diagnosticians in internal medicine, a fundamental development in patient-centered care: shared decision making (SDM). In this way, we present SDM as a core component of the clinical method, one in which diagnosis of the situation and of the actions that resolve it is essential toward the practice of evidence-based medicine.
authors.affiliation: Knowledge and Evaluation Research Unit, Department of Internal Medicine, Mayo Clinic, Rochester, MN, USA. Electronic address: montori.victor@mayo.edu.
authors.forename: Victor M
authors.initials: VM
authors.lastname: Montori
authors.affiliation: Knowledge and Evaluation Research Unit, Department of Internal Medicine, Mayo Clinic, Rochester, MN, USA; Department of Medical Psychology, Academic Medical Center, University of Amsterdam, The Netherlands.
authors.forename: Marleen
authors.initials: M
authors.lastname: Kunneman
authors.affiliation: Knowledge and Evaluation Research Unit, Department of Internal Medicine, Mayo Clinic, Rochester, MN, USA.
authors.forename: Ian
authors.initials: I
authors.lastname: Hargraves
authors.affiliation: Knowledge and Evaluation Research Unit, Department of Internal Medicine, Mayo Clinic, Rochester, MN, USA.
authors.forename: Juan P
authors.initials: JP
authors.lastname: Brito
mesh_terms: D003142:Communication; D003657:Decision Making; D019317:Evidence-Based Medicine; D006801:Humans; D007388:Internal Medicine; D010358:Patient Participation; D018802:Patient-Centered Care; D010817:Physician-Patient Relations
keywords: Minimally disruptive medicine; Patient–clinician communication; Shared decision making