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March 2, 2005

Shared Medical Decision Making—Reply

Author Affiliations

Letters Section Editor: Robert M. Golub, MD, Senior Editor.

JAMA. 2005;293(9):1058-1059. doi:10.1001/jama.293.9.1059-a

In Reply: While I am not a pilot, I am reasonably sure that the likelihood of crashing, as described by Dr Waggoner, is decreased by having a navigator alongside a pilot in the cockpit. The physician, even if a navigator, is still an intimate member of the team. The communication about harm and benefit is improved by the duality. The point of the metaphor was that a physician piloting alone is not the best model of decision making; on this Waggoner and I agree.

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