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Comment & Response
July 2019

Physicians’ Responsibilities in Shared Decision Making for Lung Cancer Screening—Reply

Author Affiliations
  • 1Department of Internal Medicine, The University of Texas Medical Branch, Galveston
  • 2Sealy Center on Aging, The University of Texas Medical Branch, Galveston
JAMA Intern Med. 2019;179(7):995-996. doi:10.1001/jamainternmed.2019.1448

In Reply We thank De Allie and colleagues for their comments on our article.1 We agree that many primary care physicians (PCPs) lack skills in shared decision making (SDM), particularly SDM using decision aids. This lack should be ameliorated by incorporation of education on decision aids into undergraduate, postgraduate, and continuing medical education. Formal SDM with decision aids is one method to promote patient-centered medicine, as are good listening skills and sufficient time budgeted for clinical encounters to create space for patients to express their values and preferences.

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