In Reply Shared decision making (SDM) is a crucial ideal toward which clinicians must strive. We agree with Henselmans and colleagues that in order to optimally advise patients, physicians should master each component of SDM, including announcing that a decision needs to be made based on the patients’ preferences, providing balanced information about the options, jointly constructing patients’ preferences, and making a decision that matches these preferences. It often remains unclear, however, which communication skills best help physicians use SDM efficiently in their practice.