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Shared Decision-Making Challenge

Z20014 CardioSmart New Website Graphics_V2_Shared Decision Making

CardioSmart is working with Cardiology Fellowship Program Directors across the country to help educate fellows-in-training about the importance of shared decision-making. 

Program directors: Download this slide presentation to explain shared decision-making and the challenge to your FITs. Also, you can print and distribute this handout with all the details of the challenge to your fellows.

The Challenge for FITs

Use a CardioSmart tool with 5 patients and submit an essay about your experience to your Program Director. If your narrative effectively shows shared decision-making in action, you could be 1 of 3 winners.

The Reward

CardioSmart/Patient Voice Team will select Top 3 essays as winners.
These fellows will:

  • Be featured in Cardiology magazine
  • Receive free registration at ACC.23 annual meeting in New Orleans
  • Have an opportunity to present at the Program Directors and Graduate Medical Educators Symposium at ACC.23 

The Timeline

  • Aug. 29: Challenge launches
  • Nov. 30: Deadline for fellows to submit writeups to their Program Directors
  • Nov. 30-Dec. 16: PDs review submissions
  • Dec. 19: Deadline for PDs to submit one writeup to CardioSmart for final round of judging
  • Dec. 20-Jan. 13: CardioSmart/Patient Voice team reviews submissions and selects three winners
  • Jan. 16: Top 3 fellows notified 

Detailed Instructions

1. Fellows choose from three CardioSmart tools to use with five patients:

Challenge Tools

2. Fellows submit a narrative to their Program Director (750 words or less) via MS Word demonstrating that they engaged in a shared decision-making conversation using the tool with their patients. Narratives should include the following:

  • Basic information including:
    • Gender/age/ethnicity/condition of patients
    • Geographic area of clinician and patient
    • Decision aid or infographic used with patient
    • Setting (virtual vs. in-office)
  • Did this tool help to facilitate your decision-making conversation with your patients?
  • How long did this process take/how long did you spend with each patient?
  • What went well during this process?
  • What challenges did you face?
  • What would you improve/what would make this process easier (for clinician and patient)?
  • What decision was made? If not, why not?

3. Program Directors will use a four-part grading rubric (see below) to select one fellow’s narrative to move on for final judging by the CardioSmart/Patient Voice Team:

  1. Demonstrates an understanding of the 5 steps of shared decision-making
  2. Explains how shared decision-making enriched the clinician-patient relationship
  3. Addresses social determinants of health and their impact on patient decision making
  4. Expresses how the challenge intersects with at least one of the ACGME Competencies:
  • Patient care and procedural skills
  • Medical knowledge
  • Practice-based learning and improvement
  • Interpersonal and communication skills
  • Professionalism
  • Systems-based practice

4. Program Directors select the narrative from their program with the highest score and then email their pick to Arielle Fingerman at afingerman@acc.org with “Shared Decision-Making Challenge” in the subject line.  

5. CardioSmart/Patient Voice Team will review all submissions and select the top three winners. 

Let us know you’re participating by using #CardioSmart, #SharedDecisionMaking, or #CardioSmartChallenge on Twitter. 

  • Last Edited 11/02/2022

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