BMJ Round Table Shared Decision - Making Practicalities

BMJ Round Table Shared Decision - Making Practicalities

Author: The BMJ August 28, 2013 Duration: 23:31

At BMA house, we convened a group of world experts in shared decision making. Inspired by the Salzburg Global Summit meeting we discussed the background, practical challenges, and how to engage patients with their health

The participants were:

Fiona Godlee , editor in chief, BMJ

Angela Coulter , director of global initiatives, Foundation for Informed Medical Decision Making

Albert Mulley , co-founder, Foundation for Informed Medical Decision Making, and director, Dartmouth Center for Health Care Delivery Science

Glyn Elwyn, research professor with an interest in shared decision making, Cardiff University

Muir Gray , chair of the Information Standard, Department of Health, and co-editor (with Gerd Gigerenzer of the new book Better Doctors, Better Patients, Better Decisions: Envisioning Health Care 2020

Marion Collict, national programme manager, shared decision making, NHS (UK’s National Health System)

Alf Collins , consultant in pain medicine, Taunton and Somerset NHS Foundation Trust, and national clinical lead for Co-Creating Health

Margaret McCartney , writer and GP

Anu Dhir , junior surgical trainee and co-signatory of the Salzburg Statement

Gerd Gigerenzer , director, Center for Adaptive Behaviour and Cognition, Max Planck Institute for Human Behaviour

Lisa Schwartz , professor of medicine, Dartmouth Medical School, author (with Steve Woloshin (see below)) of Know Your Chances available free online.

Steve Woloshin , professor of medicine, Dartmouth Medical School

“e-Patient Dave” deBronkart , co-chair, Society for Participatory Medicine

Tessa Richards , analysis editor, BMJ

Sue Ziebland , research director of the Health Experiences Research Group and a reader in qualitative health research, Department of Primary Health Care, University of Oxford


Produced by The BMJ, this weekly audio series delves into the pivotal research and urgent clinical debates shaping modern medicine. Each episode moves beyond the published page, bringing together the authors, critics, and practitioners directly involved to dissect a new study or a pressing health question. The conversation is rigorous and nuanced, designed for those who appreciate the complexity behind headlines. You’ll hear unscripted discussion about methodology, implications for practice, and the occasional healthy disagreement that drives science forward. This isn't just a summary of the latest findings; it's a critical appraisal in real time, offering listeners a front-row seat to the evolving discourse that defines evidence-based care. The Medicine and Science from The BMJ podcast serves as an essential audio companion for clinicians, academics, and anyone keen to understand the ‘why’ and ‘how’ behind medical news. It transforms the latest evidence from the journal into an accessible, thought-provoking dialogue, ensuring that busy professionals can stay deeply informed. Tune in for a direct, intelligent, and often surprising take on the science that matters most.
Author: Language: English Episodes: 1000

Medicine and Science from The BMJ
Podcast Episodes
Thrombolysis in acute ischaemic stroke - time for a rethink? [not-audio_url] [/not-audio_url]

Duration: 16:28
In the US the licence, or marketing authorisation, for alteplase is limited to 0-3 hours after onset of stroke, but some other countries - including the UK and Australia - have extended the licence to 4.5 hours. In an an…
Obioma Ezekobe GP  - patients need to be educated about resources [not-audio_url] [/not-audio_url]

Duration: 1:33
Obioma Ezekobe is a GP in an urgent care centre in Central Middlesex Hospital. She believes that the public need to be educated about the use of NHS resources, and be taught when it is appropriate to seek care. If you wo…
Patrick Keating GP - under pressure to increase list size [not-audio_url] [/not-audio_url]

Duration: 1:05
BMJ Voices is a collection of readers’ experiences of working in the NHS. For this, The BMJ is seeking short audio submissions from UK listeners. These submissions will be published on thebmj.com. Patrick Keating, a GP f…
Has the balance of screening for AAA tipped towards harm? [not-audio_url] [/not-audio_url]

Duration: 7:35
Abdominal aortic aneurysms (AAA) are usually asymptomatic until they rupture, which is fatal in more than 80% of cases. Screening aims to detect the aneurysm before it ruptures, enabling preventive surgery and hence redu…
Nuffield summit - Ashish Jha explains Acountable Care Organisations [not-audio_url] [/not-audio_url]

Duration: 6:51
Ashish Jha, professor of health policy and management at Harvard School of Public Health, talking about how the Affordable Care Act has fostered new models of integrated service delivery in the United States Read more fr…
Nuffield summit - Bastiaan Bloem on parkinsons.net [not-audio_url] [/not-audio_url]

Duration: 13:54
Bastiaan Bloem, consultant neurologist at Radboud University Nijmegen Medical Centre, Netherlands, discussing his revolutionary approach to patient centred care. Read more from the summit: http://www.bmj.com/content/350/…
How to diagnose overdiagnosis [not-audio_url] [/not-audio_url]

Duration: 17:05
Overdiagnosis means different things to different people. Stacy Carter, associate professor at the Centre for Values, Ethics and the Law in Medicine at the University of Sydney argues that we should use a broad term such…