Clinical Communication Shared Decision Making Masterclass with David Alderson
Aug 17, 2025
David Alderson, a Senior Lecturer and Specialist First Contact Physiotherapist, dives into the world of shared decision making in healthcare. He discusses the choice dilemma many clinicians face and unveils the impactful 'Mum Test' for effective communication. Unpacking biases in treatment options, Alderson emphasizes patient-centered care while navigating the complexities of managing expectations. He also reveals essential questions to empower patient involvement and speculates on how AI might transform shared decision making in the future.
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Episode notes
Surface Claims Don't Ensure Depth
- Many clinicians claim to use biopsychosocial and shared decision making but apply them superficially in busy consultations.
- Deeply exploring ideas, concerns and expectations takes time and is often the part that gets omitted.
Name And Explore The Elephant
- Address the 'elephant in the room' explicitly when patients repeatedly mention a test or treatment.
- Ask what they hope to gain from that option before excluding or deprioritising it.
Start Broad, Then Narrow To Fit Life
- When many sub-options exist (e.g., exercise types), start with broad categories then narrow together to a feasible plan.
- Ask which fits their weekly life to improve adherence and integration into routines.
