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
Limit Options To Two Main Picks
- Too many choices overwhelm patients; clinicians should present a small set of options (about two, plus a third backup).
- Present the top two as the preferred, evidence-based picks and keep a third option as a fallback when needed.
Use The 'Mum Test' Before Decisions
- Use the 'Mum Test': ask whether you'd want a family member to receive the consultation the same way before deciding your approach.
- If you wouldn't want it for your mum, change your communication or choices to be more respectful and clear.
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.
