PANEL: WHAT IS A "GOOD" MEDICAL DECISION? PERSPECTIVES FROM MULTIPLE STAKEHOLDERS: A SBM-SMDM CROSSTALK PANEL DISCUSSION

Monday, October 19, 2015: 6:00 PM - 7:00 PM
Grand Ballroom D (Hyatt Regency St. Louis at the Arch)

Stakeholders across multiple levels of healthcare delivery, including insurance companies, physicians, and patients, acknowledge that promoting informed and shared decision making are critical elements of patient-centered, evidence-based medicine. Yet, stakeholders’ perspectives of what constitutes a “good medical decision” likely vary in important ways, as each considers different priorities and metrics in their pursuit of optimal medical decision making. This issue is critically important for defining the ultimate goals of medical decision research and implementing evidence-based medical decision making practices. To explore this issue, the Society of Behavioral Medicine/Society for Medical Decision Making (SBM/SMDM) Crosstalk Committee will hold an interactive, cross-disciplinary symposium that will feature presentations from representatives of key stakeholder groups, including a physician, patient, decision scientist,  and medical anthropologist. These stakeholders will each provide an overview of his or her area’s primary considerations as they relate to informed and shared medical decision making. In addition, they will provide their perspectives on what is needed to achieve a “good” decision in response to a selected case scenario. The symposium will feature time for attendees to share their own impressions, and key commonalities and differences among stakeholders will be highlighted.

Panelists:

Deb Feldman-Stewart, PhD
Division of Cancer Care and Epidemiology, Cancer Research Institute, Queen's University
Professor, Department of Oncology, Queen's University

Dr. Feldman-Stewart is a cognitive psychologist and professor in Oncology at Queen's University. She co-directs a research program with Dr. Michael Brundage focused on methods addressing information provision and decision support for cancer patients. These include: the development of a reliable method for determining patient information needs; a tool to assess the effectiveness of patient information; methods to assist decision support (e.g., values clarification); optimal ways to communicate quantitative information; optimal ways of communicating clinical trials results to patients and clinicians. The team has a further focus on applications of these research methods, including a program of decision support for patients with early-stage prostate cancer, information provision strategies for patients, standards for clinical trials methodology and reporting of patient-reported outcomes, and others.

Mary K. Goldstein, MD, MS
VA Palo Alto Health Care System and Stanford University
Director, Palo Alto GRECC and Professor of Medicine (PCOR)
Palo Alto GRECC (VA) and Department of Medicine (Stanford)

Mary K. Goldstein is a CHP/PCOR core faculty member and the Director of the Geriatrics Research Education and Clinical Center (GRECC) at the VA Palo Alto Health Care System. Dr. Goldstein is professor of medicine (PCOR) in the medical center line and professor, by courtesy, of Health Research and Policy at Stanford. She directs the Primary Care Policy and Practice Advancement program at PCOR, the Stanford/VA Palo Alto Geriatric Medicine Fellowship Program, and the Special Fellowship Program in Advanced Geriatrics at VA Palo Alto. She also serves as associate director for the Physician Post-Residency Fellowship Program in Health Services Research and Development, and for the Postdoctoral Fellowship in Medical Informatics, both at VA Palo Alto Health Care System.

Mikki Brewster, MSW
Brown School, Washington University in St Louis

Mikki Brewster began her career as a nurse. She has taken on a variety of professional challenges in multiple fields since that time, but her professional roots seem to be in the practice of ensuring the health and well-being of individuals. It was through her experiences as a nurse that Mikki developed an interest in social work. After 12 years in nursing, she resumed her education, graduating from Webster University with a bachelorís degree in sociology. Throughout her career, Mikki has served the citizens of St. Louis through a wide variety of positions with the St. Louis Job Corps, the St. Louis Area Agency on Aging, and the St. Louis Public Schools. As chair of the Community Advisory Committee for the Master of Public Health Program at the Brown School, Mikki has been instrumental in the creation and implementation of this degree program. Mikki has served on steering committees for the American Cancer Society, the Missouri Training and Employment Council, the Susan G. Komen Race for the Cure, Fontbonne College, and St. Louis Community College.

Simon Craddock Lee, PhD, MPH
Population Sciences & Cancer Control, Harold C. Simmons Comprehensive Cancer Center
University of Texas Southwestern Medical Center

Dr. Lee is a medical anthropologist whose research examines the culture and organization of cancer prevention and care delivery in safety-net settings, both urban and rural. He leads the Stakeholder Engagement core as well as the Qualitative Methods core of the AHRQ-funded Center for Patient-Centered Outcomes Research at UT Southwestern. His work in decision-making science has focused on lung cancer patients and their caregivers, pediatric use of hospice and palliative care, as well as testing strategies to improve adolescent HPV vaccination.

Moderator:

Erika A. Waters, PhD, MPH
Washington University School of Medicine
Assistant Professor
Surgery (Division of Public Health Sciences)