In this episode, we speak to Dr. Victor Montori about the importance of shared decision-making in healthcare.

Dr. Montori is the Robert H. and Susan M. Rewoldt Professor of Medicine at Mayo Clinic. An endocrinologist, health services researcher, and care activist, he is the author of more than 750 peer-reviewed publications and is among the most cited researchers in clinical medicine and in social science. He is a recognized expert in evidence-based medicine, shared decision making, and minimally disruptive medicine. He is also the author of the book Why We Revolt, and is leading a movement, a Patient Revolution, for Careful and Kind Care for all.

In our conversation, we discuss the need for patient-centred care that involves and respects individuals as holistic beings, the challenges that inhibit shared decision-making in practice, and the broader societal need to foster self-care and community support.

Chapters
0:00 - Introductions
1:40 - What is shared decision-making?
5:30 - Careful and kind care
9:24 - Forms of shared decision-making
14:58 - Victor's motivation
18:50 - How much time should doctors spend?
23:20 - Is shared decision-making for all patients?
27:15 - Who is responsible for shared decision-making?
31:28 - Where can clinicians learn shared decision-making?
35:46 - A Patient Revolution
44:25 - Barriers to overcome
50:08 - Tackling an insurmountable challenge
55:43 - Reflections with Caitlin & Clarinda

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