The current structure and content of informed consent routinely fails to generate a treatment plan that is deliberately aligned with patient preferences because this conversation is dominated by explanations of disease and treatment, lacks focus on outcomes and trade-offs, and fails to situate the proposed treatment within the larger context of the patient’s overall health. The research team aims to develop a framework for surgeon-patient communication to better support patient autonomy in decision-making.
What We Talk about When We Talk about Surgery: Redesigning the Conceptual Framework for Preoperative Communication about Surgical Intervention
University of Wisconsin
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Sarah I. Zaza, MD, Robert M. Arnold, MD, & Margaret L. Schwarze, MD, MPP, Innovations in Surgical Communication 4—Present the Downsides of Surgery, Not Just Risks, JAMA Surgery, Aug 2023
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Margaret L. Schwarze, MD, MPP, Justin Clapp, PhD, MPH, & Robert M. Arnold, MD, Innovations in Surgical Communication 3—Promote Deliberation, Not Technical Education, JAMA Surgery, Aug 2023
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Margaret L. Schwarze, MD, MPP, Jacqueline M. Kruser, MD, MS, & Justin T. Clapp, PhD, MPH, Innovations in Surgical Communication 2—Focus on the Goals of Surgery, JAMA Surgery, Aug 2023
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Karlie L. Haug, MD, Justin T. Clapp, PhD, MPH, & Margaret L. Schwarze, MD, MPP, Innovations in Surgical Communication—Provide Your Opinion, Don’t Hide It, JAMA Surgery, Aug 2023
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Lily N Stalter et al., Identifying Patterns in Preoperative Communication About High-Risk Surgical Intervention, Journal of the American College of Surgeons, November 2022
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Nathan D Baggett et al., Surgeon Use of Shared Decision-making for Older Adults Considering Major Surgery: A Secondary Analysis of a Randomized Clinical Trial, JAMA Surgery, May 2022
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