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Glyn Elwyn

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Glyn Elwyn is a professor and physician-researcher at The Dartmouth Institute for Health Policy and Clinical Practice, Dartmouth College, USA,… more

Glyn Elwyn
H-index: 103
Public Health 50%
Medicine 29%
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by Glyn Elwyn

glynelwyn.bsky.social
Thanks to the many coauthors of this primer for clinicians about shared decision making ... link.springer.com/article/10.1...
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by Glyn Elwyn

glynelwyn.bsky.social
Shared decision making: a primer for clinicians

link.springer.com/article/10.1...
Shared Decision-Making. A Primer for Clinicians - Journal of General Internal Medicine
Importance Shared decision-making is a widely promoted approach, yet clinicians, typically supportive in principle, find it difficult to implement because of concerns and barriers they commonly encounter in practice. Objective To generate a primer that describes shared decision-making from the perspective of clinicians. Methods We collaborated with clinicians, patient representatives, and health service researchers. We invited members of the International Society of Shared Decision Making to co-produce a primer for clinicians using a series of jointly edited online documents. We shared drafts with other clinicians and patients. Finally, we integrated the contributions until we had arrived at a consensus. Findings Twenty-five people from 13 countries contributed; 9 had medical qualifications, 4 had nursing qualifications, and 12 others had a range of backgrounds. A total of 30 patients and clinicians provided further comments. The description differs from previous versions because it addresses the barriers that clinicians frequently mention. It describes how to overcome common challenges by emphasizing the importance of a clear invitation at initiation; it suggests how to manage patients’ resistance to shouldering decisional responsibility; reinforces the need to allow time for deliberation, especially with other stakeholders; and reassures clinicians that consensus, albeit welcome, need not be the goal of shared decision-making. Conclusions and Relevance This primer portrays a reflective clinician who is aware of power asymmetry, patient vulnerability, risk communication, health literacy, agenda setting, and goal clarification. It envisages a clinician who is curious about personal perspectives and who can offer collaborative, iterative, and deliberative steps.
link.springer.com
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by Glyn Elwyn

glynelwyn.bsky.social
Can genAI help us measure shared decision making. I think so ...

authors.elsevier.com/sd/article/S...
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Reposted by Glyn Elwyn

mcpoliti.bsky.social
LLMs can produce comparison tables to support #shareddecisionmaking, but need to be reviewed and checked by experts. Some of the details they produce are less accurate and less readable than those created by people. nice work @glynelwyn.bsky.social et al. www.sciencedirect.com/science/arti...
Automated production of comparison tables for shared decision making: Comparing a human-generated table (Option Grid), a search engine process, and outputs from four large language models
To explore the ability of artificial intelligence to produce comparison tables to facilitate shared decision-making.An expert human-generated comparis…
www.sciencedirect.com
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by Glyn Elwyn

glynelwyn.bsky.social
authors.elsevier.com/sd/article/S...
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by Glyn Elwyn — Reposted by Glyn Elwyn

glynelwyn.bsky.social
sites.dartmouth.edu/isdm2026/
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by Glyn Elwyn

glynelwyn.bsky.social
A conference you might want to consider

sites.dartmouth.edu/isdm2026/
2026 ISDM Conference
The 2026 International Shared Decision Making Conference will be held at Dartmouth College from July 7-10, 2026
sites.dartmouth.edu
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by Glyn Elwyn

glynelwyn.bsky.social
yes
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by Glyn Elwyn

glynelwyn.bsky.social
la gomera in canary islands
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by Glyn Elwyn

glynelwyn.bsky.social
Daphne Bussink-Voorend has her work on a decision aid for scheduled vaccination for children mentioned here - and there's more to come from this team at Nijmegen

www.nature.com/articles/d41...
www.nature.com
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by Glyn Elwyn

glynelwyn.bsky.social
Questioning the safety of LLMs by adding RAG ...

arxiv.org/html/2504.18...
RAG LLMs are Not Safer: A Safety Analysis of Retrieval-Augmented Generation for Large Language Models
arxiv.org

by Glyn Elwyn

glynelwyn.bsky.social
How NAM sees the AI road ahead ...
nap.nationalacademies.org/catalog/2908...
An Artificial Intelligence Code of Conduct for Health and Medicine: Essential Guidance for Aligned Action
Read online, download a free PDF, or order a copy in print.
nap.nationalacademies.org
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by Glyn Elwyn

glynelwyn.bsky.social
Punishing clinicians for innovating ... not a helpful approach in a health system that is the most expensive on earth and getting some of the worse outcomes ...

www.realclearhealth.com/articles/202...
Stop Punishing Clinicians for Improving Healthcare
Government officials are pursuing multiple plans to reduce healthcare spending while making America healthier. Meanwhile, countless clinicians are already getting the job done—and being punished
www.realclearhealth.com

by Glyn Elwyn

glynelwyn.bsky.social
Looking for an academic in Italy who is interested in shared decision making - someone near Rome would be ideal ...
Glyn
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by Glyn Elwyn

glynelwyn.bsky.social
www.realclearhealth.com/articles/202...
Stop Punishing Clinicians for Improving Healthcare
Government officials are pursuing multiple plans to reduce healthcare spending while making America healthier. Meanwhile, countless clinicians are already getting the job done—and being punished
www.realclearhealth.com

by Glyn Elwyn

glynelwyn.bsky.social
Shared decision making by a surgeon in Oregon who sees people who have been diagnosed recently with early breast cancer ...

tinyurl.com/23vdpkaj
UNLEASHED: Season 2 Episode 1
UNLEASHED: Redesigning Health Care · Episode
tinyurl.com
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by Glyn Elwyn

glynelwyn.bsky.social
Winnie Henderson, a surgeon who focuses on breast cancer treatment at Oregon Surgical Wellness, describes how she deepens her connections with patients through empathy, education, and collaborative decision-making. #breastcancer

www.unleashedpodcast.org
Unleashed
www.unleashedpodcast.org
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by Glyn Elwyn

glynelwyn.bsky.social
Imagine taking your baby home early from ICU... This is the research that Dr Tyler Hartman @dartmouthcollege.bsky.social is doing ...

www.unleashedpodcast.org
Unleashed
www.unleashedpodcast.org

by Glyn Elwyn

glynelwyn.bsky.social
Today, we publish a new podcast about how a surgeon in Oregon uses an Option Grid to help women with breast cancer decide whether to have a lumpectomy (with radiation) or a mastectomy. An excellent patient-centered practice that is a model of how healthcare could be ...
www.unleashedpodcast.org
Unleashed
www.unleashedpodcast.org
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by Glyn Elwyn — Reposted by Glyn Elwyn

glynelwyn.bsky.social
A fast and frugal measure of people's concerns when in palliative care - consideRATE. And care coordination - integRATE ... now being used in real clinical settings

www.jpsmjournal.com/article/S088...
Use of the consideRATE and integRATE measures to assess care quality in inpatient palliative care.
Despite recognition of the importance of measuring the quality of palliative care, there are significant gaps in information about how to do so in real-world settings, particularly for patient-reporte...
www.jpsmjournal.com
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by Glyn Elwyn

glynelwyn.bsky.social
Stein MD. Ungoverning and the Future of Health Services Research. Milbank Quarterly Opinion. March 20, 2025. doi.org/10.1599/mqop...
Ungoverning and the Future of Health Services Research | Milbank Memorial Fund
The first months of the second Trump administration have, as predicted, been a matter of ungoverning. In the name of efficiency and budget reduction, but
doi.org

by Glyn Elwyn

glynelwyn.bsky.social
Just imagine what clinicians could do if given the space to do so ... a new podcast from @dartmouthcollege.bsky.social

www.unleashedpodcast.org
Image of cellphone showing Unleashed podcast website https://www.unleashedpodcast.org/
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Reposted by Glyn Elwyn

coproductionlab.bsky.social
Please join @glynelwyn.bsky.social​ on Wed, April 2, at 9 am ET for a special Coproduction Collaboratory Meeting. We will be welcoming Göran Henriks, Chief Executive of Learning and Innovation at Qulturum in Region Jönköping County, Sweden.
Click below to RSVP.

Click Here: bit.ly/4hCD0BV
Göran Henriks, Chief Executive of Learning and Innovation Qulturum in Region Jönköping County, Sweden
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by Glyn Elwyn

glynelwyn.bsky.social
A request from Sara Rigare to doctors ... and other clinicians.

www.bmj.com/content/388/...
Hear my concerns and I will take your recommendations seriously
www.bmj.com
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Reposted by Glyn Elwyn

erictopol.bsky.social
The reckless termination of grants at NIH continues
www.washingtonpost.com/health/2025/...
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Reposted by Glyn Elwyn

drericding.bsky.social
Mag 7 shares (% off 52-week high):

Tesla -54.5%
Nvidia -30.1%
Alphabet -19.9%
Amazon -19.8%
Meta -19.2%
Microsoft -18.8%
Apple -12.5%

So much “winning”
16 130 670

Reposted by Glyn Elwyn

chrisdjackson.bsky.social
🚨 BREAKING: Thirteen prime ministers and two presidents are attending today’s emergency Ukraine summit in London.

America is no where to be found.

American First is America Alone.
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Reposted by Glyn Elwyn, David Learmount

theukrainianreview.bsky.social
🇵🇱🇪🇺 "The paradox is that 500 million Europeans are asking 300 million Americans for help to protect them from 140 million Russians," — Tusk

❗️"We must rely on ourselves, fully aware of our own potential and believing that we are a world power," he said.
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Reposted by Glyn Elwyn

dalemaglalang.bsky.social
Proud to stand with my fellow NYC faculty and researchers. When science is under attack, we stand up and fight back!
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Reposted by Glyn Elwyn

nytimes.com
In the first case to reach the Supreme Court arising from the blitz of actions taken in the early weeks of the new administration, lawyers for President Trump asked the justices on Sunday to let him fire a government lawyer who leads a watchdog agency.
First Test of Trump’s Power to Fire Officials Reaches Supreme Court
The court’s conservative majority may be receptive to the argument that presidents have unlimited power to remove leaders of independent agencies.
www.nytimes.com
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