Shared decision making (SDM) is a model for clinical practice that involves clinicians and patients working together to make decisions based on the best available evidence and patients' preferences. The authors propose a three-step model for SDM: introducing choice, describing options, and helping patients explore preferences and make decisions. This model emphasizes the importance of building a good relationship between clinicians and patients to ensure that information is shared and patients are supported in making informed choices. SDM is based on the principles of patient-centered care and ethical principles that support individual self-determination. The model also incorporates the use of patient decision support tools to help patients understand their options and make informed decisions. The authors argue that SDM improves patient outcomes by increasing knowledge, confidence, and active involvement in decision-making. They provide two hypothetical cases to illustrate the benefits of SDM. The model includes three key steps: choice talk, option talk, and decision talk. Choice talk involves explaining that reasonable options are available. Option talk involves providing detailed information about options and decision talk involves supporting patients in considering their preferences and making decisions. The model also emphasizes the importance of deliberation, which involves considering the pros and cons of options and exploring possible futures. The authors acknowledge that SDM is a complex process that requires effective communication and collaboration between clinicians and patients. They also note that SDM can be facilitated by using brief patient decision support tools and that training is essential for clinicians to develop the necessary skills. The authors conclude that SDM is a practical and effective approach to clinical practice that promotes patient-centered care and improves health outcomes.Shared decision making (SDM) is a model for clinical practice that involves clinicians and patients working together to make decisions based on the best available evidence and patients' preferences. The authors propose a three-step model for SDM: introducing choice, describing options, and helping patients explore preferences and make decisions. This model emphasizes the importance of building a good relationship between clinicians and patients to ensure that information is shared and patients are supported in making informed choices. SDM is based on the principles of patient-centered care and ethical principles that support individual self-determination. The model also incorporates the use of patient decision support tools to help patients understand their options and make informed decisions. The authors argue that SDM improves patient outcomes by increasing knowledge, confidence, and active involvement in decision-making. They provide two hypothetical cases to illustrate the benefits of SDM. The model includes three key steps: choice talk, option talk, and decision talk. Choice talk involves explaining that reasonable options are available. Option talk involves providing detailed information about options and decision talk involves supporting patients in considering their preferences and making decisions. The model also emphasizes the importance of deliberation, which involves considering the pros and cons of options and exploring possible futures. The authors acknowledge that SDM is a complex process that requires effective communication and collaboration between clinicians and patients. They also note that SDM can be facilitated by using brief patient decision support tools and that training is essential for clinicians to develop the necessary skills. The authors conclude that SDM is a practical and effective approach to clinical practice that promotes patient-centered care and improves health outcomes.