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"What Should I Do, Doc?"

"What Should I Do, Doc?" COMMENTARY Some Psychologic Benefits of Physician Recommendations ECENTLY, I was speak- In this article, I discuss several Somewhat overlooked in de- ing with an elderly pa- circumstances in which physician bates about autonomy and paternal- tient about a small recommendations can improve pa- ism has been theoretical explora- prostate cancer dis- tient decision making, thereby help- tion of the proper role of physician R covered by his urolo- ing patients make decisions that bet- recommendations in medical deci- gist. The urologist recommended a ter reflect their own preferences. sion making. Some experts have pro- course of treatment and the patient posed what Carl Schneider refers wondered what I thought about it. I THE CONTROVERSIAL ROLE to as a “mandatory autonomy explained that the “correct choice” OF PHYSICIAN model” of clinical decision mak- RECOMMENDATIONS IN depended on his views of the trade- ing, whereby patients are re- off between watchful waiting and MEDICAL DECISION MAKING quired to make their own decisions early therapy. After I explained the and clinicians are obligated to urge clinical risks and benefits of these 2 The past 2 decades have witnessed patients to engage in the decision- strategies, he asked me, “What would a revolution http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA Internal Medicine American Medical Association

"What Should I Do, Doc?"

JAMA Internal Medicine , Volume 162 (9) – May 13, 2002

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Publisher
American Medical Association
Copyright
Copyright 2002 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
2168-6106
eISSN
2168-6114
DOI
10.1001/archinte.162.9.977
Publisher site
See Article on Publisher Site

Abstract

COMMENTARY Some Psychologic Benefits of Physician Recommendations ECENTLY, I was speak- In this article, I discuss several Somewhat overlooked in de- ing with an elderly pa- circumstances in which physician bates about autonomy and paternal- tient about a small recommendations can improve pa- ism has been theoretical explora- prostate cancer dis- tient decision making, thereby help- tion of the proper role of physician R covered by his urolo- ing patients make decisions that bet- recommendations in medical deci- gist. The urologist recommended a ter reflect their own preferences. sion making. Some experts have pro- course of treatment and the patient posed what Carl Schneider refers wondered what I thought about it. I THE CONTROVERSIAL ROLE to as a “mandatory autonomy explained that the “correct choice” OF PHYSICIAN model” of clinical decision mak- RECOMMENDATIONS IN depended on his views of the trade- ing, whereby patients are re- off between watchful waiting and MEDICAL DECISION MAKING quired to make their own decisions early therapy. After I explained the and clinicians are obligated to urge clinical risks and benefits of these 2 The past 2 decades have witnessed patients to engage in the decision- strategies, he asked me, “What would a revolution

Journal

JAMA Internal MedicineAmerican Medical Association

Published: May 13, 2002

References