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Table 2 Course’s topics and contents

From: Teaching therapy decision-making to medical students: a prospective mixed-methods evaluation of a curricular innovation

Topic

Number of sessions

Contents

Medical error and treatment uncertainty

1

• Medical error

• Treatment uncertainty

Medical legislation

1

• Impact of legislation in TDM

• Specific laws impacting TDM in Chile

Evidence-based medicine

2

• Impact of scientific evidence in TDM

• How to evaluate the quality of systematic reviews

• How to evaluate the quality of clinical practice guidelines

Treatment costs

1

• Impact of costs of treatments and cost-effectiveness in TDM

• Costs in health interventions

• Measures to evaluate the impact of costs of medical decisions

Ethics

1

• Ethics in TDM

• Conflicts of interest

• Euthanasia

• Limitation of therapeutic effort

Course of illness

1

• Impact of the course of illness and prognosis of medical disorders in TDM

• Considering comorbidities in TDM

• Estimating patient prognosis

• Using prognostic scores

Personal cognitions and biases

2

• Cognitions and heuristics in decision-making

• Impact of personal emotions and preferences in decision-making

• Unconscious bias

• Strategies to minimize the negative impact of emotions and unconscious bias in TDM

Patients' perspectives

1

• Impact of patient preferences in TDM

• Motivational interviewing strategies

• Barriers and strategies to integrate patient's preferences in TDM

Patient´s family and social context

1

• The impact of the patient's context in TDM

• Strategies to incorporate the patient's family and socioeconomic contexts in TDM

Patient-provider relationship

1

• Impact of patient-provider relationship in TDM

• Types of patient-provider relationships and their impact on TDM

• Shared decision making

• Strategies to stablish different types of relationship according to the clinical context