Society for Medical Decision Making

Course Faculty:

Tatiana Barakshina, PhD Tatiana Barakshina is Managing Partner at Bazis Americas, a healthcare market research firm specializing in patient-centered insights. Her work focuses on decision heuristics and biases, clear health communication, health literacy, and shared decision making. She has led multinational qualitative studies for pharma and CROs, translating complex patient experiences into actionable evidence. Tatiana is a member of the Clear Health Communication Taskforce, an award-winning group of volunteer researchers, and a frequent presenter at Intellus Worldwide. She serves as a reviewer for Patient Education and Counseling and teaches at University of Illinois at ChIcago and at Loyola University, Chicago business schools.

LinkedIn: https://www.linkedin.com/in/tatiana-barakshina-5470593/

Kathrene (KD) Valentine, PhD Dr. Valentine is Research Staff with the Health Decision Sciences Center in the General Medicine Division at Massachusetts General Hospital. She is interested in shared decision making, risk communication, the validity of measurements of decision quality and patient preferences, and patient’s reactions to recommendations and guidelines. Her research program focuses on the application of insights from the psychological and quantitative sciences to create a better understanding of the formation, measurement, and influence of patient preferences in preference-sensitive decision contexts. Her training in decision sciences, risk communication, and quantitative and qualitative analytics, provides her with the unique perspective and methods to measure patient preferences and values, identify how and why these change over time, and how these influence decisions. She holds a Bachelor of Science in Psychology from Missouri State University, a Master of Science in Experimental Psychology from Missouri State University, a Doctorate of Philosophy in Quantitative Psychology from the University of Missouri, and completed a Postdoctoral Fellowship at the Health Decision Sciences Center in at Massachusetts General Hospital.

Format Requirements: The course involves presentation of information by lectures, demonstrations, and small and large group discussions. Attendees should expect to be actively involved in discussions of psychological phenomena as they relate to their clinical, teaching, or research interests. There are no prerequisites for this introductory course.

Background: This course introduces participants to psychological theory and empirical research related to making decisions in health and medicine. The psychology of decision making can be used to understand patient and physician behavior and to design behavioral and environmental interventions to improve diagnoses and optimize decision making.

Description and Objectives: This is one of the four core short courses of the permanent SMDM curriculum. The SMDM curriculum is a new initiative of the Society with the goal of having a set of introductory-level core courses in foundational aspects of medical decision making. This effort serves the core mission of the Society to educate its members in key content areas, including decision modeling, cost-effectiveness analysis, the psychology of medical decision making, and shared decision making.

The course will cover: 1) problems with decision making, 2) how the environment we operate in affects our decisions, 3) ways to address decision making errors, and 4) practical applications of the lessons from decision psychology. Along the way we will cover cognitive heuristics and their resulting biases, our ability to describe our decision processes and to learn from experience, environmental constraints on judgment, strategies for debiasing, and individual differences in our susceptibility to bias.

Objectives:

To understand patient and physician vulnerability to cognition-based errors.
To understand the influence of the social, institutional, and informational environment upon health-related decisions.
To develop approaches to support self-monitoring and improvement, as well as appropriate patient engagement in decision making, based on psychological theory.

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