RT Book, Section A1 Kravitz, Richard L. A1 Street, Richard L. SR Print(0) ID 1181983276 T1 Strategies for Successful Clinical Negotiation T2 Understanding Clinical Negotiation YR 2021 FD 2021 PB McGraw Hill PP New York, NY SN 9781260462494 LK accessmedicine.mhmedical.com/content.aspx?aid=1181983276 RD 2024/03/29 AB Clinical Take-AwaysEffective clinical negotiation rests on understanding the patient’s concerns, developing realistic goals, and working collaboratively to achieve them. In this way, clinical negotiation overlaps with shared decision-making.The consumerist model of shared decision-making grants pre-eminence to patient preferences, while the clinical negotiation paradigm gives equal weight to professional expertise and experience.Clinicians should:Take a few moments to mentally prepare for each encounter.Allow the patient time to present their complete agenda.Develop a chronological understanding of the current illness.Conduct a focused physical examination, as the exam yields essential information, creates connection with the patient, and signals the clinician’s unique expertise.To better understand how the patient thinks about their illness, ask direct questions, show empathy, and pursue information uncovered in the history of present illness or suggested by the patient’s own statements.Generate a collaborative plan by summarizing what has been learned, suggesting a tentative course of action, asking for the patient’s input, integrating the patient’s feedback, and proposing a modified plan.Confirm shared understanding.