We flow chart that out, using mapping software to produce what's called a consultation plan. Other studies have shown that patients often feel shy, confused, overwhelmed and sometimes defensive after being diagnosed with cancer. They often do not know what questions to ask doctors and this hampers collaborative decision making. Also, busy physicians often don't have the time or tools to discuss patients' fears and anxieties in depth, Aviv said. The consultation plan serves as a blueprint of what patients want to discuss during their medical consultation.
Physicians receive a copy of the plan ahead of time.
The second tool is consultation recording in which Aviv records, condenses and summarizes what is said during the meeting. She lists treatment options, any statistics that were discussed, possible side effects and consequences of each option. We set an agenda based on the consultation plan and what the physician wants to go over. We work through all the different issues based on the patient's history and what's going on with their case and lay out treatment options. Aviv facilitates the meeting, checking for understanding and identifying next steps in care based on the decisions patients and physicians reach together.