150 Addendum Appendix 2: Semi-structured interview guide and patient cases Interview guide: How would you define shared decision making? How should SDM be used ideally? - How do you use SDM in practice now? - When do you use SDM? - What are reasons for not using SDM in practice? Should there be more structural attention for SDM in training? To what extent should individual patient preferences or characteristics be addressed in… - Group meetings like the tumor board? - Group meetings before/after doctor-patient encounters? - Doctor/patient encounters? Why does de extent of attention for SDM differ between meetings/consultations? When do we pay more attention to patient preferences/opinions and when less? What do you do when a patient has a wish that is incomprehensible for you (differences in opinion between you and the patient)? In your opinion, what do you think of the way group meetings are handled at this time? - Do these group meetings influence the way you handle your patient consultations? Why is there no psychologist involved in your multi-disciplinary group meetings and/or patient workup? Patient cases Case 1 Case introduction: A 42-year-old patient is being referred with the suspicion of ovarian cancer. CT-scan shows enlarged adnexa right, suspect of a malignancy. No other findings described. Her previous history notes hypertension and diabetes. She had knee surgery last year. She is single. What would you, as her treating doctor, do in your patient workup and patient consultation and what would you advise to her?
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