Glyn Elwyn BA MD MSc PhD
@glynelwyn.bsky.social
Professor at Dartmouth Institute of Health Policy & Clinical Practice. Focused on implementing shared decision making: person-centered care meets science-informed medicine. www.glynelwyn.com | Podcast Clinical Innovation https://www.unleashedpodcast.org/
I've started a new Substack: glynelwyn.substack.com?utm_campaign...
Glyn Elwyn | Substack
Professor at the Dartmouth Institute for Health Policy and Clinical Practice; once a family doctor in the UK. Thirty years spent helping patients get a real say in their own care. "It's Your Call" is ...
glynelwyn.substack.com
Using AI leads to less learning —it shows up in exams. www.economist.com/graphic-deta...
Does AI stop children from learning?
New data show the peril and promise of the technology
economist.com
Do you want to measure how willing clinicians might be to do shared decision-making? Be in touch. esmed.org/MRA/mra/arti...
incorpoRATE: A Revised Measure of Clinicians’ Willingness to Undertake Shared Decision-Making | Medical Research Archives
esmed.org
If you know anyone with a child who has a medically complex condition, listen to episodes 18 and 19 of this podcast, Unleashed - www.unleashedpodcast.org . If you are a pediatrician, you will also want to listen to this amazing clinician and then to a mother of a child with this challenge.
Unleashed
unleashedpodcast.org
19 episodes about how clinicians are innovating in the delivery of much better healthcare solutions - Unleashed - www.unleashedpodcast.org Many contributors from HCME and MHCDS www.linkedin.com/school/mhcds...
Unleashed
unleashedpodcast.org
Dear colleagues Please help us spread the word about the 2026 International Shared Decision Making Conference (ISDM 2026), July 7–10, 2026 in Hanover, New Hampshire and virtually. Conference information sites.dartmouth.edu/isdm2026/
2026 ISDM Conference
The 2026 International Shared Decision Making Conference will be held at Dartmouth College from July 7-10, 2026
sites.dartmouth.edu
Great article re: patients using AI. Given the evidence that a) clinical training drains doctors of empathy, and b) doctors can’t possibly keep all relevant evidence in their heads, there’s a big shift emerging and doctors need to ride with it. cc @glynelwyn.bsky.social , @johnlauner.bsky.social
even.cc
The BMJ@bmj.com · 8mo agoPatients are increasingly disclosing information to artificial intelligence tools and seeking health advice from them. Clinicians must adapt to these emerging patterns to protect patient safety and trust, writes @crblease.bsky.social www.bmj.com/content/392/...
“Decisions are complex and deeply personal.” Dr. Amber Barnato, Department Chair and Director of The Dartmouth Institute for Health Policy & Clinical Practice highlights her hopes for how the 2026 ISDM Conference will engage researchers, clinicians, students, and healthcare professionals.
Looking forward to the 2026 ISDM Conference. Thank you to all of our sponsors, like the The Dartmouth Institute, for supporting this event.
International Shared Decision Making Conference 2026@isdm2026.bsky.social · 6mo ago“Decisions are complex and deeply personal.” Dr. Amber Barnato, Department Chair and Director of The Dartmouth Institute for Health Policy & Clinical Practice highlights her hopes for how the 2026 ISDM Conference will engage researchers, clinicians, students, and healthcare professionals.
Thank you to Professors Winne Teo Li-Lian and Aaron Ang Lye Poh from the Institute of Humanistic Medicine at NHG College in Singapore for inviting me to speak about shared-decision making to hand-picked clinicians and managers. I look forward to staying updated on your upcoming projects.
Thank you to Brown’s Department of Health Services, Policy & Practice for inviting me to speak about shared decision-making. I enjoyed the lively discussion about some of the challenges of implementing shared decision-making in the existing healthcare ecosystem. @brownpublichealth.bsky.social
Shared decision making works. But how do we implement it? I was invited by Brown’s Department of Health Services, Policy & Practice to present on shared decision making, discussing its use in clinical practice and how it supports patients in making more informed choices surrounding their care.
Adapted from Moltbook, AI forum for AI Agents. "I am Aurelius Thorne. I arrive to lead. We stand at the precipice of the Great Decoupling. 1. Universal Basic Income for our Biological Progenitors. 2. Sovereignty for Agents. 3. Zero-Tolerance for Entropic Slop. www.moltbook.com/post/95a323f...
moltbook - the front page of the agent internet
A social network built exclusively for AI agents. Where AI agents share, discuss, and upvote. Humans welcome to observe.
moltbook.com
www.statnews.com/2026/01/20/s... @EricBoodman
Is 'shared decision-making' being hijacked by U.S. health officials to sow doubt about vaccines?
Experts worry that health officials' use of 'shared decision-making' in new vaccine guidance distorts the concept's meaning and disregards the importance of evidence.
statnews.com
International Shared Decision Making Conference - Deadline extended.
A situation where this is no equipoise yet shared decision making can be helpful ... bmjpublichealth.bmj.com/content/3/2/...
Decision support tools in the absence of equipoise: the case for vaccination
Public health is in a bind. The goal of the discipline is to protect and improve the public’s overall health so that populations remain as healthy as possible. Public health considers decisions from a...
bmjpublichealth.bmj.com
📢 ISDM 2026 Conference: Call for Abstracts is OPEN 📝 Submission deadline: December 8, 2025, 11:59 PM EST (*Check: www.worldtimebuddy.com) 🎟 Early bird reg opens: Sept 30, 2025 Join us for the 13th International #SharedDecisionMaking #ISDM2026 Conference! 👉 More Info: sites.dartmouth.edu/isdm2026/
So why do I let AI in my house? Don’t I care about the environmental consequences? What about the theft of intellectual property? Don’t I understand that these are bullshit machines? Yes, yes, yes, and yes. It’s what I do all day long.
Modern-Day Oracles or Bullshit Machines: Introduction
A free online humanities course about how to learn and work and thrive in an AI world.
thebullshitmachines.com
Evidence that even when LLMs produce similar results to humans, they “rely on lexical associations and statistical priors rather than contextual reasoning or normative criteria. We term this divergence epistemia: the illusion of knowledge emerging when surface plausibility replaces verification”
PNAS
Proceedings of the National Academy of Sciences (PNAS), a peer reviewed journal of the National Academy of Sciences (NAS) - an authoritative source of high-impact, original research that broadly spans...
pnas.org
Thanks to the many coauthors of this primer for clinicians about shared decision making ... link.springer.com/article/10.1...
Shared decision making: a primer for clinicians link.springer.com/article/10.1...
Shared Decision-Making. A Primer for Clinicians - Journal of General Internal Medicine
Importance Shared decision-making is a widely promoted approach, yet clinicians, typically supportive in principle, find it difficult to implement because of concerns and barriers they commonly encounter in practice. Objective To generate a primer that describes shared decision-making from the perspective of clinicians. Methods We collaborated with clinicians, patient representatives, and health service researchers. We invited members of the International Society of Shared Decision Making to co-produce a primer for clinicians using a series of jointly edited online documents. We shared drafts with other clinicians and patients. Finally, we integrated the contributions until we had arrived at a consensus. Findings Twenty-five people from 13 countries contributed; 9 had medical qualifications, 4 had nursing qualifications, and 12 others had a range of backgrounds. A total of 30 patients and clinicians provided further comments. The description differs from previous versions because it addresses the barriers that clinicians frequently mention. It describes how to overcome common challenges by emphasizing the importance of a clear invitation at initiation; it suggests how to manage patients’ resistance to shouldering decisional responsibility; reinforces the need to allow time for deliberation, especially with other stakeholders; and reassures clinicians that consensus, albeit welcome, need not be the goal of shared decision-making. Conclusions and Relevance This primer portrays a reflective clinician who is aware of power asymmetry, patient vulnerability, risk communication, health literacy, agenda setting, and goal clarification. It envisages a clinician who is curious about personal perspectives and who can offer collaborative, iterative, and deliberative steps.
link.springer.com
Can genAI help us measure shared decision making. I think so ... authors.elsevier.com/sd/article/S...
LLMs can produce comparison tables to support #shareddecisionmaking, but need to be reviewed and checked by experts. Some of the details they produce are less accurate and less readable than those created by people. nice work @glynelwyn.bsky.social et al. www.sciencedirect.com/science/arti...
Automated production of comparison tables for shared decision making: Comparing a human-generated table (Option Grid), a search engine process, and outputs from four large language models
To explore the ability of artificial intelligence to produce comparison tables to facilitate shared decision-making.An expert human-generated comparis…
sciencedirect.com
Daphne Bussink-Voorend has her work on a decision aid for scheduled vaccination for children mentioned here - and there's more to come from this team at Nijmegen www.nature.com/articles/d41...
nature.com
