Additional SFDC Program: Medical Decision Making
Between 1986 and 1999, four to six medical faculty per year were trained as Medical Decision Making (MDM) seminar facilitators. The 1-month, facilitator-training course provided participants with the background knowledge and seminar leadership skills they needed to deliver a series of 2-hour seminars to their colleagues and residents. The MDM curriculum covered the following concepts: Overview & Probability Assessment, Evaluating Test Performance, Calculating Posttest Probability, Decision Trees, Assessing Patient Preference, Threshold Model, and Cost-Effectiveness Analysis.
The seminars were designed to instruct faculty and residents in basic MDM concepts and techniques, and on ways these medical teachers could pass this information on to medical trainees during clinical teaching interactions. The seminars were consistently well received. Evaluations showed that both faculty and resident participants found the seminars highly useful and would recommend them to others. The faculty trained at Stanford were given high ratings as seminar leaders. Through the years, participants reported that 70-80% of the material was "new." The impact on participants' knowledge, attitudes, and skills was positive, including: significant gains in knowledge of MDM concepts; significant increases in self-reported ability to perform MDM tasks; and significant increases in reported inclusion of MDM topics when teaching housestaff.
Program Faculty (1986-99):
Harold Sox, Jr., MD; Douglas Owens, MD; Merlynn Bergen, PhD; and MDM program alumni
List of Trained MDM Facilitators
| 46 Institutions | 58 Facilitators | Year |
| Baystate Medical Center, Springfield, MA | Andre Midgette | 1988 |
| Case Western Reserve, Cleveland, OH | Richard Bailey | 1998 |
| Duke University, Durham, NC | Lia Logio | 1997 |
| East Carolina University, Greenville, NC | Harry Adams Deborah Proctor |
1995 1996 |
| Highland General Hospital, Oakland, CA | Roger Peeks | 1993 |
| Kawasaki University, Okayama, JAPAN | Nobutaro Ban | 1995 |
| Keesler USAF Medical Center, Biloxi, MS | Diane Clarke | 1990 |
| Letterman Army Med Center, Presidio of San Francisco, CA | Nick Ninos Roscoe Whitaker |
1986 1986 |
| Louisiana State University, Baton Rouge, LA | Anne Whitehurst | 1993 |
| Medical College of Wisconsin, Milwaukee, WI | Gustavo Heudebert | 1990 |
| Nagoya University School of Medicine, Nagoya, JAPAN | Katsuo Yamanaka | 1999 |
| National Yang-Ming University, Taipai, TAIWAN | Benjamin Kuo | 1999 |
| Naval Medical Center Portsmouth, VA | Ann Yoshihashi | 1996 |
| Naval Medical Center San Diego, CA | Patricia Pepper | 1997 |
| New York University School of Medicine, NY, NY | Anne Dembitzer | 1994 |
| Northwestern University, Chicago, IL | Robert Golub | 1987 |
| Oregon Health Sciences University, Portland, OR | David Nardone | 1986 |
| Oxford University, Oxford, ENGLAND | David Lawrence | 1995 |
| Santa Clara Valley Medical Center, San Jose, CA | Thomas Kelsey | 1986 |
| Stanford University | Jonathan Schapiro James Hallenbeck |
1996 1992 |
| Lucile Salter Packard Children's Hospital | Ted Sectish Neyssa Marina |
1994 1997 |
| SUNY Stony Brook | Lawrence Smith Joanne Holland |
1994 1996 |
| Uniformed Services Univ. of the Health Sciences, Bethesda, MD | Jerome Herbers | 1987 |
| University of Alabama, Birmingham, AL | Stuart Cohen | 1999 |
| University of Arizona, Tucson, AZ | Lisa Kaufmann | 1991 |
| University of Buenos Aires, ARGENTINA | Jorge Lantos Raul Ceitlin |
1992 1998 |
| University of California, Davis, CA | Glen Lillington Sonia Sutherland |
1987 1999 |
| University of California, Los Angeles, CA | Scott Votey Jofel Magadia Yan Maga Jackson |
1992 1996 1991 |
| University of California, San Diego, CA | Timothy Dresselhaus | 1993 |
| University of California, San Francisco, CA | Judith Walsh Clarence Braddock, III |
1998 1992 |
| University of Florence, Florence, ITALY | Marisa Di Donato | 1997 |
| University of Iowa, Iowa City, IA | George Bergus Ellen Gordon |
1992 1998 |
| University of Lleida, Lleida, SPAIN | Jesus Montoliu | 1995 |
| University of Minnesota, Minneapolis, MN | Wesley Miller | 1999 |
| University of Missouri-Kansas City, MO | Diane Harper | 1994 |
| University of Nevada, Reno, NV | Steven Zell | 1994 |
| University of New Mexico/ Albuquerque VAMC, NM | Alan Halperin | 1993 |
| University of Oklahoma , Tulsa , OK | David Potts | 1990 |
| University of Ottawa, CANADA | John Henderson | 1988 |
| University of Texas Medical Branch, Galveston, TX | Thomas Blackwell Clarence Jernigan |
1987 1991 |
| University of Texas, San Antonio, TX | John Sawyer | 1988 |
| University of Wisconsin Medical School, Milwaukee, WI | Virginia Gennis | 1988 |
| Wayne State University, Detroit, MI | Paul Werner | 1994 |
| West Virginia University, Morgantown, WVa | Herbert Ward | 1991 |
| Wright-Patterson Air Force Medical Center, OH | Steve McDonald | 1988 |
| Yale University School of Medicine, New Haven, CT | Sue Goldie | 1995 |