Both in Great Britain and the United States, shared decision making is a relatively new concept in medicine.1 ,2 The term describes a partnership between health care providers and patients, in which each contributes equally to decisions about different aspects of treatment. The importance of shared decision making varies, depending upon the amount of discretion that exists in a particular decision. The concept has been explored extensively in adult medicine, focusing on surgical procedures and other medical decisions associated with significant morbidity—such as mammography as an appropriate screen for breast cancer. In the US, the goal has been to produce decision aids, such as videos, that give patients information presented in a neutral fashion about risks and benefits of different options.3 For example, it remains unclear …