2021 Breast Cancer Screening Shared Decision Making (SDM) Performance Improvement Project


Shared Decision Making (SDM) is a communication strategy that engages the patient in a decision and prioritizes patient values in the decision-making process. SDM is particularly important for clinical preventive services when patients are often unaware of the benefits and potential harms of screening tests, such as cancer screening. SDM improves the clinician-patient relationship, decreases decisional conflict, and increases patient’s knowledge about the clinical situation. SDM is recognized as an important tenet of patient-centered care and is recommended by the U.S. Preventive Services Task Force (USPSTF) as a key component in counseling women in their 40s about whether or not to obtain mammography screening for breast cancer.

Primary care clinicians do not have the tools or specific communication training to support shared decision making in breast cancer screening for women in their 40s. We wish to improve Shared Decision Making knowledge, communication skills, confidence, and use of tools and resources by our primary care clinicians.


Hoffman RM, Elmore JG, Fairfield KM, Gerstein BS, Levin CA, Pignone MP. Lack of shared decision making in cancer screening discussions: results from a national survey. Am J Prev Med, 2014. 47(3):251-9.

Ersek JL, Eberth JM, McDonnell KK, Strayer SM, Sercy E, Cartmell KB, Friedman DB. Knowledge of, attitudes toward, and use of low-dose computed tomography for lung cancer screening among family physicians. Cancer. 2016; 122(15):2324-2331.

Keevil J, Leaf M, Zelenski A. Patient Survey Results After Use of Integrated EHR Decision Tool. PS3-22, presented at 37th Annual Meeting of the Society for Medical Decision Making, October 18-21, 2015. 

Stacey  D, Légaré  F, Lewis  K, Barry  MJ, Bennett  CL, Eden  KB, Holmes‐Rovner  M, Llewellyn‐Thomas  H, Lyddiatt  A, Thomson  R, Trevena  L. Decision aids for people facing health treatment or screening decisions. Cochrane Database of Systematic Reviews 2017, Issue 4. Art. No.: CD001431. DOI: 10.1002/14651858.CD001431.pub5.

Course summary
Available credit: 
  • 20.00 AMA PRA Category 1 Credit
  • 20.00 ANCC Contact Hours
  • 20.00 University of Wisconsin–Madison Continuing Education Hours
    • 20.00 Approved for AMA PRA Category 1 Credit™
Registration opens: 
Course expires: 
Discloser List CME Internal Report

Accreditation Statement

Jointly Accredited Provider LogoIn support of improving patient care, the University of Wisconsin–Madison ICEP is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC) to provide continuing education for the healthcare team.

Credit Designation Statements

American Medical Association (AMA)

The University of Wisconsin–Madison ICEP designates this PI CME activity for a maximum of 20 AMA PRA Category 1 Credits™.  Physicians should claim only the credit commensurate with the extent of their participation in the activity.

American Nurses Credentialing Center (ANCC)

The University of Wisconsin–Madison ICEP designates this PI CME activity for a maximum of 20 ANCC contact hours.  

Continuing Education Units

The University of Wisconsin–Madison ICEP, as a member of the University Professional & Continuing Education Association (UPCEA), authorizes this program for 2.0 continuing education units (CEUs) or 20 hours.

Available Credit

  • 20.00 AMA PRA Category 1 Credit
  • 20.00 ANCC Contact Hours
  • 20.00 University of Wisconsin–Madison Continuing Education Hours
    • 20.00 Approved for AMA PRA Category 1 Credit™


Please login or register to take this course.

You must be eligible to earn credit from the following boards to complete this project:

  • American Board of Family Medicine
  • American Board of Internal Medicine
  • American Board of Obstetrics & Gynecology
  • American Board of Surgery

Required Hardware/software

Free, current version of Edge, Firefox, Safari, or Chrome. Some older browsers and Internet Explorer could produce error messages or not display the content correctly. 

Free, current version of Adobe Acrobat Reader or other .pdf reader.

Microsoft Excel or other spreadsheet software that can open .xlsx files.