Table 2 Structure and learning objectives of the SDM^MCC training (final prototype)

Knows

Part 1: knowing (knowledge)

− What does the geriatrician already know, do and feel about SDM? (background, prejudices, pseudo-participation, how you feel about the subject).

− Introduction to SDM (general model, complexity of older adults with MCC, legal capacity/cognition/decision capacity, views of life and expectations/goals, role of informal caregivers)

Knows how

Part 2: knowing how (to use knowledge)

− Introduction steps of ‘Dynamic model of SDM with frail older patients’. (discuss for each step how to handle it, examples, discuss decision aids that patients or geriatricians have used)

− Introduction of preparatory tool for patients and informal caregivers

− Discussion of cases (CVA, Parkinson’s, falls)

Shows how

Part 3: showing how (acting in a simulated environment)

− Role-play is used to apply the learned skills with a professional training actor: introducing and practising own case studies of geriatricians

Does

Part 4: doing (acting in everyday practice)

− ‘Coaching on the job’: geriatricians got feedback from the trainer on a videotaped consultation of their daily routine practice.

Knowledge

− The participants have insight into the concept of SDM with older adults with MCC and informal caregivers. The participants have knowledge of the ‘Dynamic model of SDM with frail older patients’.

− The participants know how to apply this model in different situations and how to involve patients and informal caregivers.

Skills

− The participants gained practical skills to apply the model by practicing it with each other and with a professional training actor

− The participants apply the model in daily clinical practice

Attitude

− The participants have insight into their own behaviors and attitudes towards this subject.

− The participants have a positive attitude towards SDM with older adults with MCC and can describe the benefits.