Framework for teaching and learning informed shared decision making   Commentary: Competencies for informed shared decision making   Commentary: Proposals based on too many assumptions

leaflets for patients, Smith emphasised the time it takes to produce clear, unambiguous material that patients will use. In addition to following validated quality criteria, writers should take patients' information needs into account and be aware of how people will read what they have written. 21 22 This will require involving patients in developing and testing materials. 10 Before embarking on this lengthy process, however, a first step is to check if high quality information already exists.