This session focuses on developing skills to engage in Shared Decision Making(SDM) conversations with patients to negotiate their treatment planning. Shared decision making(SDM) is usually defined as conversations physicians have with their patients reviewing relevant evidence from the scientific literature and then sharing in the decision making based on the evidence. This was the original conception of EBM here at McMaster, Dept. of Medicine envisioned by Dr. David Sackett and continued by Dr. Gordon Guyatt. At the McMaster MD program; and in the Professional Competencies curriculum, we build on their rich legacy recognizing that any encounter with our patients will also draw heavily on ethical decision making, anti-oppressive practices, self-awareness/reflection and effective communication skills. Shared Decision Making(SDM) is a complex skill that evolves with lifelong learning and practice across the Clerkship and beyond into the Postgrad. Here our goal is only to provide a survey of some of the relevant literature surrounding SDM, summarize some underlying principles and begin practicing with simulated cases in the Large Group Session and Small Group Sessions.