Through an online survey involving four countries - Canada, the United States, the Netherlands and the United Kingdom - the authors assessed the attitudes, knowledge and experiences of medical students with shared decision making (SDM). The average knowledge score of SDM was 83.6%. US students had the highest knowledge scores. The average risk communication score was 57.4%. Knowledge did not vary with age, race, gender, school or grade. Attitudes were positive, except that 46% thought SDM could only happen with more educated patients and 80.9% disagreed that physician remuneration should be linked to SDM performance. In conclusion, knowledge of SDM is high among medical students in the four countries. Risk communication is less well understood. Attitudes indicate that further research is needed to understand how medical schools deliver and integrate SDM training into existing programs. Read the article here.