The universal GP Training website for everyone, not just Bradford.   Created in 2002 by Dr Ramesh Mehay

Consultation Skills

Skills for Explaining Risk

Explaining risk is not easy!

Explaining and conveying the level of risk to a patient is not easy.  But it’s something that has to be done frequently by doctors because not much we do can be done with 100% accuracy, reliability or validity.  Some patient’s trust us to make decisions for them, but helping explain risk to a patient and their view thereafter will help us make joint decisions that are truly more suited to the patient.  

Quick Tips for Explaining Risk

When explaining the risk of something…

  • Avoid using terms like common or rare
  • Avoid using %; instead, put the figures in context
    –1 in 100 rather than 1%
    –1 person in a town like Warwick rather than 1 in 30000
    – Instead of saying 5% risk…  1 in 20 chance
    – Instead of saying 5% risk…  5 out of 100 people like you
    – Instead of saying 5% risk…  5 out of 100 ways things may turn out for you
    – Many people think a risk of 1:25 is greater than 4:100; those people tend to be less interested in shared-care / informed-choice
  • Use picture diagrams (pictographs) to help – like the Cates Plot diagrams (weblink above)
  • Use simple tables, charts or infographics to display the risk in an easy to understand fashion (reading age 12)

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