Guidelines should not recommend the type of decision-making for the medical encounter

Clinical practice guidelines (CPGs) often include a recommendation regarding how to approach a clinical encounter and which decision-making model should be used. The GRADE framework, a popular method for developing CPGs, suggests a paternalistic model when recommendations are "strong" and shared decision making (SDM) when recommendations are "weak". Tying the model of decision making and patient participation to the strength of a recommendation …