Redesigning Surgical Care to Support the Health Outcome Goals and Care Preferences for Older Adults: Better Conversations for Better Informed Consent

Awarded in 2025
Updated Sep 29, 2025

At a Glance

There is a strong connection between health literacy and health outcomes. Current informed consent practices may leave some patients feeling unheard and unprepared for surgery, contributing to poor health literacy. This project seeks to train surgeons at participating hospital systems to use Better Conversations, an evidence-based approach that helps patients and surgeons clearly discuss the goals and risks of surgery. This study will compare different training methods and explore ethical guidelines for future use of ambient artificial intelligence to support enhanced patient-surgeon communication. Findings will inform the expansion of Better Conversations as a statewide training program.

Collaborators: Karola Kreitmair, PhD, associate professor, Department of Medical History and Bioethics, UW–Madison; Kristine Kwekkeboom, PhD, RN, FAAN professor, School of Nursing, UW–Madison; Amir Ghaferi, MD, MSc, MBA, FACS, FASMBS, professor, Department of Surgery, Medical College of Wisconsin