Over the last few weeks, I’ve spent a great deal of time engaging in thoughtful discussions about shared decision making (SDM) in a number of forums around the world. My travels began on the other side of the globe at the Australian Disease Management Association’s 8th Annual National Conference. This year’s theme was “Working Towards Integrated Chronic Disease Management”; topics of discussion included SDM, health literacy, evaluation, quality and safety, and consumer engagement. I had the opportunity to be part of a panel highlighting the quality imperative for involving patients in health care decisions though a SDM process. Closer to home, I was invited to participate in Kaiser Permanente’s Decision Making Summit, “Integrating Shared Decision Making Across the Continuum of Care.” Participants discussed how SDM could be implemented in different areas of care from prevention, to diagnosis and treatment, to palliative care. And most recently, I found myself in sunny Arizona at the 34th Annual Meeting of the Society for Medical Decision Making (SMDM). This event is always a treat for me, as it is an opportunity to see the results of the hard work of many of our colleagues.