A shared decision-making communications workshop improves internal medicine resident skill, risk-benefit education, and counseling attitude

•Shared decision-making is at the patient communication and education intersection.•First-year medicine residents have low baseline shared decision-making skills.•Objective Structured Clinical Examinations measure communication and education skill.•Communication and risk-benefit education improve with a single workshop intervention.•Attitude of decisional neutrality improves, but time and cognitive barriers remain in practice.