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To provide an overview of key points and helpful tips related to engaging learners in different medical education settings, including the virtual education environment.Searches were conducted in PubMed and Google Scholar for articles and review papers on the topic of medical education.There was a focus on articles that reviewed best practices on a variety of topics related to medical education.Medical education is a critical part of any students' or trainees' educational curriculum or training program. There are different settings where medical education is provided, and both general and type-specific best practices can be considered. Those who spend time in medical education are continuously working on innovative ideas to enhance and improve how educators teach in both large and small group settings. More recently, the presenter must also consider whether the event will occur in a live or virtual setting as e-learning has become more popular and at times required, which has both benefits and challenges in medical education.It is the responsibility of all those who work in medical education to provide interactive and engaging education to learners at all levels of training.

Background Shared decision making (SDM) is the process through which patients and their medical provider mutually explore therapy goals, risk/benefit, and treatment options regarding medical care. Decision aids are tools that aid in the process of values clarification and help assess decisional needs and potential decisional conflicts. Objective To develop and assess acceptability of a decision aid for commercial peanut allergy therapies. Methods The creation of this decision aid occurred in 3 stages, including a qualitative study to assess decisional needs, development of a draft decision aid through multiple iterations in accordance with international guidelines and decision aid experts, and assessment of decisional acceptability, decisional conflict, and decisional self-efficacy related to using the decision aid. Results The decision aid went through 9 iterations, resulting in a 4-page aid with 7 parts, explaining the therapies, key risks and benefits of therapy choices, relative importance of key attributes of the therapies, and a self-check assessment regarding informational adequacy and how to take the next steps. A total of 24 subjects assessed the decision aid, noting it had good acceptability, high decisional self-efficacy (mean score 91.9/100), and low decisional conflict (mean score 20.2/100). Respondents rated the information content as adequate and sufficient and the information regarding the therapy choices as fair and balanced without a clear bias or presenting a “best choice.” Conclusion We have developed this decision aid as a tool to help caregivers navigate the complexity of decision making for peanut allergy treatment options. The decision aid was noted to have good acceptability, with scores reflective of the instrument enhancing decisional self-efficacy and reducing decisional conflict.