KLK3 and Familial prostate cancer: During the study, it was observed that TMC offers free monthly prostate cancer screenings [33, 34] and that some TMC clinicians routinely ordered the PSA test before a medical encounter, so, during the medical encounter, they focused the conversation on the results of the pre-ordered test, instead of the discussion about participants’ risks, values, and preferences of being screened, which may hamper the application of the SDM process during the medical encounter.