This paper presents a novel pedagogical framework aimed at integrating shared decision-making (SDM) into undergraduate oncology education, highlighting its importance in the face of modern healthcare’s complexity and patient-centered approach. The framework, based on a systematic literature review and educational theories, outlines twelve strategic approaches to equip future physicians with the skills for clinical excellence and effective patient collaboration. Key components include real-world clinical experience, role-playing, case studies, decision aids, communication skill development, ethical deliberation, cultural competence, patient narratives, and evidence-based decision-making. It also emphasizes the role of digital tools in SDM, reflecting the technological advancements in healthcare. Challenges such as curricular constraints and the need for educator training are acknowledged, with a call for ongoing evaluation and adaptation of the framework. This comprehensive approach aims to improve oncological care quality and prepare students for a healthcare environment where patient participation in decision-making is crucial.