PIER and the Patient PIER provides users with: Guidance on keeping patients informed and facilitating shared decision-making Links to reliable patient educational materials on the Web A planned new Web site, PIER for Patients, that will mirror content already available to the provider Next Contents The information in PIER should never be used as a substitute for clinical judgment and does not represent an official position of ACP. PIER is copyrighted (c) 2009 by the American College of Physicians, 190 N. Independence Mall West, Philadelphia, PA 19106-1572, USA.