Marriage of professional and technical tasks: a strategy to improve obtaining informed consent

American Journal of Surgery
Susan SteinemannKenric Murayama

Abstract

Education in obtaining informed consent, combined with technical training using a stepwise approach, may improve resident knowledge of, confidence in, and frequency of obtaining consent for bedside procedures. Surgical trainees were randomized to receive a lecture on obtaining informed consent. Knowledge of, confidence in, and frequency of obtaining consent were assessed. Subsequent first-year residents received combined technical and consent training using a stepwise approach. Residents listed key steps for procedures before and after training, were observed for consent and technical competency on patients, and were assessed on frequency of obtaining consent by follow-up chart review. Knowledge and confidence improved after lecture instruction, but consent rate (21%) did not. Stepwise training increased resident awareness of obtaining informed consent as a key step (19% to 77%) and increased frequency of obtaining consent (89% for proctored procedures and 79% in follow-up). Education alone improves knowledge but not practice of obtaining consent. Teaching the consent process concomitantly with technical training may increase awareness and performance of obtaining informed consent for bedside procedures.

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Citations

Apr 8, 2010·World Journal of Surgery·Wouter K G LeclercqGert-Jan van der Wilt
Jul 12, 2014·Journal of Surgical Education·Margaret R MoonJoseph A Carrese
Jan 4, 2012·Journal of the European Academy of Dermatology and Venereology : JEADV·G ZoccaliM Giuliani
Jul 30, 2015·Pediatric Emergency Care·Sandra P SpencerDaniel M Cohen
Jan 9, 2019·BMC Medical Ethics·Erminia AgozzinoFrancesco Attena
May 29, 2012·AORN Journal·Joanne Agnew, Diane Jorgensen
Sep 16, 2020·Journal of Surgical Education·Muneera R KapadiaAnna B Newcomb
Jun 11, 2021·BMC Medical Education·Daniel Zhihao HongLalit Kumar Radha Krishna

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