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Related Experiment Videos

Residents seeking informed consent: Are they adequately knowledgeable?

Peter Angelos1, Debra A DaRosa, David Bentram

  • 1Department of Surgery, Northwestern University Medical School, Chicago, Illinois, USA.

Current Surgery
|August 12, 2005
PubMed
Summary
This summary is machine-generated.

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First-year surgical residents often lack knowledge of risks, benefits, and alternatives for common procedures, and struggle to answer patient questions during informed consent. Enhanced training is crucial for surgical education.

Area of Science:

  • Medical Education
  • Surgical Training
  • Patient Safety

Background:

  • Informed consent is a critical ethical and legal component of patient care.
  • First-year surgical residents are frequently involved in obtaining informed consent.
  • The adequacy of resident preparation for this role requires evaluation.

Purpose of the Study:

  • To assess the preparedness of first-year surgical residents in obtaining informed consent.
  • To determine resident knowledge of risks, benefits, and alternatives for common surgical procedures.
  • To evaluate residents' ability to answer patient-posed questions regarding surgical interventions.

Main Methods:

  • Eighteen first-year surgical residents were surveyed.
  • Residents listed risks, benefits, and alternatives for five common procedures (inguinal hernia repair, cholecystectomy, thyroidectomy, esophagogastrectomy, aortic aneurysm repair).

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  • Residents answered potential patient questions; faculty validated responses.

    • Main Results:

    • Residents demonstrated limited ability to correctly identify all risks, benefits, and alternatives for any procedure.
    • Fewer than 50% of patient-related questions were answered accurately by residents.
    • Significant knowledge gaps exist among first-year residents regarding informed consent content.

    Conclusions:

    • First-year surgical residents often lack comprehensive understanding for informed consent.
    • Inadequate knowledge impacts the quality of information provided to patients.
    • Surgical faculty must enhance resident education on informed consent for key procedures.