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Informed consent for research: current practices in academic emergency medicine
Edward Monico1, Gregory Luke Larkin, Linda Degutis
1Section of Emergency Medicine, Department of Surgery, Yale University, New Haven, CT, USA. Edward.Monico@Yale.edu
In academic emergency departments, on-duty staff often obtain research informed consent, raising concerns about patient understanding and compliance with federal guidelines for clinical research.
Area of Science:
- Medical Research Ethics
- Emergency Medicine
- Clinical Trials
Background:
- Emergency departments (EDs) present unique challenges for obtaining informed consent for research.
- Ensuring adequate informed consent is critical for ethical research conduct.
Purpose of the Study:
- To identify commonalities and differences in informed consent practices for research within academic EDs.
- To evaluate current procedures for obtaining informed consent in emergency medicine research.
Main Methods:
- An online survey was distributed to research directors at 142 academic emergency medicine (EM) residency training programs.
- Data were collected between July 1, 2006, and June 30, 2007.
Main Results:
- Seventy-one (50%) of the surveyed institutions responded.
- Nearly half (49.3%) of respondents indicated that EM residents obtain informed consent.
- Over 40% of institutions do not document resident knowledge of specific research protocols and consent procedures.
Conclusions:
- Academic EDs commonly utilize on-duty healthcare personnel for obtaining research informed consent.
- This reliance raises concerns about the adequacy of information provided to research subjects.
- Further investigation is required to ensure compliance with federal guidelines for research consent.
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