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Pediatric Resident Preparedness and Educational Experiences With Informed Consent
Andrew S Nickels1, Jon C Tilburt2, Lainie Friedman Ross3
1Departments of Medicine and Pediatrics, and Center for Biomedical Ethics and Society, Vanderbilt University Medical Center, Nashville, Tenn.
Academic Pediatrics
|October 14, 2015
Summary
Pediatric residents often lack confidence in discussing informed consent for procedures, highlighting a need for improved medical education. Many residents also obtain consent for procedures where they are not actively involved.
Area of Science:
- Pediatric Medicine
- Medical Education
- Bioethics
Background:
- Informed consent is crucial for optimal patient care.
- Limited data exists on pediatric residents' experiences with informed consent discussions.
Purpose of the Study:
- To assess pediatric residents' experiences, comfort levels, and educational exposure to informed consent.
- To evaluate resident preparedness in discussing benefits and risks of common pediatric procedures.
Main Methods:
- An electronic survey was distributed to a random selection of pediatric residents.
- The survey focused on consent practices for five common pediatric procedures/situations.
- 622 active categorical pediatric residents' responses were analyzed.
Main Results:
- Nearly all residents (99%) recognized the importance of informed consent.
- While consent was frequently obtained for lumbar punctures and blood products, intubation consent was lower (27.6%).
- A significant percentage of residents felt unprepared to discuss procedure benefits (1-23%) and risks (2-31%), particularly risks.
Conclusions:
- Many pediatric residents lack comfort discussing key aspects of informed consent.
- Some residents participate in obtaining consent for procedures outside their expected involvement.
- Educational strategies must be developed to enhance resident training in informed consent.
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