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Endoscopic Cholesteatoma Surgery
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From whom do physicians obtain consent for surgery?

Zahra Jarayedi1, Fariba Asghari2

  • 1Department of Gynecology, Golestan University of Medical Sciences, Gorgan, The Islamic Republic of Iran.

Journal of Medical Ethics
|March 8, 2018
PubMed
Summary

Surgical residents demonstrate average knowledge of informed consent but frequently fail to obtain it directly from female patients. This practice infringes upon patient autonomy, particularly for women, whose treatment decisions are often made by family members.

Keywords:
decision makerinformed consentknowledgepracticeresidents

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Area of Science:

  • Medical Ethics
  • Surgical Education

Background:

  • Informed consent is a cornerstone of ethical medical practice, ensuring patient autonomy in treatment decisions.
  • Understanding surgical residents' knowledge and adherence to informed consent principles is crucial for upholding patient rights.

Purpose of the Study:

  • To assess surgical residents' knowledge and practical application of informed consent procedures.
  • To identify discrepancies between residents' understanding and actual practice regarding consent acquisition from diverse patient populations.

Main Methods:

  • A 2013 cross-sectional study surveyed residents from urology, surgery, orthopaedics, and gynaecology at Tehran and Iran University of Medical Sciences.
  • A self-administered questionnaire evaluated knowledge and performance concerning informed consent from patients with varying age, sex, marital status, and decision-making capacity.

Main Results:

  • The study included 213 residents with a mean knowledge score of 72.95%.
  • No significant correlation was found between residents' knowledge and performance.
  • While 98.2% knew consent from a competent married male patient was sufficient, only 63.6% obtained it solely from him. For competent married females, these figures were 69% and 19.7%, respectively.

Conclusions:

  • Surgical residents possess adequate knowledge of patient autonomy but do not consistently apply it in practice.
  • Female patients' autonomy is frequently disregarded, with consent often sought from family members instead of the patients themselves.