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Key Information in the New Common Rule: Can It Save Research Consent?
1Nancy M. P. King, J.D., is Professor in the Department of Social Sciences and Health Policy and the Institute for Regenerative Medicine at Wake Forest School of Medicine, and Co-Directer of the Graduate Program in Bioethics and the Center for Bioethics, Health, and Society at Wake Forest University, in Winston-Salem, NC. Her scholarly work addresses a range of bioethics issues, focusing principally on interesting and persistent uncertainties and controversies attendant upon the intersections and transitions between clinical research and medical care.
Informed consent in clinical research is essential but flawed. Recent "key information" requirements aim to improve subject decision-making, but achieving clarity faces regulatory hurdles.
Area of Science:
- Bioethics
- Clinical Research Regulation
Background:
- Informed consent is crucial for ethical clinical research but is widely considered ineffective.
- The Common Rule, governing human subjects research, has undergone its first major revision since 1991.
Purpose of the Study:
- To evaluate the impact of the new "key information" requirement on informed consent processes.
- To assess whether this regulatory change supports reasoned decision-making by research participants.
Main Methods:
- Analysis of the "key information" requirement within the revised Common Rule.
- Examination of the potential benefits and challenges of implementing this new consent standard.
Main Results:
- The "key information" requirement is a promising reform intended to enhance clarity and honesty in research disclosures.
- However, achieving these goals may be hindered by the current compliance-focused regulatory environment.
Conclusions:
- While the "key information" mandate encourages better communication, its effectiveness is challenged by regulatory complexities.
- Further efforts are needed to ensure informed consent truly supports participant autonomy and understanding in clinical research.
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