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Montgomery in, Bolam out: are trainee surgeons 'material risks' when taking consent for cataract surgery?
M Omar Qadir1, Yusuf Abdallah1, Helen Mulholland2
1Victoria Eye Unit, Hereford County Hospital, Union Walk, Hereford, HR1 2ER, UK.
Eye (London, England)
|February 6, 2020
Summary
Patient consent for cataract surgery must disclose trainee involvement as a material risk. This is due to UK law changes and public National Cataract Dataset results, impacting ophthalmic surgeon training.
Area of Science:
- Ophthalmology
- Medical Law
- Surgical Training
Background:
- Trainee involvement in cataract surgery is essential for surgical education.
- Recent UK legal reforms and public reporting of National Cataract Dataset outcomes necessitate a re-evaluation of patient consent.
- The status of a trainee surgeon may now constitute a material risk requiring disclosure.
Purpose of the Study:
- To assess UK trainee surgeons' opinions on disclosing their involvement in cataract surgery.
- To analyze the legal implications of trainee participation in ophthalmic procedures.
- To advocate for updated consent practices in UK cataract surgery.
Main Methods:
- A questionnaire was distributed to current trainee surgeons in the UK.
- Clinical negligence counsel contributed to the paper's authorship.
- Legal analysis of consent requirements for trainee-involved surgeries was conducted.
Main Results:
- Survey results indicated a need for revised consent procedures.
- Legal counsel confirmed the potential risks associated with trainee involvement.
- The study highlights a gap between current practices and legal/ethical requirements.
Conclusions:
- Current attitudes towards patient consent for trainee involvement in cataract surgery require significant change.
- Disclosure of trainee status during the consent process is recommended.
- Ensuring informed consent protects both patients and trainees in ophthalmic surgery.
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