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Procedural-based Specialties Benefit from a Formal Informed Consent and Disclosures Educational Program.

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Formal training significantly improves resident confidence in obtaining informed consent and disclosing complications across various medical specialties. This enhanced training is valuable for all residents performing these critical tasks.

Keywords:
disclosure trainingeducational programinformed consent trainingresidencysimulation

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Area of Science:

  • Medical Education
  • Patient Safety
  • Surgical Training

Background:

  • Residents require formal training in informed consent and complication disclosure.
  • Previous studies showed benefits for surgical and emergency medicine residents.
  • The current study expands to more specialties and assesses complication disclosure training.

Purpose of the Study:

  • To evaluate the persistence of informed consent training benefits across diverse procedural specialties.
  • To determine the effectiveness of formal training in complication disclosure.
  • To assess resident confidence and comfort levels post-training.

Main Methods:

  • Retrospective cohort study of first-year residents from seven procedural specialties (2014-2020).
  • Training program included didactic lectures and simulations for informed consent and complication disclosure.
  • Pre- and post-surveys measured resident confidence and comfort, analyzed with signed-rank and Kruskal-Wallis tests.

Main Results:

  • Residents reported increased confidence in informed consent procedures (p=0.036) and comfort (p=0.041).
  • Significant improvements were noted in confidence (p=0.018) and comfort (p=0.001) for disclosing complications.
  • Surgical residents showed greater post-training confidence in both informed consent and complication disclosure compared to non-surgical residents (p<0.001).

Conclusions:

  • Formalized training enhances resident proficiency in informed consent and complication disclosure.
  • The training program demonstrates value across multiple procedural-based medical specialties.
  • This structured approach is essential for preparing residents for critical patient communication tasks.