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Adherence to a national consensus statement on informed consent: medical students' experience of obtaining informed
Harsh Bhoopatkar1, Carlos Frederico Confort Campos2, Phillipa Jean Malpas3
1Director, Clinical Skills Centre, Faculty of Medical and Health Sciences, The University of Auckland, Auckland.
Aim:
To determine whether the guidance from the New Zealand medical programmes' national consensus statement on obtaining informed consent from patients for sensitive examinations are being met, and to explore medical students' experience of obtaining consent.
Method:
A self-reported, online, anonymous questionnaire was developed. Data were collected in the period just after graduation from final year medical students at The University of Auckland in 2019.
Results:
The response rate was 35% (93/265). Most students reported that they were "not always compliant" with the national consensus statement for obtaining informed consent for almost all sensitive examinations. The main exception was for the female pelvic examination (not in labour) under anaesthesia, where most students reported being "always compliant". We identified factors related to students, supervisors, institution, and the learning context as reasons for lack of compliance.
Conclusion:
Adherence to the national consensus statement on obtaining informed consent for sensitive examinations is unsatisfactory. The medical programme needs to review the reasons for lapses in implementing the policy in practice, to ensure a safe learning environment for patients and our students.
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