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Related Experiment Video

Updated: Aug 30, 2025

E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
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How Informed Is Your Informed Consent: Evaluating Differences Between Resident and Attending Obtained Consents for

Kathleen E Singer1, Jennifer E Baker1, Nora C Elson1

  • 1Department of General Surgery, University of Cincinnati, Cincinnati, Ohio.

Journal of Surgical Education
|August 27, 2022
PubMed
Summary

Surgical residents included more potential complications in cholecystectomy informed consent forms than attending surgeons. This variability highlights a need for improved education on informed consent content for all providers.

Keywords:
cholecystectomyinformed consentmedical ethicsresident education

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Area of Science:

  • Surgical Education
  • Informed Consent
  • Patient Safety

Background:

  • Informed consent variability exists among surgeons, especially trainees.
  • The content of surgical consents for cholecystectomy (gallbladder removal) differs between residents and attending surgeons.

Approach:

  • A retrospective analysis of 334 cholecystectomy patient records was performed.
  • Consents were evaluated for specific procedure details and potential complications, comparing documentation by residents versus attendings.

Key Points:

  • Residents were more likely than attendings to include details on bile duct injury, intraoperative cholangiogram, nearby structure injury, reoperation, and bile leak in consents.
  • A significant portion of consents lacked specific details, such as intraoperative cholangiogram (53%) and bile leak (81%).

Conclusions:

  • Resident surgeons document more potential complications in cholecystectomy consents than attending surgeons.
  • Surgical experience does not correlate with the comprehensiveness of informed consent documentation.
  • Standardized education on informed consent content is recommended to reduce variability.