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Measuring Impact of Simulation-Based Informed Consent Training on Surgical Intern's Long-Term Confidence
Gwyneth A Sullivan1, Kelly Harmon1, Genevieve F Gill-Wiehl1
1Department of Surgery, Rush University Medical Center, Chicago, Illinois.
Journal of Surgical Education
|March 26, 2023
Summary
A training program improved surgical interns' confidence in obtaining informed consent. This program, incorporating didactics and patient encounters, was well-received and may enhance long-term physician confidence.
Area of Science:
- Medical Education
- Surgical Training
- Informed Consent
Background:
- Physician confidence in obtaining informed consent is crucial for patient care.
- Existing training programs may not adequately prepare surgical interns for this complex communication task.
Purpose of the Study:
- To evaluate the long-term impact of a novel training program on surgical interns' confidence in obtaining informed consent.
- To assess attending physicians' confidence in interns' informed consent abilities post-intervention.
Main Methods:
- A prospective cohort study involving general surgery interns.
- Training included didactics, standardized patient encounters, and procedure-specific guides.
- Confidence assessed via surveys for interns (trained vs. untrained) and attending physicians.
Main Results:
- Intern confidence in discussing benefits improved significantly (p=0.03).
- Overall intern confidence showed a positive trend (p=0.08).
- Interns reported high satisfaction (80-90%) with training components.
Conclusions:
- An intern-focused informed consent training program utilizing didactics and standardized patient encounters is perceived as valuable.
- This training may foster sustained improvements in physician confidence regarding informed consent processes.
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