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Comparison of the Structured Consent Process Using Modified Delphi Technique with the Standard Process in Obtaining
1Department of ENT, Government Medical College, Kozhikode, Kerala, India.
Summary
A structured approach to informed consent training significantly improved medical students' communication skills in ENT procedures. This method, developed using the modified Delphi technique, enhanced OSCE scores and student feedback, highlighting its effectiveness for undergraduate medical education.
Area of Science:
- Medical Education
- Communication Skills Training
- Surgical Consent
Background:
- Effective communication is crucial for medical professionals, starting in undergraduate training.
- Informed consent for procedures is a key component of doctor-patient relationships and clinical practice.
- Current undergraduate training may lack structured methods for teaching informed consent.
Purpose of the Study:
- To compare a structured informed consent process, developed via the modified Delphi technique, with the standard process for Phase III MBBS students in ENT.
- To assess the impact of structured training on students' ability to obtain informed consent.
- To evaluate student feedback on the structured consent-taking method.
Main Methods:
- A modified Delphi technique was used to establish consensus on essential elements for informed consent training.
- Phase III MBBS students were divided into two groups: 'MD' (structured process) and 'T' (standard process).
- Objective Structured Clinical Examinations (OSCE) were used to assess students' performance in obtaining informed consent for ENT procedures.
Main Results:
- The 'MD' group demonstrated significantly higher median OSCE scores (6.5) compared to the 'T' group (4.5), with p < 0.0001.
- 100% of students in the 'MD' group recommended the structured method for enhancing communication skills.
- While effective, 20% of students desired more time and demonstrations within the structured teaching method.
Conclusions:
- Structured training in informed consent taking, guided by the modified Delphi technique, significantly improves undergraduate medical students' skills.
- This structured approach provides a strong foundation for effective doctor-patient communication and clinical practice.
- Further refinement of teaching methodologies, including time allocation and practical demonstrations, can optimize the structured consent process.
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