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Updated: Apr 16, 2026

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Enhancing Resident Education in Informed Consent Through Digital Checklists.

June Yao1, Ameer Moussaed1, Graal Diaz1

  • 1Department of Surgery, Ventura County Medical Center, Ventura, CA, USA.

The American Surgeon
|April 15, 2026
PubMed
Summary
This summary is machine-generated.

Structured digital checklists enhanced surgical informed consent accuracy for residents. While improving risk identification, junior residents selected more irrelevant risks, suggesting a need for refinement.

Keywords:
digital consent checklistinformed consentresident education

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Area of Science:

  • Medical Education
  • Surgical Training
  • Informed Consent

Background:

  • Surgical residents often lead informed consent discussions with limited experience, potentially impacting risk disclosure accuracy.
  • Teaching hospitals face challenges in ensuring comprehensive risk communication during patient consent processes.

Purpose of the Study:

  • To evaluate if a digital risk checklist within a video platform improves surgical resident informed consent quality.
  • To assess the utility of digital checklists as an educational tool for surgical residents.

Main Methods:

  • General surgery residents (R1-R5) used traditional written consent and a digital checklist platform for common procedures.
  • Checklist accuracy was compared against a gold standard risk profile determined by attending surgeons.
  • Performance metrics included accuracy, risk counts, and variations by training level.

Main Results:

  • Digital checklists significantly improved risk identification accuracy (70.4% vs 50.7%, P < 0.001) compared to written consent.
  • Improved accuracy was observed across all resident training levels and surgical procedures.
  • Checklist use led to increased selection of irrelevant risks, especially among junior residents (32% vs 15%, P < 0.01).

Conclusions:

  • Digital risk checklists enhance the completeness and accuracy of resident-led informed consent.
  • The over-selection of irrelevant risks by junior residents indicates a need for checklist refinement.
  • Digital consent tools show potential as effective educational aids in surgical training programs.