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Consent for Resident Participation in Pediatric Strabismus Surgery.

Derek M Waldner¹, Emi Sanders¹, Chris J Rudnisky²

¹Division of Ophthalmology, Department of Surgery, University of Calgary, Calgary, Alberta, Canada.

Journal of AAPOS : the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus

|July 14, 2026

Summary

Most parents consent to resident participation in their child's strabismus surgery after full disclosure. Transparent communication builds trust and supports surgical education for residents.

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Area of Science:

Ophthalmology
Surgical Education

Background:

Strabismus surgery is common in pediatric ophthalmology.
Resident involvement in surgery is crucial for training but requires informed parental consent.

Purpose of the Study:

To determine the rate of parental consent for resident participation in pediatric strabismus surgery.
To understand parental decision-making factors regarding resident involvement.

Main Methods:

Prospective observational study of 100 parents of pediatric patients undergoing strabismus surgery.
Informed consent process included a script detailing resident roles.
Post-surgery interviews explored parental consent decisions.

Main Results:

89% of parents consented to resident participation.

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Consent drivers included trust in the surgeon and support for education.

Declinations cited preference for the experienced surgeon and concerns about complexity.

Conclusions:

Full disclosure does not significantly decrease parental consent for resident participation.
Transparent communication enhances trust and facilitates resident training opportunities.