Literature DB >> 25822121

The issue of 'informed consent' in medical student introductions.

Rahul Prashanth Ravindran1, David George Lester, Khizr Ather Nawab, Sayinthen Vivekanantham.   

Abstract

Entities:  

Year:  2015        PMID: 25822121      PMCID: PMC4404452          DOI: 10.1007/s40037-015-0170-3

Source DB:  PubMed          Journal:  Perspect Med Educ        ISSN: 2212-2761


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‘Good morning! My name is John Smith and I am a medical student.’ This familiar phrase is employed by medical students the world over in a variety of formats. Despite the varying terminology, the purpose of this introduction remains to obtain ‘informed consent’ from patients. Even though the importance of informed consent is universally acknowledged by doctors, patients and students, Silver-Isenstadt and Ubel [1] found evidence for a worrying decline in the perceived importance of conveying one’s student status in medical students as they progress through medical school. This was in contrast to patients’ desires for clear communication of medical student roles and the scope of their involvement, especially in the context of invasive procedures in operating theatres under the influence of anaesthesia [1]. This calls into question the adequacy of current medical student introductions in obtaining true informed consent. Recently, Carson-Stevens et al. [2] surveyed medical students’ perceptions on the role of terminology used for introducing themselves and found that students knowingly employed varying terminology, often choosing to introduce themselves as ‘student doctors’. Students perceived this to have a dual benefit of increasing the probability of patient consent and reassuring patients of the near-professional status of the student [2]. However, Santen et al. [3] confirmed that even when informed of the medical student’s relative inexperience, 90 % of patients consented to a procedure in the emergency department although 66 % of patients did feel that they should be informed if the medical student is performing the procedure for the first time [3]. We believe that the continued use of ambiguous introductions by medical students restricts patient autonomy by withholding essential information, and this also erodes trust in the student/doctor-patient relationship. We propose that medical students approach the matter of clinical introduction by introducing themselves unambiguously as medical students, explaining their affiliation with the medical team and indicating the breadth of their experience prior to requesting consent.
  3 in total

1.  'Sorry, it's my first time!' Will patients consent to medical students learning procedures?

Authors:  Sally A Santen; Robin R Hemphill; Cindy M Spanier; Nicholas D Fletcher
Journal:  Med Educ       Date:  2005-04       Impact factor: 6.251

2.  Erosion in medical students' attitudes about telling patients they are students.

Authors:  A Silver-Isenstadt; P A Ubel
Journal:  J Gen Intern Med       Date:  1999-08       Impact factor: 5.128

3.  Framing patient consent for student involvement in pelvic examination: a dual model of autonomy.

Authors:  Andrew Carson-Stevens; Myfanwy M Davies; Rhiain Jones; Aiman D Pawan Chik; Iain J Robbé; Alison N Fiander
Journal:  J Med Ethics       Date:  2013-01-15       Impact factor: 2.903

  3 in total
  2 in total

1.  How to obtain informed consent for research.

Authors:  Sara Manti; Amelia Licari
Journal:  Breathe (Sheff)       Date:  2018-06

2.  The influence of curricula and role models on medical students' professional self-identification: a reminder call.

Authors:  Ahmed Abu-Zaid; Lynn Alkhatib; Syeda Mina
Journal:  Perspect Med Educ       Date:  2015-08
  2 in total

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