Koller Sarah E, Moore Ryan F, Goldberg Michael B, Zhang Jeanette, Yu Daohai, Conklin Charles B, Milner Richard E, Goldberg Amy J
Department of Surgery, Temple University Hospital, Philadelphia, Pennsylvania.
Department of Surgery, Temple University Hospital, Philadelphia, Pennsylvania.
J Surg Educ. 2017 Sep-Oct;74(5):906-913. doi: 10.1016/j.jsurg.2017.02.002. Epub 2017 Feb 24.
First-year residents often obtain informed consent from patients. However, they typically receive no formal training in this area before residency. We wished to determine whether an educational program would improve residents' comfort with this process.
Our institution created an informed consent educational program, which included a didactic component, a role-play about informed consent, and a simulation exercise using standardized patients. Residents completed surveys before and after the intervention, and responses to survey questions were compared using the signed-rank test.
This study took place at Temple University Hospital, a tertiary care institution in Philadelphia, PA.
First-year surgery and emergency medicine residents at Temple University Hospital in 2014 participated in this study. Thirty-two residents completed the preintervention survey and 27 residents completed the educational program and postintervention survey.
Only 37.5% had ever received formal training in informed consent before residency. After participating in the educational program, residents were significantly more confident that they could correctly describe the process of informed consent, properly fill out a procedure consent form, and properly obtain informed consent from a patient. Their comfort level in obtaining informed consent significantly increased. They found the educational program to be very effective in improving their knowledge and comfort level in obtaining informed consent. In all, 100% (N = 27) of residents said they would recommend the use of the program with other first-year residents.
Residents became more confident in their ability to obtain informed consent after participating in an educational program that included didactic, role-play, and patient simulation elements.
一年级住院医师常常要获取患者的知情同意。然而，他们在住院医师培训前通常未接受过该领域的正规培训。我们希望确定一项教育计划是否会提高住院医师在此过程中的舒适度。
我们的机构创建了一项知情同意教育计划，其中包括一个教学部分、一场关于知情同意的角色扮演以及一次使用标准化患者的模拟练习。住院医师在干预前后完成了调查问卷，并使用符号秩检验比较了对调查问题的回答。
本研究在宾夕法尼亚州费城的一家三级医疗机构坦普尔大学医院进行。
2014年坦普尔大学医院的一年级外科和急诊医学住院医师参与了本研究。32名住院医师完成了干预前调查，27名住院医师完成了教育计划及干预后调查。
只有37.5%的人在住院医师培训前曾接受过关于知情同意的正规培训。参加教育计划后，住院医师明显更有信心能够正确描述知情同意的过程、正确填写手术同意书以及从患者处正确获取知情同意。他们在获取知情同意方面的舒适度显著提高。他们发现该教育计划在提高他们获取知情同意的知识和舒适度方面非常有效。总体而言，100%（N = 27）的住院医师表示他们会向其他一年级住院医师推荐使用该计划。
住院医师在参加了一个包括教学、角色扮演和患者模拟元素的教育计划后，对自己获取知情同意的能力更有信心。
