Yale School of Medicine, Department of Surgery, New Haven, Connecticut.
Yale School of Medicine, Department of Surgery, New Haven, Connecticut.
J Surg Educ. 2020 Nov-Dec;77(6):e47-e51. doi: 10.1016/j.jsurg.2020.07.028. Epub 2020 Aug 1.
Eliciting informed consent is a clinical skill that many residents are tasked to conduct without sufficient training and before they are competent to do so. Even senior residents and often attending physicians fall short of following best practices when conducting consent conversations.
This is a perspective on strategies to improve how residents learn to collect informed consent based on current literature.
We advocate that surgical educators approach teaching informed consent with a similar framework as is used for other surgical skills. Informed consent should be defined as a core clinical skill for which attendings themselves should be sufficiently competent and residents should be assessed through direct observation prior to entrustment.
在没有足够培训且不具备相关能力的情况下，许多住院医师就被要求进行知情同意书的签署，这是一项临床技能。即使是资深住院医师和主治医生在进行同意书谈话时，也常常未能遵循最佳实践。
这是基于现有文献，对改善住院医师学习获取知情同意书方法的策略的看法。
我们主张外科教育者采用与其他外科技能相同的框架来教授知情同意书。知情同意书应被定义为一项核心临床技能，主治医生本身应具备足够的能力，并且应通过直接观察对住院医师进行评估，然后再授权其进行。
