A comparison of techniques: informed consent for resident involvement in cataract surgery

Can J Ophthalmol. 2012 Apr;47(2):113-7. doi: 10.1016/j.jcjo.2012.01.017.

Abstract

Objective: To compare three different techniques of obtaining informed patient consent and the relative acceptance rates for resident involvement in cataract surgery. The techniques differed with regards to physician-patient interaction, and how resident involvement was presented.

Design: A retrospective cohort study in a tertiary care ophthalmology department with a recently established residency training program.

Participants: 356 patients undergoing informed consent procedure for cataract surgery.

Methods: Charts of all patients undergoing cataract surgery by 3 cataract surgeons from October 2009 to March 2010 were reviewed. Patient demographics, the documentation of a specific request for resident participation, and the patient response were recorded. Response rates were analyzed between the three different techniques/surgeons.

Results: Consent to resident participation was found to range from 21% to 86%. Higher acceptance rates were associated with direct personal conversation between surgeon and patient.

Conclusion: High acceptance rates for resident involvement in cataract surgery can be achieved with full disclosure of resident involvement to patients.

Publication types

  • Comparative Study

MeSH terms

  • Aged
  • Attitude to Health
  • Cataract Extraction*
  • Education, Medical, Graduate
  • Female
  • Humans
  • Informed Consent / legislation & jurisprudence*
  • Internship and Residency*
  • Male
  • Ophthalmology / education*
  • Patient Acceptance of Health Care / statistics & numerical data*
  • Patient Participation / statistics & numerical data*
  • Physician-Patient Relations
  • Retrospective Studies