Confidence level, challenges, and obstacles faced by orthopedic residents in obtaining informed consent
Abstract Objectives The objective is to evaluate the opinions of orthopedic residents on current practices, experiences, training, confidence level, difficulties, and challenges faced when obtaining informed consent. Design This is a cross-sectional, multi-center, and questionnaire-based study. Sett...
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| Format: | Article |
| Language: | English |
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BMC
2021-06-01
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| Series: | Journal of Orthopaedic Surgery and Research |
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| Online Access: | https://doi.org/10.1186/s13018-021-02531-1 |
| _version_ | 1798043338186686464 |
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| author | Abdulaziz Z. Alomar |
| author_facet | Abdulaziz Z. Alomar |
| author_sort | Abdulaziz Z. Alomar |
| collection | DOAJ |
| description | Abstract Objectives The objective is to evaluate the opinions of orthopedic residents on current practices, experiences, training, confidence level, difficulties, and challenges faced when obtaining informed consent. Design This is a cross-sectional, multi-center, and questionnaire-based study. Setting The study was done in forty-four training centers across Saudi Arabia. Participants In total, 313 orthopedic residents participated. Material and methods The web-based questionnaire examined the perceptions of residents regarding practices, experience, training, difficulties, and challenges surrounding the obtention of informed consent, as well as residents’ confidence in obtaining informed consent for different orthopedic situations and eight common orthopedic procedures. Results Most residents were allowed to obtain consent independently for all emergency, trauma, primary, and revision cases at their institution (92.7%). Only 33.5% of the residents received formal training and teaching on obtaining informed consent, with 67.1% having believed that they needed more training. Only 4.2% of the residents routinely disclosed all essential information of informed consent to patients. Inadequate knowledge (86.3%) and communication barriers (84.7%) were the most reported difficulties. Generally, 77.3% of the residents described their confidence level in obtaining informed consent as good or adequate, and 33.9% were confident to discuss all key components of the informed consent. Residents’ confidence level to independently obtain informed consent decreased with procedure complexity. Receiving formal training, senior level (postgraduate year (PGY) 4 and 5), and being frequently involved in obtaining informed consent correlated with increased confidence level. Conclusion Many residents incompletely disclosed key information upon obtaining informed consent and reported lacking confidence in their ability to perform the procedure in their daily practices. To improve patient care and residents’ performance and overcome these difficulties and challenges, institutions should develop effective strategies to standardize the informed consent process, provide formal training for obtaining informed consent, and provide supervision for residents during obtention of informed consent. |
| first_indexed | 2024-04-11T22:47:46Z |
| format | Article |
| id | doaj.art-29820044926e4a7bae51cba768ead0b1 |
| institution | Directory Open Access Journal |
| issn | 1749-799X |
| language | English |
| last_indexed | 2024-04-11T22:47:46Z |
| publishDate | 2021-06-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Orthopaedic Surgery and Research |
| spelling | doaj.art-29820044926e4a7bae51cba768ead0b12022-12-22T03:58:41ZengBMCJournal of Orthopaedic Surgery and Research1749-799X2021-06-0116111310.1186/s13018-021-02531-1Confidence level, challenges, and obstacles faced by orthopedic residents in obtaining informed consentAbdulaziz Z. Alomar0Division of Arthroscopy & Sports Medicine, Department of Orthopaedic Surgery, College of Medicine, King Saud UniversityAbstract Objectives The objective is to evaluate the opinions of orthopedic residents on current practices, experiences, training, confidence level, difficulties, and challenges faced when obtaining informed consent. Design This is a cross-sectional, multi-center, and questionnaire-based study. Setting The study was done in forty-four training centers across Saudi Arabia. Participants In total, 313 orthopedic residents participated. Material and methods The web-based questionnaire examined the perceptions of residents regarding practices, experience, training, difficulties, and challenges surrounding the obtention of informed consent, as well as residents’ confidence in obtaining informed consent for different orthopedic situations and eight common orthopedic procedures. Results Most residents were allowed to obtain consent independently for all emergency, trauma, primary, and revision cases at their institution (92.7%). Only 33.5% of the residents received formal training and teaching on obtaining informed consent, with 67.1% having believed that they needed more training. Only 4.2% of the residents routinely disclosed all essential information of informed consent to patients. Inadequate knowledge (86.3%) and communication barriers (84.7%) were the most reported difficulties. Generally, 77.3% of the residents described their confidence level in obtaining informed consent as good or adequate, and 33.9% were confident to discuss all key components of the informed consent. Residents’ confidence level to independently obtain informed consent decreased with procedure complexity. Receiving formal training, senior level (postgraduate year (PGY) 4 and 5), and being frequently involved in obtaining informed consent correlated with increased confidence level. Conclusion Many residents incompletely disclosed key information upon obtaining informed consent and reported lacking confidence in their ability to perform the procedure in their daily practices. To improve patient care and residents’ performance and overcome these difficulties and challenges, institutions should develop effective strategies to standardize the informed consent process, provide formal training for obtaining informed consent, and provide supervision for residents during obtention of informed consent.https://doi.org/10.1186/s13018-021-02531-1Informed consentResidentsOrthopedicConfidence level |
| spellingShingle | Abdulaziz Z. Alomar Confidence level, challenges, and obstacles faced by orthopedic residents in obtaining informed consent Journal of Orthopaedic Surgery and Research Informed consent Residents Orthopedic Confidence level |
| title | Confidence level, challenges, and obstacles faced by orthopedic residents in obtaining informed consent |
| title_full | Confidence level, challenges, and obstacles faced by orthopedic residents in obtaining informed consent |
| title_fullStr | Confidence level, challenges, and obstacles faced by orthopedic residents in obtaining informed consent |
| title_full_unstemmed | Confidence level, challenges, and obstacles faced by orthopedic residents in obtaining informed consent |
| title_short | Confidence level, challenges, and obstacles faced by orthopedic residents in obtaining informed consent |
| title_sort | confidence level challenges and obstacles faced by orthopedic residents in obtaining informed consent |
| topic | Informed consent Residents Orthopedic Confidence level |
| url | https://doi.org/10.1186/s13018-021-02531-1 |
| work_keys_str_mv | AT abdulazizzalomar confidencelevelchallengesandobstaclesfacedbyorthopedicresidentsinobtaininginformedconsent |