ArticleJournal of orthopaedic surgery and research2021
Confidence level, challenges, and obstacles faced by orthopedic residents in obtaining informed consent.
Article in Journal of orthopaedic surgery and research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed.
- An informational video for informed consent improves patient comprehension before total hip replacement- a randomized controlled trial.International orthopaedics · 2025Trial
- Digital informed consent for paediatric spinal surgery: a patient-centric evaluation of eConsent utilization.Journal of spine surgery (Hong Kong) · 2026Article
- Informed consent processes with First Nations peoples undergoing surgery or invasive procedures: a scoping review.BMC medical ethics · 2025Article
- Informed Consent in Shoulder and Elbow Surgery.Cureus · 2025Review
- Informed consent in gynecological oncology: a JAGO/NOGGO survey on real-world practices in daily clinical routine.Archives of gynecology and obstetrics · 2025Article
- Multidisciplinary Team Discussions and the Inclusion of Individualized Patient Factors May Improve Informed Consent in Sports Medicine.Arthroscopy, sports medicine, and rehabilitation · 2025Article
- Enhancing Professional Awareness of Informed Consent : Safeguarding the Rights of Patients and Practitioners.Journal of Korean Neurosurgical Society · 2024Article
- Informed consent form for platelet rich plasma injections: evidence-based and legally guide for orthopaedic surgeons.European journal of medical research · 2024Article
- Scorpion Sting Envenomation, a Neglected Tropical Disease: A Nationwide Survey Exploring Perspectives and Attitudes of Resident Doctors from India.The American journal of tropical medicine and hygiene · 2023Article
- Knowledge and attitudes of Chinese medical postgraduates toward research ethics and research ethics committees: a cross-sectional study.BMC medical education · 2023Article
- Are we meeting the standards set for informed consent in spinal surgery?Annals of the Royal College of Surgeons of England · 2023Article
- Parental Educational Intervention to Facilitate Informed Consent for Pediatric Procedural Sedation in the Emergency Department: A Parallel-Group Randomized Controlled Trial.Healthcare (Basel, Switzerland) · 2022Article
- Current Practices, Limitations, and Recommendations for Informed Consent Education in Medical Students and Physicians: A Scoping Review.Journal of medical education and curricular developmentReview
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Authors and funding
1 author.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesThe objective is to evaluate the opinions of orthopedic residents on current practices, experiences, training, confidence level, difficulties, and challenges faced when obtaining informed consent.
designThis is a cross-sectional, multi-center, and questionnaire-based study.
settingThe study was done in forty-four training centers across Saudi Arabia.
participantsIn total, 313 orthopedic residents participated. MATERIAL AND
methodsThe 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.
resultsMost 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.
conclusionMany 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.
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