title: [How pediatric residents involve children during medical decision-making?].
abstract: OBJECTIVE
  To describe how pediatric residents involve children during medical decision-making and evaluate the relationship between practice patterns and residents characteristics.
  
  
  METHODS
  We conducted a prospective multicenter anonymous written survey. Self-reported involvement of children by 45 French pediatric residents in practice pattern was collected and analysed.
  
  
  RESULTS
  Most residents reported they informed patients in more than 50% of the cases (82%). Only a minority of the residents asked for consent, respected children refusal or presented other choices to the treatment. The main reasons that explain the lack of partnership are children incompetence and the medical situation. No statistically significant relationship between practice patterns and residents characteristics was found.
  
  
  CONCLUSIONS
  Partnership with children varies across residents and according to the level of involvement considered. No statistical differences were obtained to explain variations between residents' attitude toward involvement of children. Nevertheless medical education in ethics or decision-making could increase partnership with children.
authors.affiliation: Département d'oncologie pédiatrique, hôpital pour enfants de << La Timone >>, Marseille, France. nicolas.andre@ap-hm.fr
authors.forename: N
authors.initials: N
authors.lastname: André
authors.forename: J
authors.initials: J
authors.lastname: Gaudart
authors.forename: J-L
authors.initials: JL
authors.lastname: Bernard
authors.forename: B
authors.initials: B
authors.lastname: Chabrol
mesh_terms: D002648:Child; D002675:Child, Preschool; D002755:Choice Behavior; D005260:Female; D005602:France; D006801:Humans; D007258:Informed Consent; D007396:Internship and Residency / Q000706:statistics & numerical data; D008297:Male; D016743:Mental Competency; D010358:Patient Participation; D010818:Practice Patterns, Physicians' / Q000706:statistics & numerical data; D011446:Prospective Studies; D011795:Surveys and Questionnaires