Changes in surgical consent practices for common otolaryngology procedures: impact of Modernising Medical Careers.
OBJECTIVE
To assess elective surgery consent practices amongst senior house officers from a selection of UK ENT departments, and to compare results with similar surveys in 2002 and 2005.


METHODS
A telephone survey of senior house officers in 40 UK ENT departments was conducted to assess departmental consent policies and knowledge of complications of common ENT operations.


RESULTS
A total of 77.5 per cent of responding senior house officers were responsible for consenting, reduced from 92.5 per cent in 2002 (p = 0.06). There had been a significant improvement in the use of patient information sheets, from 25 per cent of departments in 2002 to 65 per cent in 2008 (p = 0.0002). There had been no improvement in training or in the use of standard National Health Service consent forms, and the senior house officers' knowledge of specific complications remained poor. Of the senior house officers surveyed, 37.5 per cent were foundation trainees.


CONCLUSIONS
There has been some improvement in information delivery to patients during the consent process, in accordance with General Medical Council, Department of Health and Modernising Medical Careers guidelines. However, most senior house officers are still required to obtain patient consent without appropriate training.
Puwanarajah
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Department of Otolaryngology, John Radcliffe Hospital, Oxford, UK.
McDonald
S E
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D002983:Clinical Competence / Q000592:standards; D032962:Consent Forms / Q000706:statistics & numerical data*; D004503:Education, Medical, Graduate / Q000639:trends; D007722:Health Knowledge, Attitudes, Practice; D006748:Hospital Departments / Q000458:organization & administration; D006801:Humans; D007258:Informed Consent / Q000592:standards*; D008505:Medical Staff, Hospital / Q000193:education / Q000458:organization & administration; D010036:Otolaryngology / Q000706:statistics & numerical data; D013517:Otorhinolaryngologic Surgical Procedures / Q000009:adverse effects*; D010819:Physician's Role; D010817:Physician-Patient Relations; D017410:Practice Guidelines as Topic; D013222:State Medicine; D011795:Surveys and Questionnaires; D006113:United Kingdom