Adherence to a national consensus statement on informed consent: medical students’ experience of obtaining informed consent from patients for sensitive examinations

Adherence to a national consensus statement on informed consent: medical students’ experience of obtaining informed consent from patients for sensitive examinations
Harsh Bhoopatkar, Carlos F C Campos, Phillipa J Malpas, Andy M. Wearn
The New Zealand Medical Journal, May 20, 2022; 135 pp 10-18
Open Access
Abstract
Aim
To determine whether the guidance from the New Zealand medical programmes’ national consensus statement on obtaining informed consent from patients for sensitive examinations are being met, and to explore medical students’ experience of obtaining consent.
Method
A self-reported, online, anonymous questionnaire was developed. Data were collected in the period just after graduation from final year medical students at The University of Auckland in 2019.
Results
The response rate was 35% (93/265). Most students reported that they were “not always compliant” with the national consensus statement for obtaining informed consent for almost all sensitive examinations. The main exception was for the female pelvic examination (not in labour) under anaesthesia, where most students reported being “always compliant”. We identified factors related to students, supervisors, institution, and the learning context as reasons for lack of compliance.
Conclusion
Adherence to the national consensus statement on obtaining informed consent for sensitive examinations is unsatisfactory. The medical programme needs to review the reasons for lapses in implementing the policy in practice, to ensure a safe learning environment for patients and our students.