91488 - Informed Consent Challenges
- : Online
This online activity explores how to facilitate an informed consent process that leads to optimal patient understanding and shared decision-making. It focuses on more challenging areas where gaps in education and knowledge have been identified; particularly documentation, determining patient capacity to consent, consent with children and mature minors, and the consultation process of shared decision-making. This highly interactive activity is available online at MDA National Members’ convenience and learners can complete it over multiple sittings. It includes opportunities to compare your responses to questions with those from other participants and from medico-legal experts. The activity is relevant for doctors at all stages of their career.Relevance to General Practice
Multiple sources of evidence suggest that consent issues trouble GPs.
Consent was the 3rd most common topic in calls for advice to MDA National in 2014–15.
From 2000 to 2012, 18907 formal patient complaints were filed against 11148 doctors. GPs were the subject of 47% of these complaints. Nearly 1 in 4 complaints referred to communication issues, e.g. quality or amount of information provided (6%), the consent process in general (3%).
Experts have warned that how treatment decisions are made in Australia rapidly needs to improve. We are “drastically lagging behind” in facilitating shared decision making.
Issues surrounding consent with children & young people can be complex due to the number of considerations a doctor must make each time.[4,5]
1. Bismark et al. Qual Saf Health Care.2013;22:532–40
2. Hoffmann et al. MJA.2014;201(1):35–9
3. Colyer. MJA Insight.2014(7 July)
4. Bird. AFP.2011;40(3):159–60
5. Palmer, Gillespie. Arch Dis Child Educ Pract Ed.2014