Location

Philadelphia, PA

Start Date

1-5-2024 1:00 PM

End Date

1-5-2024 4:00 PM

Description

Introduction:

Informed consent, a dynamic process, involves explaining procedure details to patients. Crucial for preserving autonomy, it requires comprehensive discussions, emphasizing necessity for documentation. Laws ensure awareness, but legal standards lack protection against paternalistic bias, posing legal risks. In orthopaedics, inadequacies in informed consent training contribute to litigation.

Methods:

A comprehensive literature review was conducted using the PubMed database to explore the landscape of informed consent practices in the context of shoulder and elbow surgery. The search strategy utilized a combination of Medical Subject Headings (MeSH) terms and free-text keywords, including "informed consent," "shoulder surgery," "elbow surgery," and "patient communication."

Results:

Studies highlight poor recall rates in shoulder arthroscopy informed consent. Orthopaedic literature lacks quantitative analyses of informed consent quality in shoulder and elbow procedures, with malpractice claims indicating its significance. Considerations in these surgeries include demographics, patient expectations, and shifting demands. Litigation rates emphasize the need for improved informed consent.

Barriers include inadequate resident training, low health literacy, foreign language challenges, and social factors impacting the physician-patient relationship. Patient anxiety, demographics, and individual expectations further complicate the process.

Solutions involve the teach-back method, interpersonal communication, and addressing inadequacies in resident training. Tailored lectures, standardized patient encounters, and focused interventions enhance residents' skills. For low health-literacy populations, personalized discussions, plain language, and visual aids are effective. Language barriers are tackled through bilingual professionals and interpreter services. Relationship-centered communication and understanding patient expectations improve trust and compliance.

Conclusion:

Enhancing the informed consent process in shoulder and elbow surgery is critical for preserving autonomy, preventing legal consequences, and improving patient outcomes. Solutions include tailored training, patient-centered communication, and targeted interventions to address barriers. Emphasizing patient engagement and understanding contributes to the success of the informed consent process in these specialized orthopaedic procedures.

Embargo Period

6-13-2024

Comments

Presented by Antonio Almeda-Lopez.

COinS
 
May 1st, 1:00 PM May 1st, 4:00 PM

Informed Consent in Shoulder and Elbow Surgery

Philadelphia, PA

Introduction:

Informed consent, a dynamic process, involves explaining procedure details to patients. Crucial for preserving autonomy, it requires comprehensive discussions, emphasizing necessity for documentation. Laws ensure awareness, but legal standards lack protection against paternalistic bias, posing legal risks. In orthopaedics, inadequacies in informed consent training contribute to litigation.

Methods:

A comprehensive literature review was conducted using the PubMed database to explore the landscape of informed consent practices in the context of shoulder and elbow surgery. The search strategy utilized a combination of Medical Subject Headings (MeSH) terms and free-text keywords, including "informed consent," "shoulder surgery," "elbow surgery," and "patient communication."

Results:

Studies highlight poor recall rates in shoulder arthroscopy informed consent. Orthopaedic literature lacks quantitative analyses of informed consent quality in shoulder and elbow procedures, with malpractice claims indicating its significance. Considerations in these surgeries include demographics, patient expectations, and shifting demands. Litigation rates emphasize the need for improved informed consent.

Barriers include inadequate resident training, low health literacy, foreign language challenges, and social factors impacting the physician-patient relationship. Patient anxiety, demographics, and individual expectations further complicate the process.

Solutions involve the teach-back method, interpersonal communication, and addressing inadequacies in resident training. Tailored lectures, standardized patient encounters, and focused interventions enhance residents' skills. For low health-literacy populations, personalized discussions, plain language, and visual aids are effective. Language barriers are tackled through bilingual professionals and interpreter services. Relationship-centered communication and understanding patient expectations improve trust and compliance.

Conclusion:

Enhancing the informed consent process in shoulder and elbow surgery is critical for preserving autonomy, preventing legal consequences, and improving patient outcomes. Solutions include tailored training, patient-centered communication, and targeted interventions to address barriers. Emphasizing patient engagement and understanding contributes to the success of the informed consent process in these specialized orthopaedic procedures.