Module 6: Informed Consent
Upon completion of this module, the resident should be able to:
- Identify four (4) consensus principles and three (3) unresolved issues concerning a patient's right to self-determination in healthcare decision making.
- Identify the four (4) essential elements of valid consent/refusal:
- Describe four (4) elements of disclosure, the standards of disclosure, and exceptions to disclosure requirements.
- Define capacity and identify - as well as critique - the common standards used to determine patient decision making capacity.
- Identify the most reliable indicator of capacity.
- Identify health care professional and other variables that may constrain voluntariness.
Identify ethical perspectives and frameworks critical to informing and justifying decisions concerning capacity determinations and informed, valid decision making.
A good general resource on the topic of truth telling in medicine can be found at http://sprojects.mmi.mcgill.ca/ethics/X/topics/truthtelling/truthtelling_main.htm
A succinct, well written overview of truth telling in medicine is offered by James Drane at http://www.uchile.cl/bioetica/doc/honesty.htm
Another useful overview is found at http://2006.confex.com/uicc/uicc/techprogram/P10511.HTM
The topic of hope and truth telling in the context of serious illness is explored at http://www.eperc.mcw.edu/fastFact/ff_021.htm
Truth telling in the context of terminal cancer is analyzed at http://www2.unescobkk.org/eubios/BetCD/Bet11.doc
A sophisticated academic exploration of truth telling is found at http://www.blackwell-synergy.com/doi/pdf/10.1111/j.1749-6632.2000.tb05161.x