Clinical Conversations

2 Responses to “Podcast 100: Practical informed consent”

1. G L Florentin-Lee says:

   September 13, 2010 at 8:26 am

   Informed patient consent remains a concept where modalities are either dumbed-down or reduced to a defensive tick box exercise, which renders the the whole business meaningless. The patient cohort is sufficiently diverse extending from those who really are very well informed and capable to those where ignorance and/or ability to exercise choice are sufficiently ‘challenged’ that a significant degree of education is required. There appears no appetite for the time or care required to translate the concept into a worthwhile and proper process. Many practitioners try, most do not.

2. J. Silva, MD says:

   September 26, 2010 at 1:25 pm

   I appreciated Podcast 100. As a PCP I found it painfully honest. I’m glad Joe brought up the time factor involved in appropriate discussion. This is also a factor in the office too, where even in Patient-Centered Medical Home models, PCPs are still expected to accomplish: 1. relationship/confidence building. 2. review, 3. diagnosis, 4. teach back, and likely now do better with consenting all in a 10-15 minute encounter. Often after the specialty visit!
   Reimbursement reform for this model is sorely needed.
   Great interview with a knowledgeable guest.