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Syllabus > Year: 1 Fall 2009 - 2010
  Informed Consent (Large then Small groups) -
  October 14, 2009    1:00 PM - 3:00 PM
  Susan Tolle M.D.; Dawn Dillman M.D. ; Tim Joslin MD; Jessie Flynn M.D.; Joshua Schindler M.D.
Assignment Due Today:

Review case scenarios and be prepared to role play the cases provided for informed consent discussions.

   
Student Readings:
Syllabus    OHSU Consent Form 
Syllabus    Communicating Evidence for Participatory Decision Making (Epstein et al)  
Syllabus    Informed Consent Case Studies 
Syllabus    Oregon Statute 677.097 
Syllabus    OHSU Consent Policy (Ozone search: consent) 
Optional Reading    ‘You can’t handle the truth’; medical paternalism
and prenatal alcohol use (Gavaghan)
 
Syllabus    Lecture Power Point 
Faculty Only:
   
Internet Sites:
   
Session Goal: To learn the ethical and legal principles, and practice the communication skills needed for the informed consent process between health care professionals and their patients.

 
 
Student Objectives:
Describe the ethical and legal aspects of patient autonomy and self-determination.

Describe the specific elements of decision-making capacity.

Define the ethical and legal requirements of disclosure (PARQ): nature of the procedure, alternatives, risks and questions.

Identify issues complicating informed consent in special circumstances: minors, emergencies, telephone communication, and research.

 
Small Group Activities:
  1. Students should reflect on when and how they have seen their preceptors use informed consent discussions.


  2. Students will use their new knowledge of informed consent to practice the communication skills needed for the process. Students will work in groups of three: patient, physician, and observer. Give about 5 minutes for each student to read the first scenario, 10 minutes for their informed consent discussion, and 5 minutes for observer debriefing. The process can then be repeated either to retry parts with the same roles or with students changing roles.


  3. Repeat the exercise with the other 2 cases, with students changing roles.