Gaining Consent for Carotid Surgery: A Simulation-Based Study of Vascular Surgeons
SA Black, D Nestel, T Tierney, I Amygdalos, R Kneebone, JHN Wolfe
EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY | W B SAUNDERS CO LTD | Published : 2009
AIM: Despite no formal training in consenting patients, surgeons are assumed to be competent if they are able to perform an operation. We tested this assumption for carotid endarterectomy (CEA). METHODS: Thirty-two surgeons [Group 1: junior surgical trainees--performed 0 CEA's (n=11); 2: senior vascular trainees--1-50 CEA's (n=11); 3: consultant vascular surgeons - > 50 CEA's (n=10)] consented two patients (trained actors) for a local anaesthetic CEA. The performance was assessed at post hoc video review by two independent assessors using a validated rating scale and checklist of risk factors. RESULTS: There was no difference in performance between the junior and senior trainees (1: median 9..View full abstract
We gratefully acknowledge the BUPA Foundation in supporting this research. In addition we would like to thank all the surgeons who gave of their time to participate in this study.