Aligning Patient-Provider Expectations for Informed Consent

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Course Credit

The following credits are available for this course:

AMA PRA Category 1 Credits™ (MD, DO, NP, PA)2.25 hours
Contact Hours (Nurse)2.25 hours

(Note: a course evaluation is required to receive credit for this course.)

This content was created by OPENPediatrics, a peer-reviewed medical education platform for healthcare professionals. Please see www.openpediatrics.org for more information.

Donna Luff, PhD

Associate Director, Institute for Professionalism and Ethical Practice, Boston Children’s Hospital
Instructor in Anesthesia, Harvard Medical School

Craig Lillehei, MD

Senior Associate, Department of Surgery, Boston Children’s Hospital
Transplant Surgeon, Department of Surgery, Boston Children’s Hospital
Associate Professor of Surgery, Harvard Medical School

Rosella A. Micalizzi MSN, RN, CPNP-PC

Pediatric Nurse Practitioner, Colorectal and Pelvic Malformation Center, Boston Children’s Hospital

Stephen Brown, MD

Director, Institute for Professionalism and Ethical Practice
Staff Radiologist, Department of Radiology, Boston Children’s Hospital
Associate Professor of Radiology, Harvard Medical School

Communication for informed consent is vital for patients, families, and providers. Yet, it is often inadequate, resulting in poorly aligned expectations for a surgery, procedure, or course of treatment. The pre-operative encounter represents a particular challenge for surgeons, who often have limited time to establish relationships and trust with patients and families. This can result in misaligned expectations between patients, families, and providers. Such mismatch can lead to frustration, anger, and potentially litigation. This course focuses on improving communication and relational skills during the informed consent process to better align provider and family expectations, with a specific focus on surgical informed consent.

This content was created by OPENPediatrics, a peer-reviewed medical education platform for healthcare professionals. Please see www.openpediatrics.org for more information.

Learning Objectives: 

At the conclusion of this educational program, learners will be able to:

  1. Articulate patient, family and provider perspectives regarding the importance of enhanced communication around informed consent
  2. Explain the distinction between informed consent as a form to be completed and a process for aligning expectations
  3. Utilize strategies for aligning expectations to enhance the effectiveness of informed consent practices

In support of improving patient care, Boston Children’s Hospital is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

Physicians

Boston Children’s Hospital designates this live activity for a maximum of 2.25 AMA PRA Category 1 Credits ™. Physicians should claim only credit commensurate with the extent of their participation in this activity.

Nurse

Boston Children’s Hospital designates this activity for 2.25 contact hours for nurses. Nurses should only claim credit commensurate with the extent of their participation in the activity. 

Disclosures

Boston Children’s Hospital adheres to all ACCME Essential Areas, Standards, and Policies. It is Boston Children’s policy that those who have influenced the content of a CME activity (e.g. planners, faculty, authors, reviewers and others) disclose all relevant financial relationships with commercial entities so that Boston Children’s may identify and resolve any conflicts of interest prior to the activity. These disclosures will be provided in the activity materials along with disclosure of any commercial support received for the activity. Additionally, faculty members have been instructed to disclose any limitations of data and unlabeled or investigational uses of products during their presentations.

The following planners, speakers, and content reviewers, on behalf of themselves, have reported the following relevant financial relationships with any entity producing, marketing, reselling, or distributing health care goods or services consumed by, or used on patients: 

Name, DegreeEntity Name, or None
Stephen Brown, MDMedtronic – Stock; Johnson & Johnson – Stock; United Health – Stock; CVS – Stock
Donna Luff, PhDNone
Craig Lillehei, MDNone
Rosella A. Micalizzi, MSN, RN, CPNP-PCNone
Luke Sato, MDNone
Melissa Cousino, PhDNone
Adena Cohen-Bearak, MEd, MPHNone
Aimee WilliamsonNone
Valerie FleishmanNone
Lisa BurgessNone
David Diamond, MDNone
Scellig Stone, MD, PhDMicrobot Medical – Consultant; PTC – Consultant
Terry Buchmiller, MDNone
Frances SouthNone
Tyson OrtizCuria Global – Employee
Viviane Nasr, MDNone
Lauren Mednick, PhDNone
Elaine Meyer, PhD, RNTMRW Life Sciences, Inc – Consultant and Advisor
Richard Blum, MDNone
Pamela Varrin, PhDNone
Caleb Nelson, MDNone
Christine Rachwal, RN, MSN, CCRNNone
Erin Ward, MsEd, CASNone
David Waisel, MDNone

Please see the FAQs below for common questions about how to work through a course. If you have a question or issue that is not addressed in the FAQ, please use this form to submit a help request, or if your issue is urgent, call the CME office at: 617-919-9908.

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