Level of knowledge and understanding of informed consent amongst the training grade group orthodontists in England, Wales and Northern Ireland

Abstract

Objective: To assess the level of knowledge and understanding of informed consent in UK orthodontic trainees.

Design and setting: A cross-sectional, written questionnaire-based study.

Setting: Hospital orthodontic departments in England, Wales and Northern Ireland.

Subjects and method: A one page questionnaire which covered a range of legal issues pertinent to informed consent was circulated to 207 members of the Training Grades Group (TGG) of the British Orthodontic Society (BOS). The questionnaire consisted of four open questions with 11 responses, which the investigators considered to be ideal, seven closed questions requiring yes/no responses and one question requiring a yes/no response followed by two open responses. Following the initial circulation, a second posting to non-responders was conducted.

Results: The response rate was 61% (N = 126). The mean number of complete answers to the 21 questions was 13 (62%; median 13; mode 14). There were a low number of complete responses to specific questions in the following areas – explanations patients need from clinicians prior to obtaining consent; how to fully judge if a patient is capable of consenting; how to manage a patient incapable of giving consent; the legal status of fathers consenting on behalf of their children; whether consent forms have to be re-signed if the start of treatment is delayed by six months or more and responsibility for obtaining consent for dental treatment under general anaesthesia.

Conclusions: There was a disappointingly high proportion of incomplete answers to questions testing the knowledge and understanding of the law as it pertains to informed consent exists amongst members of the TGG of BOS.

Keywords:

• Informed consent
• consent
• training grades group
• questionnaire study

Acknowledgments

We would like to thank all members of the training grades group who participated in this study as well as Alexia Haysom for her help with analysis of the data. Our thanks also go to Ann Wright at the BOS.