Original Investigation| Volume 29, SUPPLEMENT 5, S103-S110, May 2022

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Checklist-based Training Improves Consenting Skills Among Radiology Residents

Published:January 04, 2022DOI:


      This study aimed to demonstrate whether a curriculum based on an informed consent conversation checklist led to improvement in a resident's ability to obtain patient centered and legally sound consent.


      In this prospective, IRB approved study, Radiology residents from a single institution were asked to obtain informed consent for an imaging study or image-guided procedure from a standardized patient (SP). Encounters were scored by an attending radiologist on a 20-point checklist as well as by the SPs on four consent related questions. Residents were then provided reading material, a lecture, and a consent checklist pocket card. Residents participated in a post-intervention SP encounter. Wilcoxon Signed-Ranks Test was performed to determine if there was a significant improvement in scores after intervention.


      Twenty-one residents completed all aspects of the program. There was statistically significant improvement in consenting skills as measured by the attending scores and the SP scores after receiving formal education. Pre-intervention scores had a mean of 9.29 of 20 (SD 1.39), while post-intervention scores had a mean of 16.95 of 20 (SD 1.83). 95.2% (20/21) of residents found the training useful and stated they would recommend it to future trainees.


      Checklist-based consent training improved radiology residents’ ability to obtain informed consent.
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        • Schuck P.
        Rethinking informed consent.
        Yale Law J. 1994; 103: 899-959
        • Hall D.E.
        • Prochazka A.V.
        • Fink A.S.
        Informed consent for clinical treatment.
        CMAJ : Canadian Med Associat J. 2012; 184: 533-540
        • Ripley B.
        • Tiffany D.
        • Lehmann L.
        • et al.
        Improving the informed consent conversation: a standardized checklist that is patient centered, quality driven, and legally sound.
        J Vasc Interv Radiol. 2015; 26: 1639-1646
        • Braddock 3rd, C.H.
        • Edwards K.A.
        • Hasenberg N.M.
        • et al.
        Informed decision making in outpatient practice: time to get back to basics.
        JAMA. 1999; 282: 2313-2320
        • Bottrell M.M.
        • Alpert H.
        • Fischbach R.L.
        • et al.
        Hospital informed consent for procedure forms: facilitating quality patient-physician interaction.
        Arch Surg. 2000; 135 (Chicago, Ill. : 1960): 26-33
        • Haynes A.B.
        • Weiser T.G.
        • Berry W.R.
        • et al.
        • Safe Surgery Saves Lives Study Group
        A surgical safety checklist to reduce morbidity and mortality in a global population.
        N Engl J Med. 2009; 360: 491-499
      1. Accreditation Council for Graduate Medical Education. ACGME program requirements for graduate medical education in diagnostic radiology. Accessed September 30, 2020.

        • Koller S.E.
        • Moore R.F.
        • Goldberg M.B.
        • et al.
        An informed consent program enhances surgery resident education.
        J surg educ. 2017; 74: 906-913
        • Thompson B.M.
        • Sparks R.A.
        • Seavey J.
        • et al.
        Informed consent training improves surgery resident performance in simulated encounters with standardized patients.
        Am J Surg. 2015; 210: 578-584
        • Lee S.C.
        • Nguyen V.
        • Nguyen A.
        • et al.
        Teaching anesthesiology residents how to obtain informed consent.
        J Educ Perioperat med: JEPM. 2019; 21: E632
        • Sherman H.B.
        • McGaghie W.C.
        • Unti S.M.
        • et al.
        Teaching pediatrics residents how to obtain informed consent.
        Acad Med. 2005; 80: S10-S13
        • Ferral H.
        The importance of the informed consent for interventional radiology procedures.
        J Radiol Nurs. 2016; 35: 33-36
        • O'Dwyer H.M.
        • Lyon S.M.
        • Fotheringham T.
        • et al.
        Informed consent for interventional radiology procedures: a survey detailing current European practice.
        Cardiovasc Intervent Radiol. 2003; 26: 428-433
        • Cousins C.
        Medical radiation and pregnancy.
        Health Phys. 2008; 95: 551-553
        • Perazella M.A.
        • Reilly R.F.
        Imaging patients with kidney disease: how do we approach contrast-related toxicity?.
        Am J Med Sci. 2011; 341: 215-221
        • Semelka R.C.
        • Armao D.M.
        • Elias Jr, J.
        • et al.
        The information imperative: is it time for an informed consent process explaining the risks of medical radiation?.
        Radiology. 2012; 262: 15-18
        • Okuda Y
        • Bryson EO
        • Demaria S
        • et al.
        The utility of simulation in medical education: what is the evidence?.
        Mt Sinai J Med. 2009; 76 (Aug 7): 330-343
        • Puscas L
        • Kogan JR
        • Holmboe ES.
        Assessing Interpersonal and Communication Skills.
        J Grad Med Education. 2021; April 2021: 91-95