Montgomery in, Bolam out: are trainee surgeons 'material risks' when taking consent for cataract surgery?

Eye (Lond). 2020 Aug;34(8):1334-1340. doi: 10.1038/s41433-020-0785-4. Epub 2020 Feb 4.

Abstract

Trainee involvement in cataract surgery is vital to allow proper training of the next generation of ophthalmic surgeons. However, recent changes in the UK Law, coupled with open publication of National Cataract Dataset results, lead us to conclude that the status of being a trainee is itself a material risk that now needs to be divulged to patients during the consent process. The opinions of current trainee surgeons in the UK were sampled via questionnaire and clinical negligence counsel was involved in the authorship of the paper in order to analyse the legal issues at stake. Attitudes towards consent regarding trainee involvement in UK cataract surgery need to change.

实习医生参与白内障手术对合理培养下一代眼科医生至关重要。然而, 最近变更的英国法律以及国家公开的白内障数据表明——以实习医生的身份参加手术本身就存有很大风险, 而且这种风险需要在签署手术同意书时告知患者。为了分析其所涉及的法律问题, 本文作者通过问卷以及临床案例对当前英国实习医生的观点进行了抽样调查,并且临床过失法律顾问也参与了文章的撰写。准许英国实习医生参与白内障手术的态度需要做出改变

Publication types

  • Review

MeSH terms

  • Cataract Extraction*
  • Cataract*
  • Humans
  • Informed Consent
  • Ophthalmology*
  • Surgeons*