Abstract
Objective
To determine the proportion of patients consenting to resident participation in cataract
surgery and to identify factors predictive of consent.
Design
Prospective cross-sectional study.
Participants
The 330 consecutive patients referred for cataract evaluation from February–April
2021 to 3 surgeons at a tertiary care referral centre in London, Ontario.
Methods
Using a standardized disclosure script, individuals were asked about resident participation
in their cataract surgery. A phone survey and medical record review were conducted
to obtain clinical and demographic information. Predictors of consent were assessed
using logistic regression modelling.
Results
Responses were received from 279 individuals (85% response rate), with a mean age
of 71.7 ± 8.6 years, and 113 were female. The consent rate was 71%. Prior negative
experience with any medical trainee was an independent predictor for refusing resident
participation (odds ratio [OR] = 3.10; 95% CI, 1.32–7.28; p = 0.009). Nonconsenters also had more prior negative experiences with other physicians
(35% vs 23%; p = 0.031) and knew someone who had had a problem after eye surgery (36% vs 22%; p = 0.016).
Individuals with an occupation involving apprenticeship (OR = 2.87; 95% CI, 1.08–7.67;
p = 0.035) and those with a preoperative acuity of 20/200 or worse (OR = 2.78; 95%
CI, 1.03–7.14; p = 0.043) were more likely to consent.
Conclusions
Patients should be explicitly asked about resident involvement. Negative experiences
can make individuals reluctant to have learners involved in their future care. Patient
education describing the apprenticeship model in medicine may increase consent.
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Article Info
Publication History
Published online: May 26, 2022
Accepted:
May 2,
2022
Received:
April 10,
2022
Publication stage
In Press Corrected ProofIdentification
Copyright
© 2022 Canadian Ophthalmological Society. Published by Elsevier Inc. All rights reserved.
