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. 2023 Jun 26;15(6):e40958. doi: 10.7759/cureus.40958

Table 6. Supplemental online materials: pipetted survey questionnaire.

WA: Western Australia, QLD: Queensland

Survey items
Page 1
Project title: Perspectives on current attitudes, enablers, and barriers to obtaining surgical informed consent (SIC) for doctors-in-training
Q1. I hereby agree to be a participant in the above-named research.
Yes or No
Page 2: Demographics
Q2. Gender
0 = Male OR 1 = Female OR 2 = Undeclared
Q3. Postgraduate year
Enter number_____ yy in years
Q4. At what level of training did you receive formal instruction on obtaining surgical informed consent (SIC) for procedures?
0 = Medical school OR 1 = Internship OR 2 = Residency years OR 3 = Registrar years OR 4 = Fellowship years OR 5 = Never received formal training
Q5. At what age is a patient able to give a valid SIC?
Enter number_____ yy in years
Q6. Which of the following component/s are essential for obtaining a SIC?
0 = Evaluation of competence OR 1 = Patient education OR 2 = Recording of consent OR 3 = Patients’ signature OR 4 = Surgeons’ signature OR 5 = Date of consent OR 6 = Others - please specify
Q7. Are you aware of the nocebo effect of informed consent?
0 = No OR 1 = Yes
Page 3
Q8. Who do you think should obtain the SIC?
0 = The primary operator OR 1 = The consultant OR 2 = The fellow OR 3 = The trainee registrar OR 4 = The service registrar OR 5 = The resident OR 6 = The intern OR 7 = The medical student
Q9. In a situation where a patient is not capable of providing SIC, who is the next best person to provide a SIC? (Select all that apply.)
0 = The patient OR 1 = Next of kin OR 2 = Next of kin with enduring power of attorney OR 3 = Next of kin with enduring power of guardianship OR 4 = Family member OR 5 = Friend OR 6 = Hospital administrator
Q10. When do you think is the best time to obtain a SIC for a non-emergency procedure?
0 = The outpatient clinic OR 1 = On the ward OR 2 = Holding bay OR 3 = The anesthetic/induction room OR 4 = On the operating table
Page 4
Q11. How strongly do you Agree or Disagree with each of the following statements (5-point scale)?
1. Strongly agree, 2. Agree, 3. Neutral, 4. Disagree, 5. Strongly disagree
Valid SIC
a. I always check the patient’s competency to provide SIC.
b. All elective surgical procedures should have a valid SIC.
c. All emergency surgical procedures should have a valid SIC.
d. I use a structured proforma for obtaining SIC, e.g., WA or QLD Health Informed Consent Portal.
e. I always use the Royal Australia College of Surgeons’ procedure-specific consent.
Q12. How strongly do you Agree or Disagree with each of the following statements (5-point scale)?
1. Strongly agree, 2. Agree, 3. Neutral, 4. Disagree, 5. Strongly disagree
Components of SIC
a. When obtaining a SIC, I ensure that I explain the diagnosis and the indications for the procedure.
b. When obtaining a SIC, I ensure that I understand all the risks, benefits, complications, and alternatives to the procedure.
c. When obtaining a SIC, I ensure that my patient has understood the procedure.
d. I am familiar with the Rogers versus Whitaker case and the importance of material risk disclosure.
e. I am comfortable with the process of obtaining a SIC.
Q13. How strongly do you Agree or Disagree with each of the following statements (5-point scale)?
1. Strongly agree, 2. Agree, 3. Neutral, 4. Disagree, 5. Strongly disagree
Policies and procedures of SIC
a. I am aware of the presence of a hospital policy regarding informed consent for procedures.
b. I am familiar with the hospital policy regarding informed consent for procedures.
c. I often find myself in a situation where I have to obtain a SIC for a procedure I am not familiar with.
d. I often find myself having to obtain SIC for other specialties (e.g., percutaneous drainage done under radiology).
e. I believe that it is necessary to obtain formal training in obtaining surgical informed consent.
Page 5: Training
Q14. What is your preferred format for educational resources?
0 = Pocket guide/handbook OR 1 = Lecture series with handout OR 2 = Video or web-based learning module OR 3 = Others - please specify
Q15. What improvements would you like to see implemented in the training curricula?
Page 6
Q16. I would like to receive an executive summary of the research findings.
0 = Yes or 1 = No
Q17. If you answered yes to the above question, please provide your preferred email address for correspondence:
The contact details provided will be extracted separately from the study data to maintain anonymity.
Please note that this research group takes your confidentiality very seriously.
At no time will the raw data collected in this survey be released to any third party.
Thank you for taking the time to complete this survey. It is greatly appreciated!
End of the survey.
https://www.surveymonkey.com/r/SICWA