{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T02:06:52Z","timestamp":1760148412717,"version":"build-2065373602"},"reference-count":26,"publisher":"MDPI AG","issue":"9","license":[{"start":{"date-parts":[[2023,4,28]],"date-time":"2023-04-28T00:00:00Z","timestamp":1682640000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Healthcare"],"abstract":"<jats:p>Informed consent protects patients\u2019 right of autonomy, as they may refuse to participate in clinical teaching. In Pediatrics, young people aged 16 or over, and with the necessary judgment, may consent; in Psychiatry, consent is also essential due to the personal nature of the subjects addressed. This study aimed mainly to assess the practical application of informed consent in medical education. An observational cross-sectional study was developed, and an interview-like questionnaire was applied to participants waiting for a scheduled consultation for themselves or the person they represented, in Pediatrics and Psychiatry. Only 54% of Pediatrics participants and 75% of Psychiatry participants stated that the physician asked them if they minded the students\u2019 presence and an even smaller percentage from both departments affirmed that students introduced themselves as medical students and requested their consent to examine them. Patients feel satisfied to contribute to the students\u2019 training, although a considerable percentage of them had experiences without being informed or asked for consent, which represents an evident disrespect for their autonomy. There is a need to intervene and provide an adequate education of ethical values in clinical practice to students.<\/jats:p>","DOI":"10.3390\/healthcare11091270","type":"journal-article","created":{"date-parts":[[2023,5,1]],"date-time":"2023-05-01T12:02:31Z","timestamp":1682942551000},"page":"1270","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Consent for Teaching\u2014The Experience of Pediatrics and Psychiatry"],"prefix":"10.3390","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9908-5678","authenticated-orcid":false,"given":"B\u00e1rbara Frade","family":"Moreira","sequence":"first","affiliation":[{"name":"Faculty of Medicine, University of Porto, 4200-319 Porto, Portugal"},{"name":"Department of General and Family Medicine, Family Health Unit (USF) Caminhos do C\u00e9rtoma, Grouping of Health Centers (ACES) Baixo Mondego, Regional Health Administration (ARS) Centro, 3050-428 Mealhada, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7109-1101","authenticated-orcid":false,"given":"Cristina Costa","family":"Santos","sequence":"additional","affiliation":[{"name":"Department of Community Medicine, Information and Health Decision Sciences (MEDCIDS), Faculty of Medicine, University of Porto, 4200-319 Porto, Portugal"},{"name":"CINTESIS@REISE, Faculty of Medicine, University of Porto, 4200-319 Porto, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5160-7043","authenticated-orcid":false,"given":"Ivone","family":"Duarte","sequence":"additional","affiliation":[{"name":"Department of Community Medicine, Information and Health Decision Sciences (MEDCIDS), Faculty of Medicine, University of Porto, 4200-319 Porto, Portugal"},{"name":"CINTESIS@REISE, Faculty of Medicine, University of Porto, 4200-319 Porto, Portugal"}]}],"member":"1968","published-online":{"date-parts":[[2023,4,28]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"332","DOI":"10.1136\/bmj.329.7461.332","article-title":"The Ethics of Medical Education","volume":"329","author":"Jagsi","year":"2004","journal-title":"BMJ"},{"key":"ref_2","first-page":"369","article-title":"Human Values Teaching Programs in the Clinical Education of Medical Students","volume":"62","author":"Bickel","year":"1987","journal-title":"J. Med. Educ."},{"key":"ref_3","doi-asserted-by":"crossref","unstructured":"AlMahmoud, T., Hashim, M.J., Almahmoud, R., Branicki, F., and Elzubeir, M. (2018). Informed Consent Learning: Needs and Preferences in Medical Clerkship Environments. PLoS ONE, 13.","DOI":"10.1371\/journal.pone.0202466"},{"key":"ref_4","doi-asserted-by":"crossref","unstructured":"Barnett, A.T., Cawich, S.O., Crandon, I.W., Lindo, J.F., Gordon-Strachan, G., Robinson, D., and Ranglin, D. (2009). Informed Consent from Patients Participating in Medical Education: A Survey from a University Hospital in Jamaica. BMC Res. Notes, 2.","DOI":"10.1186\/1756-0500-2-252"},{"key":"ref_5","first-page":"21","article-title":"Medical Students\u2019 and Physicians\u2019 Attitudes toward Patients\u2019 Consent to Participate in Clinical Training","volume":"3","author":"Omid","year":"2015","journal-title":"J. Adv. Med. Educ. Prof."},{"key":"ref_6","first-page":"789","article-title":"Informed Consent Policies Governing Medical Students\u2019 Interactions with Patients","volume":"62","author":"Cohen","year":"1987","journal-title":"J. Med. Educ."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"129","DOI":"10.1016\/j.prrv.2006.03.010","article-title":"Ethical Dilemmas in Training Tomorrow\u2019s Doctors","volume":"7","author":"Hamilton","year":"2006","journal-title":"Paediatr. Respir. Rev."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"688","DOI":"10.1046\/j.1365-2923.1999.00454.x","article-title":"Patients as Teachers: A Qualitative Study of Patients\u2019 Views on Their Role in a Community-Based Undergraduate Project","volume":"33","author":"Stacy","year":"1999","journal-title":"Med. Educ."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"563","DOI":"10.1378\/chest.06-1955","article-title":"Informed Consent in Clinical Medicine","volume":"131","author":"Terry","year":"2007","journal-title":"Chest"},{"key":"ref_10","unstructured":"Beauchamp, T.L., and Childress, J.F. (2001). Principles of Biomedical Ethics, Oxford University Press."},{"key":"ref_11","first-page":"821","article-title":"A National Survey Concerning the Ethical Aspects of Informed Consent and Role of Medical Students","volume":"63","author":"Cohen","year":"1988","journal-title":"J. Med. Educ."},{"key":"ref_12","doi-asserted-by":"crossref","unstructured":"Scientific and Cultural Organization United Nations Educational (2006). Universal Declaration on Bioethics and Human Rights, Scientific and Cultural Organization United Nations Educational.","DOI":"10.1515\/9783110186406.377"},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"126","DOI":"10.1111\/j.1365-2923.1994.tb02531.x","article-title":"The Role of Psychology in the Teaching of Medical Ethics: The Example of Informed Consent","volume":"28","author":"Kent","year":"1994","journal-title":"Med. Educ."},{"key":"ref_14","first-page":"27","article-title":"Medical Students and Informed Consent: A Consensus Statement Prepared by the Faculties of Medical and Health Science of the Universities of Auckland and Otago, Chief Medical Officers of District Health Boards, New Zealand Medical Students\u2019 Association and the Medical Council of New Zealand","volume":"128","author":"Bagg","year":"2015","journal-title":"N. Z. Med. J."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"1108","DOI":"10.1136\/bmj.315.7116.1108","article-title":"Teaching Medical Students in General Practice: Respecting Patients\u2019 Rights","volume":"315","author":"Williamson","year":"1997","journal-title":"BMJ"},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"465","DOI":"10.1046\/j.1365-2923.1998.00237.x","article-title":"Informed Consent in Clinical Training\u2013Patient Experiences and Motives for Participating","volume":"32","author":"Lynoe","year":"1998","journal-title":"Med. Educ."},{"key":"ref_17","first-page":"992","article-title":"Teaching Medical Students\u2014Ethical Challenges","volume":"40","author":"Sturman","year":"2011","journal-title":"Aust. Fam. Physician"},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"204","DOI":"10.1111\/j.1440-1754.2010.01937.x","article-title":"Why Parents and Children Consent to Become Involved in Medical Student Teaching","volume":"47","author":"Pinnock","year":"2011","journal-title":"J. Paediatr. Child. Health"},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"337","DOI":"10.1023\/A:1011810303045","article-title":"Ethical Dimension of Paediatric Cochlear Implantation","volume":"22","author":"Nunes","year":"2001","journal-title":"Theor. Med. Bioeth."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"259","DOI":"10.1353\/ken.1997.0023","article-title":"The Convention on Human Rights and Biomedicine of the Council of Europe","volume":"7","author":"Dommel","year":"1997","journal-title":"Kennedy. Inst. Ethics. J."},{"key":"ref_21","unstructured":"(2019, January 15). Centro Hospitalar S\u00e3o Jo\u00e3o: \u201cCHU de S\u00e3o Jo\u00e3o\u201d. Available online: https:\/\/portal-chsj.min-saude.pt\/pages\/1."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"685","DOI":"10.1136\/bmj.322.7288.685","article-title":"Closing the Gap between Professional Teaching and Practice","volume":"322","author":"Doyal","year":"2001","journal-title":"BMJ"},{"key":"ref_23","unstructured":"(2001). N\u00ba2\/2001, Assembly of the Republic."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"1247","DOI":"10.1177\/1557988318772732","article-title":"Masculinity, Social Connectedness, and Mental Health: Men\u2019s Diverse Patterns of Practice","volume":"12","author":"McKenzie","year":"2018","journal-title":"Am. J. Mens. Health"},{"key":"ref_25","doi-asserted-by":"crossref","unstructured":"Davey, A., Asprey, A., Carter, M., and Campbell, J.L. (2013). Trust, Negotiation, and Communication: Young Adults\u2019 Experiences of Primary Care Services. BMC Fam. 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