In the industrialised world, one of the pillars of ethical surgical practise is informed surgical consent. Pre-operative surgical consent has only been studied by a few researchers in low-income developing countries. After the surgeon caring for the patient has supplied the essential information, the patient has the right to make an autonomous and independent decision regarding his or her surgical treatment during the informed consent procedure. The Lisbon Declaration of the World Medical Association (WMA) promotes patient autonomy and decision-making independence. Factors including familial and cultural history, education, religion, and socioeconomic status can all influence informed consent in surgical practise. Few studies have looked at surgeons' consent practises in East Africa in order to describe optimal surgical practises and find areas for development in the region. The authors' personal experiences with surgical consent among Ugandan surgeons, as well as the specific issues faced in East Africa, were the focus of this review. In Uganda, the administration and documentation of informed consent are still lacking. Better medical ethics education and communication skills training are required in medical schools. Refresher training in medical ethics and communication skills may be required for fully trained surgeons.
Author(S) Details
Richard Wismayer
Department of Surgery, Masaka Regional Referral Hospital, Masaka, Uganda and Department of Surgery, Habib Medical School, IUIU University, Kampala, Uganda and Department of Pathology, School of Biomedical Sciences, College of Health Sciences, Makerere University, Kampala, Uganda.
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