January/February 2018 | Page 20

INFORMED CONSENT UPDATE: A New Pennsylvania Supreme Court Directive The Shinal decision does not alter: (1) what is informed consent; (2) when informed consent is required; or (3) what information is required for informed consent. These long-recognized concepts and directives are briefly summarized as follows: WHAT: Informed consent is the process of providing a patient with all of the information needed to assist them in making an informed and knowledgeable decision regarding whether to proceed with a dental procedure. WHEN: When the dentist will perform any surgical or operative procedure, including the administration of anesthesia. INFORMATION REQUIRED: A description of the surgical or operative procedure, and of the risks and alternatives that a reasonable person in the patient’s situation would consider significant in deciding whether to have the procedure. It must be clear that the patient understands reasonably possible as well as expected results. The Shinal decision does affect who must obtain a patient’s informed consent. Specifically, the Shinal Court held that “ a physician cannot rely upon a subordinate to disclose the information required to obtain informed consent.” 18 Thus, to comply with the directive of Shinal, dentists who currently do not conduct direct, face-to-face, conversations with patients about the nature of the procedures and the risks and alternatives, must begin to do so immediately. Use of support staff, dental hygienists or assistants, or even dental students to conduct the informed consent conversation does not constitute compliance. Only that direct, face to face, conversation with the patient, wherein the patient is able to ask questions of the dentist, is sufficient. Although not expressly required by the Shinal decision, best practice is for dentists to present patients with a procedure-specific written consent form, with the expected date of the procedure, which confirms that the informed consent conversation occurred between the doctor and the patient, and for the dentist to sign the form along with the patient. This provides strong evidence that the informed consent process followed the dictates of Shinal. In addition, dentists should contemporaneously document the informed consent conversation and the execution of the consent form directly in the patient’s chart. Following these procedures faithfully will provide Pennsylvania dentists will serve patient and dentist well, and ensure that the dentist’s record-keeping clearly reflects compliance with the law of informed consent in Pennsylvania. JA NUA RY/F E B R UA RY 2018 | P EN N S YLVA N IA D EN TA L J O U R N A L DISCLAIMER: This article is intended to provide general information and is not intended as legal advice. The law, and interpretations of the law, may change, while each factual situation is distinct. For legal guidance on specific situations, dentists should consult their attorneys. Nothing in this article is to be construed as defining the standard of care for practitioners.