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  • sdadmin
    Keymaster
    February 20, 2019 at 3:09 pm #2295
    1. WHEREAS, patient informed consent is the foundation for all medical practice, and sexual assault
    2. is prohibited and addressed in the AOA Code of Ethics;1 and
    1. WHEREAS, consent is defined “to give assent or approval”2 which allows comfort and safety in
    2. treating patients;
    1. WHEREAS, students of osteopathic medicine receive extensive training in osteopathic
    2. manipulative treatment (OMT);3
    1. WHEREAS, OMT is a critical procedure to treating patients and is inherently defined by the AOA
    2. as a procedure;4
    1. WHEREAS, upon polling elected student representatives from osteopathic medical schools, 6 out
    2. of 20 reported their school did not require any form of obtaining informed consent when interacting
    3. with student patients, standardized patients, or patients in practice;5
    1. WHEREAS, we believe every graduate of a college of osteopathic medicine should present the
    2. preeminent proficiency of informed consent; and
    1. WHEREAS, obtaining consent is an Entrustable Professional Activity (EPA) as defined by the
    2. AAMC as part of several domains of competence including professionalism,6
    1. WHEREAS, we believe curricula should spend specific time learning about and practicing the
    2. nuances of informed consent and its pitfalls; now, therefore, be it
    1. RESOLVED, that all Colleges of Osteopathic Medicine prepare their graduates to learn and
    2. demonstrate aptitude concerning the knowledge and practice of informed consent; and, be it further
    1. RESOLVED, that anyone who takes on the role of an educator in an osteopathic medical school
    2. setting demonstrates the knowledge and attitudes of informed consent; and, be it further
    1. RESOLVED, that the AOA emphasize the importance of obtaining patient and student informed
    2. consent in all patient encounters and encourage the Commission on Osteopathic College
    3. Accreditation (COCA) to ensure that throughout osteopathic medical schools, faculty and students
    4. obtain consent from all patients – including student and standardized patients in the classroom and
    5. during exams, and those in a clinic –prior to performing any physical exam or therapeutic
    6. intervention including osteopathic manipulative medicine diagnoses and treatments.

     
    References

    1. “Code of Ethics.” American Osteopathic Association, Section 15 and 16, AOA, 24 July 2016, osteopathic.org/about/leadership/aoa-governance-documents/code-of-ethics/. Accessed 11 Sept. 2018.
    2. “consent.” Merriam-Webster.com. 2018. https://www.merriam-webster.com (11 Sept. 2018).
    3. COCA. Accreditation of Colleges of Osteopathic Medicine: COM Continuing Accreditation Standards. Element 6.4 and 6.6. 11 July 2017. https://osteopathic.org/wp-content/uploads/2018/02/com-continuing-accreditation-standards.pdf.
    4. “American Osteopathic Association Policy Compendium.” American Osteopathic Association, H647-A/15, p135-9. AOA, 8 August 2018, https://osteopathic.org/wp-content/uploads/policy-compendium.pdf. Accessed 03 October 2018.
    5. Jones, Maria. “Policy Requiring Students/Faculty to Obtain Consent before OMM Performed.” Biddeford, ME: Council of Osteopathic Student Government Presidents. 28 August 2018. Slack.
    6. Association of American Medical Colleges. Core Entrustable Professional Activities for Entering Residency: Curriculum Developers’ Guide. EPA 11, 2014. https://members.aamc.org/eweb/upload/Core%20EPA%20Curriculum%20Dev%20Guide.pdf.

    Submitted by:
    Maria D. Jones, OMS II – University of New England College of Osteopathic Medicine
    Tiffany Ziegler, OMS-III – Arizona College of Osteopathic Medicine of Midwestern University
    Christopher Skok, OMS-IV – Chicago College of Osteopathic Medicine of Midwestern University

    Action Taken:

    Date: Error! Bookmark not defined.

    Effective Time Period: Ongoing

  1. Maria Jones
    University of New England College of Osteopathic Medicine
    Posts:
    February 25, 2019 at 7:00 pm #2418

    This resolution will hopefully gain support from both SOMA and my state society, the Maine Osteopathic Association (MOA). In collaboration with both of these entities, I feel that the following amendments provide more strength for and clarity to this resolution while keeping with the spirit of the resolution. Most drastically, changing the terminology from “informed consent” to “permission” removes the notion that every act of permission requires written documentation as would be legally required in the practice of medicine. These are the changes I propose:

    1. In “Subject”
    a. Strike the phrase “informed consent”
    b. Insert “permission.”

    2. Line 1,
    a. Strike “sexual assault”
    b. Insert “gender discrimination”

    3. Line 3,
    a. Strike “consent is defined ‘to give assent or approval’ ”
    b. Insert “permission is defined as ‘the act of permitting; formal consent: authorization’ ”
    c. SOURCE: “permission.” Merriam-Webster.com. 2018. https://www.merriam-webster.com (11 February 2019).

    4. Lines 10-11
    a. Strike “informed consent when interacting with student patients, standardized patients, or patients in practice”
    b. Insert “permission in their education”

    5. Between lines 11 and 12
    a. Insert “WHEREAS, when reflecting on curricula at various colleges of osteopathic medicine (COMs) interactions requiring permission would include those with student patients, standardized patients, patients in practice, and others;”

    6. Line 16
    a. Strike “curricula should spend specific time”
    b. Insert “spending time in curricula is essential to”

    7. Line 17
    a. Strike “informed consent”
    b. Insert “obtaining permission”

    8. Line 19
    a. Strike “informed consent”
    b. Insert “obtaining permission”

    9. In between lines 19 and 20
    a. Insert “RESOLVED, that the Student Osteopathic Medical Association (SOMA) acknowledge that medical students should be appropriately trained to ask for permission in all patient interactions and therefore recognize it is an integral part of medical school education; and be it further”

    10. Lines 22-26
    a. Strike “emphasize the importance of obtaining patient and student informed consent in all patient encounters and encourage the Commission on Osteopathic College Accreditation (COCA) to ensure that throughout osteopathic medical schools, faculty and students obtain consent from all patients – including student and standardized patients in the classroom and during exams, and those in a clinic –prior”
    b. Insert “promote and encourage both educators and students in the use of obtaining permission in all patient interactions – whether it be student patients, standardized patients, or others; and be it further

    RESOLVED, that the Commission on Osteopathic College Accreditation (COCA) support osteopathic medical schools, faculty, educators, and students in the use of obtaining permission from all patients – including student and standardized patients in the classroom, during exams, and those in a clinic – in relation”

    11. Line 27
    a. Insert comma after “medicine”
    b. Insert comma after “diagnoses”