Paeds Vivas · adolescent-and-young-adult-medicine
Adolescent consent for research and sensitive services — branching viva
Branching viva on informed consent for research and sensitive services, assent and parental permission, waiver of parental permission, bedside capacity assessment, conditional confidentiality and lawful override.
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Target exams
RACP General PaediatricsRACP DCEMRCPCH ClinicalRCPSC Pediatrics
Prompt
You are the paediatric registrar in adolescent clinic. The examiner moves from research-consent principles to a waiver of parental permission, a sensitive-services consent decision, and a confidentiality override that arises inside a research interview.
Stem
The examiner will test whether you can run a consent encounter for both research and sensitive services under pressure, holding the lawful limits of confidentiality. [1] [11]
References14ShowHide
- [1]Katz AL Informed Consent in Decision-Making in Pediatric Practice. Pediatrics, 2016.PMID 27456510
- [2]Santelli JS Guidelines for adolescent health research: a position paper of the society for adolescent medicine. The Journal of adolescent health : official publication of the Society for Adolescent Medicine, 1995.PMID 8924431
- [3]Wendler DS Assent in paediatric research: theoretical and practical considerations. Journal of medical ethics, 2006.PMID 16574878
- [4]Grady C Assent in research: the voices of adolescents. The Journal of adolescent health : official publication of the Society for Adolescent Medicine, 2014.PMID 24630932
- [5]Grady C Adolescent Research Participants' Descriptions of Medical Research. AJOB empirical bioethics, 2016.PMID 27004235
- [6]Bauman LJ Whether to Waive Parental Permission in HIV Prevention Research Among Adolescents: Ethical and Legal Considerations. The Journal of law, medicine & ethics : a journal of the American Society of Law, Medicine & Ethics, 2020.PMID 32342775
- [7]Hein IM Informed consent instead of assent is appropriate in children from the age of twelve: Policy implications of new findings on children's competence to consent to clinical research. BMC medical ethics, 2015.PMID 26553304
- [8]Nakalega R Ethical considerations for involving adolescents in biomedical HIV prevention research. BMC medical ethics, 2021.PMID 34556099
- [9]Francis JKR Research Participation of Minor Adolescents in Foster Care. Journal of pediatric and adolescent gynecology, 2021.PMID 33333259
- [10]Ford CA Influence of physician confidentiality assurances on adolescents' willingness to disclose information and seek future health care. A randomized controlled trial. JAMA, 1997.PMID 9307357
- [11]Chung RJ Confidentiality in the Care of Adolescents: Policy Statement. Pediatrics, 2024.PMID 38646690
- [12]English A Adolescent Consent and Confidentiality: Complexities in Context of the 21st Century Cures Act. Pediatrics, 2022.PMID 35531643
- [13]Santelli JS Discussion of Potentially Sensitive Topics With Young People. Pediatrics, 2019.PMID 30651304
- [14]Dickens BM Adolescents and consent to treatment. International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics, 2005.PMID 15847892