QuestionSBA
QuestionChoice
This is the second best choice. You should not practice outside your boundaries of competence. (Even consultants need to ask others for help occasionally). However, explaining why they have refused would be best
32895
c
Refuse to consent the patient
QuestionChoice
This is a poor choice, even if the doctor has mitigated the scenario slightly by looking up the details of the surgery. This consent requires a complex understanding of the operation that only someone who has performed the surgery will have
32897
e
Consent the patient after looking up the details of the surgery in more detail
QuestionChoice
This is a poor choice as the doctor is also involving a second underqualified doctor. It is up to interpretation whether this option is worse the consenting the patient after looking up the details first. Ultimately, both should not happen
32896
d
Ask another Foundation Year 1 doctor, who has seen the surgery performed before, to consent the patient
QuestionChoice
This is the best answer. As a Foundation Year 1 doctor, they should not be consenting a patient for a procedure which is unknown to them as they would be unable to sufficiently explain the risks and benefits for the surgery to the patient. They would also be unlikely to answer any further questions from the patient. A good general rule that can be used is: if you can do the procedure yourself then you can ascertain consent. If you cannot, then it may not be appropriate to be obtaining consent
32893
a
Explain to the consultant that they are unable to consent the patient as they do not have enough experience
QuestionChoice
This is the worst choice as the doctor is unlikely to be able to provide clear guidance, and the patient would have reasonable grounds to complain as it would negatively affect their care
32894
b
Consent the patient as best they can on their own
QuestionComment
can't wait to be in that scenario myself and get demoted back to medical student
26132
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subscriber
canIhave12bottlesofbleachplease
QuestionComment
I got this wrong because i chose 'refuse to consent the patient'. I see why it was explain that you are unable to consent, however i think the reasoning is incorrect. You can't consent the patient because you are not doing the procedure, not because you don't have enough experience (perhaps a secondary reason). 
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subscriber
Axillary Hereditary
Concept
Chapter
# Consent 

Consent must be obtained from a patient before undertaking a treatment or procedure. If it is not, then this could constitute the offence of **battery** ("touching in a harmful or offensive manner without consent or lawful justification") - even if there was no hostile intent or harm caused.

# Conditions for valid consent

Under the **Mental Capacity Act**, there are a number of conditions that have to be met for valid consent to be obtained from a patient:

1. The patient must have **capacity**. For this, the individual must be able to: understand information, retain information, weigh the information and reach a conclusion, and communicate the decision they have reached.

2. The consent must be **freely given** (i.e. uncoerced) and the patient must be **suitably informed** (i.e. have been given a suitable level of detail of the procedure, and expected outcomes and risks).

# Assumed Capacity 

For an adult, capacity is assumed unless there is reason to doubt; for example the patient has learning difficulties which impacts on their ability to understand and process new information.

# How Is Consent Taken?

Valid consent can be received in writing, verbally or tacitly (where it is implied or indicated). A signed consent form does not - by itself - equal 'consent', it is purely _related evidence_.

# Who Can Obtain Consent?

The person who should obtain the consent from a patient should be the professional undertaking the procedure, or someone familiar with it, who is able to explain all the necessary information and answer any questions the patient may have.
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Legal requirements for valid patient consent
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Ethics and Law
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Legal requirements for valid patient consent
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Fraser Guidelines
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Legal requirements for valid patient consent
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Quesmed Tutorial: Gynaecology 1
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Foundation Year doctors should not consent for procedures they are unfamiliar with, as they cannot adequately explain risks and benefits to patients.
A Foundation Year 1 doctor is on their first rotation in urology. They are asked by the urology consultant to consent a 67-year-old male patient for a trans urethral resection of a bladder tumour. The patient is due to go to theatre that afternoon. The Foundation Year 1 doctor has never seen this surgery performed before and does not have a clear idea about what it entails.

Which of the following is the most appropriate action for the Foundation Year 1 doctor?
a