Recent years have brought increasing pressure from the public and the courts for truly informed patient consents to medical treatment and surgical procedures. Many courts have recognized that a patient's signature on a consent form is no assurance that the patient has received sufficient information, much less that he or she truly understood the information. A Pennsylvania court articulated this principle this way: [S]ince the patient must rely on the physician to tell her of all the appropriate risks, the physician cannot discharge this duty by having the patient execute a form which states that the risks have been explained. The courts will look beyond forms signed by patients to determine if the duty to inform has been discharged.
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Kaufer et al. (1983) studied this question.
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