Informed Consent Practices for Basic Dermatologic Procedures Among AAD Members

2. In which state do you practice? (Please use the TWO-LETTER ABBREVIATION only)

In which state do you practice? (Please use the TWO-LETTER ABBREVIATION only)

3. What is your gender?

What is your gender? Female

Male

4. What is your ethnicity?

What is your ethnicity? Caucasian

African American

Latino

Asian

Other

5. How many years have you been in practice?

How many years have you been in practice? <5

5-15

16-25

>25

6. Which subspecialty is the basis for the MAJORITY of your practice (>50% of your time)?

Which subspecialty is the basis for the MAJORITY of your practice (>50% of your time)? Medical Dermatology

Dermatologic Surgery (non-cosmetic)

Dermatologic Surgery (cosmetic)

Pediatric Dermatology

Dermatopathology

7. In which setting do you practice MOST? (>50% of your time)

In which setting do you practice MOST? (>50% of your time) solo private practice

group private practice, single specialty

group private practice, multi-specialty

academic institution

8. Which is your USUAL informed consent practice for the following procedures?

	None	Verbal only	Written only	Verbal and Written*	I do not perform this procedure
Cryosurgery	Which is your USUAL informed consent practice for the following procedures? Cryosurgery None	Verbal only	Written only	Verbal and Written*	I do not perform this procedure
Intralesional injection of steroid	Intralesional injection of steroid None	Verbal only	Written only	Verbal and Written*	I do not perform this procedure
Incisional biopsy via shave technique	Incisional biopsy via shave technique None	Verbal only	Written only	Verbal and Written*	I do not perform this procedure
Incisional biopsy via punch technique	Incisional biopsy via punch technique None	Verbal only	Written only	Verbal and Written*	I do not perform this procedure
Incisional biospy via eliptical incision with scalpel	Incisional biospy via eliptical incision with scalpel None	Verbal only	Written only	Verbal and Written*	I do not perform this procedure
Excisional biopsy via shave technique	Excisional biopsy via shave technique None	Verbal only	Written only	Verbal and Written*	I do not perform this procedure
Excisional biopsy via punch technique	Excisional biopsy via punch technique None	Verbal only	Written only	Verbal and Written*	I do not perform this procedure
Excisional biospy via eliptical incision with scalpel	Excisional biospy via eliptical incision with scalpel None	Verbal only	Written only	Verbal and Written*	I do not perform this procedure
Electrodessication and curettage	Electrodessication and curettage None	Verbal only	Written only	Verbal and Written*	I do not perform this procedure
Excision of benign lesions	Excision of benign lesions None	Verbal only	Written only	Verbal and Written*	I do not perform this procedure
Excision of malignant lesions	Excision of malignant lesions None	Verbal only	Written only	Verbal and Written*	I do not perform this procedure
Mohs micrographic surgery	Mohs micrographic surgery None	Verbal only	Written only	Verbal and Written*	I do not perform this procedure
Injection of botulinum toxin	Injection of botulinum toxin None	Verbal only	Written only	Verbal and Written*	I do not perform this procedure
Injection of filler substances	Injection of filler substances None	Verbal only	Written only	Verbal and Written*	I do not perform this procedure
Cosmetic chemical peels	Cosmetic chemical peels None	Verbal only	Written only	Verbal and Written*	I do not perform this procedure
Medical chemical peels (e.g. for diffuse actinic damage)	Medical chemical peels (e.g. for diffuse actinic damage) None	Verbal only	Written only	Verbal and Written*	I do not perform this procedure
Laser	Laser None	Verbal only	Written only	Verbal and Written*	I do not perform this procedure
Liposuction	Liposuction None	Verbal only	Written only	Verbal and Written*	I do not perform this procedure
Sclerotherapy	Sclerotherapy None	Verbal only	Written only	Verbal and Written*	I do not perform this procedure

*Written and verbal: Informed consent is obtained with both a signed consent form AND a discussion of key aspects of the consent form with the patient.

9. In YOUR opinion, which type of informed consent satisfies the MINIMUM STANDARD OF CARE for the following procedures?

	None	Verbal only	Written only	Written and Verbal*
Cryosurgery	In YOUR opinion, which type of informed consent satisfies the MINIMUM STANDARD OF CARE for the following procedures? Cryosurgery None	Verbal only	Written only	Written and Verbal*
Intralesional injection of steroid	Intralesional injection of steroid None	Verbal only	Written only	Written and Verbal*
Incisional biopsy via shave technique	Incisional biopsy via shave technique None	Verbal only	Written only	Written and Verbal*
Incisional biopsy via punch technique	Incisional biopsy via punch technique None	Verbal only	Written only	Written and Verbal*
Incisional biospy via eliptical incision with scalpel	Incisional biospy via eliptical incision with scalpel None	Verbal only	Written only	Written and Verbal*
Excisional biopsy via shave technique	Excisional biopsy via shave technique None	Verbal only	Written only	Written and Verbal*
Excisional biopsy via punch technique	Excisional biopsy via punch technique None	Verbal only	Written only	Written and Verbal*
Excisional biospy via eliptical incision with scalpel	Excisional biospy via eliptical incision with scalpel None	Verbal only	Written only	Written and Verbal*
Electrodessication and curettage	Electrodessication and curettage None	Verbal only	Written only	Written and Verbal*
Excision of benign lesions	Excision of benign lesions None	Verbal only	Written only	Written and Verbal*
Excision of malignant lesions	Excision of malignant lesions None	Verbal only	Written only	Written and Verbal*
Mohs micrographic surgery	Mohs micrographic surgery None	Verbal only	Written only	Written and Verbal*
Injection of botulinum toxin	Injection of botulinum toxin None	Verbal only	Written only	Written and Verbal*
Injection of filler substances	Injection of filler substances None	Verbal only	Written only	Written and Verbal*
Cosmetic chemical peels	Cosmetic chemical peels None	Verbal only	Written only	Written and Verbal*
Medical chemical peels (e.g. for diffuse actinic damage)	Medical chemical peels (e.g. for diffuse actinic damage) None	Verbal only	Written only	Written and Verbal*
Laser	Laser None	Verbal only	Written only	Written and Verbal*
Liposuction	Liposuction None	Verbal only	Written only	Written and Verbal*
Sclerotherapy	Sclerotherapy None	Verbal only	Written only	Written and Verbal*

See above definition

10. When you obtain VERBAL CONSENT ALONE for any of the above procedures, how often (i.e. for what percentage of cases) is this DOCUMENTED?

When you obtain VERBAL CONSENT ALONE for any of the above procedures, how often (i.e. for what percentage of cases) is this DOCUMENTED? <25%

25-50%

51-75%

76-100%

11. When verbal informed consent is obtained, is it done so by the person chiefly responsible for performing the procedure?

When verbal informed consent is obtained, is it done so by the person chiefly responsible for performing the procedure? Yes

12. Which construct influences your informed consent practices MOST?

Which construct influences your informed consent practices MOST? Law

Ethics

Medicine

13. Have you been sued for malpractice?

Have you been sued for malpractice? Yes

14. Would you support published guidelines regarding informed consent practices by representative dermatologic organizations (e.g. AAD, ASDS, etc.)?

Would you support published guidelines regarding informed consent practices by representative dermatologic organizations (e.g. AAD, ASDS, etc.)? Yes

By clicking "submit," or return-mailing this survey you consent to the use of this anonymous data for research purposes by Drs. Chen and Stoff.

1. How old are you?