Biju Krishnan shares some tips on testing patient understanding and why a nod probably won’t suffice.
As dental professionals, we’ve all been there: explaining the intricacies of treatment to a patient, only to receive a blank stare, an enthusiastic nod, or worse, the dreaded: ‘You’re the dentist, what do you think?’ response.
While we might be tempted to take these reactions as signs of implicit trust (or disinterest), the reality is this: patients often don’t fully grasp what they’re agreeing to. And that, dear colleagues, is where the consent conundrum comes into play.
‘You’re doing what to my mouth?’
Let’s set the scene. Mrs Johnson, a charming octogenarian, arrives at your practice. After your carefully crafted explanation of the treatment plan, including terms like ‘invasive procedure’, ‘anaesthesia risks’, and ‘post-op discomfort’, she smiles sweetly and signs on the dotted line. Fast forward to her exit from the practice and her flabbergasted conversation with the receptionist in front of a full waiting room (because let’s face it they won’t have that conversation with you in private), ‘I thought I was just going to get my teeth cleaned!’
This is the moment when your carefully documented consent form becomes your best friend – but it’s better if it doesn’t come to that.
Let’s face it: dental jargon isn’t exactly everyday conversation material. Terms like ‘periodontal scaling’ and ‘pulpotomy’ might as well be spells from Harry Potter to the average patient. Even ‘filling’ can conjure visions of something vastly different from what we mean.
Patients are nodding not necessarily because they understand, but because they trust you. While this is flattering, it’s also risky. Misunderstandings lead to complaints, complaints lead to lawsuits, and lawsuits lead to a steady diet of instant noodles because your indemnity insurance just tripled.
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From nods to knowledge
Enter the art of testing patient understanding. Think of it as a pop quiz – but instead of grades, the stakes are legal protection and patient satisfaction. Here’s how to make it fun (or at least not terrifying):
1. The teach-back technique
After explaining the treatment, ask your patient to explain it back to you. If they say: ‘You’re pulling out my wisdom teeth because they’re as useless as my ex’s advice’, congratulations, they’ve got it!
2. Visual aids for the win
Diagrams, models and even apps can bridge the gap between dental jargon and patient understanding. Bonus points if your 3D model of a molar doubles as a paperweight.
3. The quiz method
Hand them a short, multiple-choice quiz about the procedure. Not only will this clarify misunderstandings, but it also provides a great icebreaker for nervous patients. Just make sure the answer to every question isn’t ‘B’ – they’ll catch on.
4. Role-playing scenarios
Turn the consent process into a mini drama. Pretend you’re the patient, and they’re the dentist. It’s amazing what a little role reversal can reveal – plus, it’s great entertainment for your team.
5. A ‘swipe right’ for consent?
In the digital age, there’s an app for everything – and patient consent is no exception. Imagine sending your patient their consent to complete on their smart device in the comfort of their own home. A cheerful app that explains the procedure with animations, quizzes, and lots of additional information at their fingertips – oh the fun they would have.
The app could even send you an alert if the patient doesn’t achieve a passing score, prompting a follow-up conversation. That ‘please-sign-just-sign-here-quickly-so-we-can-get-started’ conversation, when you just realised you forgot to get consent (again), as they walk in through the surgery door, doesn’t even have to take place. Who knew consent could go viral?
The unexpected benefits
Testing understanding doesn’t just protect you legally; it builds trust. Patients feel heard and valued when you take the time to ensure they’re informed. Plus, they’re more likely to follow post-op instructions, reducing the likelihood of complaints like: ‘You never told me I couldn’t eat popcorn after my root canal!’
Consent isn’t just a signature; it’s a conversation. By testing understanding, you’re not only safeguarding your practice but also showing patients you care about their wellbeing. And who knows? With the right approach, you might even turn ‘patient education’ into the highlight of your day. After all, where else can you hear someone confidently declare: ‘So, you’re going to give my tooth a tiny hat called a crown?’
So, dear colleagues, the next time you’re tempted to rush through the consent process, remember: a little humour, a lot of patience, and a quick pop quiz might just save the day – and your dental career.
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