How to Take Consent from Patients as a Student: A Practical Guide for MBBS Aspirants
The journey of becoming a doctor is not just about mastering anatomy or understanding pharmacology. One of the most crucial soft skills every MBBS student must learn from early on is how to ethically and effectively take consent from patients.
At Shreet Career Guidance Services Pvt. Ltd., we believe that empathy, professionalism, and ethical conduct begin right from medical school. Learning how to take consent during your clinical postings isn’t just a formality; it’s a vital part of patient care, trust-building, and your future as a responsible doctor.
Visit www.shreetguidance.com for expert resources on ethics, communication, and professional conduct in medicine.
Understanding Consent: What Does It Mean?
Consent means a patient gives permission for something to happen, be it a physical examination, diagnostic procedure, or treatment. As a student, you may not be directly performing these procedures, but you still need to seek consent before observing or participating.
There are different types of consent:
- Implied Consent: Assumed when a patient voluntarily comes to a hospital.
- Verbal Consent: Patient agrees verbally to a procedure or exam.
- Written Consent: Required for surgeries, invasive procedures, and research involvement.
As an MBBS student, you will mostly be asking for verbal consent before interviews, physical exams, or observing procedures.
Why Taking Consent Matters
1. Respects Patient Autonomy
Every patient has the right to make decisions about their own body. Taking consent ensures you are respecting their autonomy.
2. Builds Trust
Asking for permission shows patients that you value their comfort and rights.
3. Legal Protection
Even as a student, documenting or confirming consent (when needed) protects both you and the institution.
4. Professionalism
Doctors are expected to uphold the highest ethical standards. Practicing this early makes you a better professional.
5. Improves Communication Skills
You learn how to approach patients, explain your intentions clearly, and listen actively.
When Should MBBS Students Take Consent?
- Before taking a detailed case history
- Before performing a general or systemic examination
- Before palpating or auscultating
- Before being present in sensitive discussions
- Before observing surgeries or invasive procedures
Remember, informed consent means the patient knows who you are, what you want to do, and why. It is not enough to simply say, “Can I check you?”
Step-by-Step: How to Take Consent as an MBBS Student
1. Introduce Yourself Clearly
Start by saying your name and that you’re a student. Example:
“Good morning, my name is Priya. I’m a third-year MBBS student and I’m part of the team looking after you.”
2. Explain Your Role
Tell the patient why you’re there:
“I’d like to ask you a few questions about your illness and examine you under the supervision of the doctor. Is that okay with you?”
3. Ensure Understanding
Check if the patient has understood what you’re going to do. Avoid medical jargon:
“I’ll place my stethoscope on your chest to listen to your heartbeat. It won’t cause any pain.”
4. Give Them a Choice
Patients should feel free to decline. Never pressure them:
“If you’re not comfortable, I completely understand.”
5. Maintain Privacy and Confidentiality
Always ensure curtains are drawn or doors are closed during physical exams. Never discuss patient details in public areas.
6. Thank the Patient
Whether they agree or not, thank them for their time:
“Thank you for your time. I really appreciate it.”
What If the Patient Says No?
Respect their choice. Do not argue or try to convince them. Simply inform your supervisor and move on to another learning opportunity. Never take refusal personally.
Cultural Sensitivity and Gender Considerations
In many parts of India, patients (especially females) may feel uncomfortable being examined by male students, and vice versa. Always:
- Take extra care in explaining your role
- Ask a nurse or chaperone to be present when needed
- Be sensitive to religious and cultural beliefs
Common Mistakes to Avoid
- Not introducing yourself as a student
- Assuming permission without asking
- Rushing through consent process
- Using complex medical terms
- Ignoring body language (e.g., discomfort or hesitation)
Role of Institutions and Mentors
Your college and supervisors must create an environment where ethical behavior is encouraged. As a student:
- Ask your mentors for feedback on your communication
- Practice consent scenarios in role-play or simulation labs
- Report any unethical practices you observe
At Shreet Career Guidance Services Pvt. Ltd., we support not just academic learning but also ethical and professional development. Learn more at www.shreetguidance.com.
Real-Life Scenario
Scenario: You’re in your surgery posting and are asked to take the history of a male patient admitted for hernia surgery.
Wrong Approach:
- Walk up to patient without introducing yourself.
- Start asking questions without explaining who you are.
Right Approach:
- “Namaste Sir, I am Rohan, an MBBS student working with the surgery team. I would like to understand your condition and examine you as part of my learning. Is that alright with you?”
- If patient agrees, continue respectfully.
- If not, thank him politely and inform your senior.
How This Helps You Long-Term
- During Clinical Rotations: Professors will notice your ethical and respectful approach.
- Internship & Beyond: You’ll build better rapport with patients.
- PG Interviews: Many interview panels value communication and ethics as much as knowledge.
- Medical Practice: A doctor with good bedside manners builds lasting trust.
Final Thoughts
Taking patient consent isn’t just about ticking a checkbox. It reflects your character, professionalism, and readiness to be a future doctor. As you walk the hospital corridors and meet patients, remember that every interaction is a chance to grow.
At Shreet Career Guidance Services Pvt. Ltd., we prepare you not only for exams but also for real-world responsibilities. Start practicing good consent habits from your very first clinical posting.
Visit www.shreetguidance.com to get mentorship, resources, and guidance that shapes your complete MBBS journey.