Consent, Assessment and Prognosis
Use valid consent, complete patient assessment and prognostic indicators to support an individualised plan.
How to prepare for LDS Part 1
Build clinically applied knowledge, then practise selecting the single best safe action from five plausible options under timed conditions.
Core concepts
Concept 1
Valid consent is an ongoing process based on capacity, adequate information and voluntariness, not merely a signed form.
Exam cue: Check capacity, information and freedom from pressure before relying on consent.
Concept 2
History, examination, investigations, risk factors, patient values and prognostic indicators must be synthesised rather than considered in isolation.
Exam cue: Separate diagnosis from prognosis: one identifies the condition, the other estimates likely course and outcome.
Risk pitfalls and guardrails
Treating documentation as proof that consent was valid.
Guardrail: Do not select a technically possible option if it ignores urgency, consent, medical risk, competence, follow-up or the patient's priorities.
Using one test result without integrating the wider assessment.
Guardrail: Do not select a technically possible option if it ignores urgency, consent, medical risk, competence, follow-up or the patient's priorities.
Memory anchors
What makes consent valid?
Capacity, sufficient relevant information and a voluntary decision.
Is consent a one-off event?
No. It is reviewed when circumstances, risks, options or patient wishes change.
What belongs in a complete assessment?
History, examination, investigations, risk, function, patient priorities and context.
What is a prognostic indicator?
A factor associated with the likely course or outcome of a condition or treatment.
What turns assessment into planning?
Synthesis of findings with prognosis, risk, alternatives and the patient's informed preferences.
Checkpoint rule
Do the check-up only after you can summarize each concept in one sentence and identify one dangerous pitfall from memory.
Knowledge Check (after reading)
Short check-up to confirm understanding of this module.
Check-up Questions
A patient signs a consent form for implants but has not been told about reasonable alternatives or material risks. Is the signature sufficient?
Halfway through a course of treatment, the treatment plan changes because a tooth fractures. What must the dentist do?
Answer all questions to submit.
Next step personalized recommendations
Continue learning
Move forward only after this module is stable.
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