Informed Consent, Parental Permission, and Assent in Pediatric Practice

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Abstract
As the author of the first draft of the recently published Academy statement, Informed Consent, Parental Permission, and Assent in Pediatric Practice,1 I would like to comment on several of the "qualifying" or "clarifying" additions that have been made in this statement during its decade long struggle to gain Academy approval. I am particularly concerned about the possible misinterpretation of three of these additions. The first addition is the statement, "Parents and physicians should not exclude children and adolescents from decision-making without persuasive reasons"

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