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To the Editor:
As a neurologist and a clinical bioethicist, I was pleased to see the article on competency1 featured as a CME article in the January 9 issue. In general, I felt the article was well done and educational.
Unfortunately, the title of this article and much of the authors’ discussion perpetuates an error. The authors are discussing decisional capacity,2 medical information processing,3 capacity to consent,4,5⇓ or ability to understand informed consent.6 Competency is a legal issue.7,8⇓ The authors seem to understand this as evidenced by their final paragraph, but they attempt to establish a dichotomy between competency and legal competency. A more helpful …
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