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Informed consent takes place in the brain. While that seems obvious, the implications of that statement go much deeper. To a great extent, both bioethics and federal policy are based on 17th century assumptions by philosophers such as Descartes-who knew nothing of the structure and function of the brain.

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Patients and patient advocacy groups have long demanded more easily understood information about their diseases and about clinical trials. Given these demands, it seems reasonable to provide trial-related information in an audio-visual format. Indeed, Brady has already reported the use of multimedia informed consent programs in several leading research centers.