Last week, the Centers for Medicare & Medicaid Services (CMS) updated this guidance to clarify that informed consent from patients is required before medical students or other students perform important surgical tasks, invasive procedures, or examinations. This guidance specifically references hospital enforced consent obligations in response to increasing public attention to the traditional practice of allowing practitioners or supervised medical, advanced practice provider, or other applicable students to perform examinations to training -related examinations outside the medically necessary procedure, particularly on anesthetized patients.