Chaperone use amongst UK urological surgeons – an evaluation of current practice and opinion

Modgil,; Barratt, Rachel; Summerton, Duncan J.; Muneer, Abbas

doi:10.1308/rcsann.2016.0071

Cited by 9 publications

(16 citation statements)

References 8 publications

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“…15,16 Indeed, medicolegal protection was the most frequent reason for chaperone use in our study (83.6%), with fewer respondents citing patient comfort (61.8%) as the justification. This finding is consistent with prior research, 6,9,10,17 including studies specific to resident physicians. 14 Chaperone use was highest among male surgeons in our analysis.…”

Section: Discussionsupporting

confidence: 92%

Chaperone Use During Plastic Surgery Physical Examinations

et al. 2022

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Background: Medical chaperones often play an important role during physical examinations, providing patient comfort and serving as medicolegal witness. The purpose of this study was to evaluate and compare practices regarding chaperone use by plastic surgery attendings and trainees. Methods: Avoluntary survey was distributed to members of the American Council of Academic Plastic Surgeons. The survey included a standardized set of questions regarding physician demographics, nature of practice training, and current practices pertaining to chaperone use. Data were analyzed in a descriptive fashion. Ordinal logistic regression models were used to identify predictors of chaperone use. Results: We received 167 responses, of which 107 (64.1%) were attendings and 60 (35.9%) were trainees. In total, 78.3% of the respondents were male and 21.7% were female. Routine use of chaperones was reported at 58.6%. Compared with plastic surgery trainees, attending surgeons were 12.8 times more likely to use a chaperone during sensitive examinations ( P < 0.001). In addition, male respondents were 6.43 times more likely than their female counterparts to involve a chaperone during sensitive examinations ( P < 0.001). Forty-eight percent of the trainees acknowledged receiving education regarding chaperone use, and this cohort was 7 times more likely to use a chaperone when compared with trainees who had not received chaperone instruction ( P < 0.001). Conclusions: This study highlights the wide variability of chaperone use among plastic surgery attendings and trainees. Integration and standardization of chaperone education within plastic surgery training may be an effective technique to promote this practice and lead to improved patient-provider clinical experiences.

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Section: Discussionsupporting

confidence: 92%

Chaperone Use During Plastic Surgery Physical Examinations

et al. 2022

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“…There are few previous data on the reported or documented use of chaperones for intimate examinations, and most published studies that we identified were in adult patients 5 6. Similar to our findings of reported chaperone use for pubertal staging, a survey of urologists found that 72.5% reported always using a chaperone for an intimate examination of the opposite sex, but much lower use for patients of the same sex 7. This was however much higher than the reported use of chaperones for intimate examinations by general practitioners (GP) in Australia8 and Canada,9 and in a study undertaken in 2006 in adolescent medicine and urology clinics that reported non-parent chaperones were used in very few consultations with adolescent patients (5%–18%) 10…”

Section: Discussionsupporting

confidence: 85%

Confidence, consent and chaperones for pubertal staging examinations: a national survey

Moon

Davies

2022

Arch Dis Child

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ObjectiveGeneral Medical Council (GMC) guidance describes an intimate examination as one that may be embarrassing for the patient, for example, breast or genitalia examination. Documentation of consent and use of a trained impartial observer (chaperone) is recommended. Pubertal staging is often necessitated for assessment of growth and puberty. We assessed current practice of pubertal staging by paediatricians and paediatric endocrinology nurse specialists (PENS) in the UK.MethodsAn electronic survey was distributed to paediatricians (consultants and trainees) and PENS across the UK. The survey enquired about training received, confidence in and typical practice for pubertal staging examinations.Results235 responses were received. Low confidence in pubertal staging was commonly reported by trainees and consultants without an endocrinology interest.Most respondents consider pubertal staging to be an intimate examination for male (94.9%) and female (93.1%) patients. Consent to examination is always documented by 38.2% of respondents. 62.0% and 54.8% report always using a chaperone for male and female pubertal staging, respectively. However, many respondents use a parent as the chaperone. Few document the name of the chaperone used. Patient objections and availability of chaperones were commonly perceived barriers to chaperone use.ConclusionMost clinicians consider pubertal staging an intimate examination, but documentation of consent and use of formal chaperones is not standard practice. The use of a parent as a chaperone was common but is not recommended by the GMC. Local chaperone policies should address these issues to protect patients and clinicians.

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“…A questionnaire-based study of UK based urologists demonstrated that 72.5% always used a chaperone whilst 22.9% never used a chaperone when the patient was of the same sex. 11 42.5% did not feel that using a chaperone assisted the doctor's examination, and 17.2% respondents felt that chaperones were unnecessary. Of concern, 38.9% were not aware of the GMC guidance on chaperones.…”

Section: Previous Research On Chaperonesmentioning

confidence: 99%