Current Trends in Chaperone Use by Plastic and Reconstructive Surgeons

Choudry, Umar; Barta, Ruth J.; Kim, Nicholas

doi:10.1097/sap.0b013e31824143a3

Cited by 7 publications

(22 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%

“…In addition, the AMA recommends that the individual serving as the chaperone should be an authorized healthcare professional, and not a significant other or family member. Most respondents in our survey, similar to prior studies, 6,11,30 used a nurse for chaperoning. However, 17% of the subjects reported using a significant other, family member, or friend as a chaperone, despite the AMA recommendations.…”

Section: Discussionsupporting

confidence: 65%

“…Among the attendings, the response rate of 21% is comparable with the previous survey studies from the American Society of Plastic Surgeons. 6 However, given the lack of a centralized mailing list for plastic surgery trainees, their participation relied on distribution via attending members of the ACAPS. As such, we were unable to track the number of the trainees who received the survey and therefore could not calculate a response rate.…”

Section: Discussionmentioning

confidence: 99%

“…[3][4][5] Rates of chaperone use seem to have risen in parallel, largely driven by physicians' desire for medicolegal protection, an issue that is particularly relevant for physicians who routinely perform sensitive examinations, such as plastic surgeons. 6 Despite the seemingly obvious advantages of chaperone use, their role as ethical security must be balanced with the obligation to provide patient comfort. As a result, chaperone use in clinical practice often varies widely and continues to be a topic of debate.…”

mentioning

confidence: 99%

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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%

Section: Discussionsupporting

confidence: 65%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

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Chaperone Use During Plastic Surgery Physical Examinations

et al. 2022

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“…These requirements must be enforced. 1,61 In some cases, following harmful deviations from standards of care, we recommend that physicians lose the right to practice in the absence of peers.…”

Section: Recommendationsmentioning

confidence: 99%

Preventing Egregious Ethical Violations in Medical Practice: Evidence-Informed Recommendations from a Multidisciplinary Working Group

DuBois¹,

Anderson²,

Chibnall³

et al. 2018

Journal of Medical Regulation

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This article reports the consensus recommendations of a working group that was convened at the end of a 4-year research project funded by the National Institutes of Health that examined 280 cases of egregious ethical violations in medical practice. The group reviewed data from the parent project, as well as other research on sexual abuse of patients, criminal prescribing of controlled substances, and unnecessary invasive procedures that were prosecuted as fraud. The working group embraced the goals of making such violations significantly less frequent and, when they do occur, identifying them sooner and taking necessary steps to ensure they are not repeated. Following review of data and previously published recommendations, the working group developed 10 recommendations that provide a starting point to meet these goals. Recommendations address leadership, oversight, tracking, disciplinary actions, education of patients, partnerships with law enforcement, further research and related matters. The working group recognized the need for further refinement of the recommendations to ensure feasibility and appropriate balance between protection of patients and fairness to physicians. While full implementation of appropriate measures will require time and study, we believe it is urgent to take visible actions to acknowledge and address the problem at hand.

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