Toward instituting a chaperone policy in outpatient pediatric clinics

Feldman, Kenneth W.; Jenkins, C. E.; Laney, Tyler; Seidel, Kristy

doi:10.1016/j.chiabu.2009.04.005

Cited by 8 publications

(12 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…A recent survey showed that the act of offering a chaperone is viewed by patients as a sign of respect, regardless of whether they actually desire a chaperone or not, and this is beneficial to the patient-doctor relationship. 12,15 Our survey provides an insight into the use of chaperones among UK urological surgeons. Given that a high proportion of respondents were consultant urological surgeons, it also demonstrates a large variability in clinical practice within the UK, with a less-than-satisfactory adherence to the GMC guidelines.…”

Section: Discussionmentioning

confidence: 99%

“…Furthermore, if patients do request a chaperone, they are likely to prefer chaperones to be of the same gender. [10][11][12][13] One study conducted in a UK urology outpatients setting found that many patients prefer the chaperone to be a friend or family member, although the GMC does current consultant workforce deem them to be acceptable as chaperones. 13,14 There is a paucity of literature related to the use of chaperones amongst urological surgeons.…”

mentioning

confidence: 99%

See 1 more Smart Citation

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

Modgil

Barratt

Summerton

et al. 2016

annals

View full text Add to dashboard Cite

INTRODUCTION Intimate examinations are routinely performed by urologists as part of clinical practice. To protect patients and doctors, the General Medical Council offers guidance on the use of chaperones for intimate examinations. We assessed the opinions and use of chaperones amongst members of the British Association of Urological Surgeons (BAUS). METHODS An online questionnaire comprising 12 questions on the use of chaperones in clinical practice was sent to all full, trainee and speciality doctor members of BAUS. RESULTS The questionnaire had a response rate of 26% (n=331). The majority of respondents were consultant urologists, comprising 78.8% (n=261), with a wide range of years of experience. Of the respondents, 38.9% were not aware of the GMC guidance on chaperones. While 72.5% always used a chaperone., 22.9% never use a chaperone when the patient was of the same sex. Chaperones were most commonly used for intimate examinations (64.6%), and for examinations involving members of the opposite sex (77.3%). A majority of respondents felt that chaperones protect both the patient (77.3%), and the doctor (96.6%). However, 42.5% did not feel that using a chaperone assists the doctor's examination, and some (17.2%) participants felt that chaperones were unnecessary. CONCLUSIONS This study shows considerable variability amongst urologists in their use of chaperones. A significant proportion of respondents were not aware of the GMC guidelines and did not regularly use a chaperone during an intimate examination. In addition, practice appears to be gender biased. Further study and education is suggested.

show abstract

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

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

Modgil

Barratt

Summerton

et al. 2016

annals

View full text Add to dashboard Cite

show abstract

“…Providers also should be alert to riskier situations for which they should direct the decision toward chaperone use. 27 Ex-amples include the intoxicated adolescent, the child with developmental or behavioral difficulties, or the child who has been a sexual abuse victim. In these cases, normal examination practices may be misinterpreted as assaultive.…”

Section: Pedophilia Is Defined In the Diagnostic And Statistical Manumentioning

confidence: 99%

“…Such examinations should only be conducted in formal examination or clinical settings. 27 Staff should be trained, particularly in settings in which child behavioral issues are likely, to recognize and defuse eroticized and/or disruptive child behavior. Policies and procedures should be in place for staff to report concerns of sexual impropriety (Appendix B).…”

Section: Prevention and Management Of Sexual Misconduct Issues That Imentioning

confidence: 99%

Protecting Children From Sexual Abuse by Health Care Providers

Christian¹,

Feldman²,

Crawford-Jakubiak³

et al. 2011

Pediatrics

Self Cite

View full text Add to dashboard Cite

Sexual abuse or exploitation of children is never acceptable. Such behavior by health care providers is particularly concerning because of the trust that children and their families place on adults in the health care profession. The American Academy of Pediatrics strongly endorses the social and moral prohibition against sexual abuse or exploitation of children by health care providers. The academy opposes any such sexual abuse or exploitation by providers, particularly by the academy's members. Health care providers should be trained to recognize and abide by appropriate provider-patient boundaries. Medical institutions should screen staff members for a history of child abuse issues, train them to respect and maintain appropriate boundaries, and establish policies and procedures to receive and investigate concerns about patient abuse. Each person has a responsibility to ensure the safety of children in health care settings and to scrupulously follow appropriate legal and ethical reporting and investigation procedures.

show abstract

“…The patient's wishes and comfort should determine the sex of the chaperone. 2 If the patient chooses to have a chaperone, the chaperone should preferably be a nurse or medical assistant. Family members or friends should not be used as chaperones unless specifically requested by the patient and, if at all possible, only in the presence of an additional chaperone who is not a family member or friend.…”

mentioning

confidence: 99%

Use of Chaperones During the Physical Examination of the Pediatric Patient

Curry¹,

Hammer²,

Brown³

et al. 2011

Pediatrics

View full text Add to dashboard Cite

Physicians should always communicate the scope and nature of the physical examination to be performed to the pediatric patient and his or her parent. This statement addresses the use of chaperones and issues of patient comfort, confidentiality, and privacy. The use of a chaperone should be a shared decision between the patient and physician. In some states, the use of a chaperone is mandated by state regulations. Pediatrics 2011;127:991-993

show abstract

Toward instituting a chaperone policy in outpatient pediatric clinics

Cited by 8 publications

References 7 publications

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

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

Protecting Children From Sexual Abuse by Health Care Providers

Use of Chaperones During the Physical Examination of the Pediatric Patient

Contact Info

Product

Resources

About