Use of Chaperones During the Physical Examination of the Pediatric Patient

Curry, Edward S.; Hammer, Lawrence D.; Brown, Oscar W.; Laughlin, James J.; Lessin, Herschel R.; Simon, Geoffrey R.; Rodgers, Chadwick T.

doi:10.1542/peds.2011-0322

Cited by 32 publications

(1 citation statement)

References 6 publications

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“…In 85% of cases, patients were always examined alone. The AMA, the American Academy of Pediatrics, and the American Congress of Obstetricians and Gynecologists all state that a patient’s request for a chaperone should be honored, none of them require the use of chaperones, and only seven states require chaperones under some conditions (American Academy of Pediatrics, 2011; American Congress of Obstetricians and Gynecologists, 2016; AMA, 2014-2015). No data exist indicating how frequently patients are intimately examined without a chaperone or how often chaperone policies are violated.…”

Section: Resultsmentioning

confidence: 99%

Sexual Violation of Patients by Physicians: A Mixed-Methods, Exploratory Analysis of 101 Cases

et al. 2017

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A mixed-method, exploratory design was used to examine 101 cases of sexual violations in medicine. The study involved content analysis of cases to characterize the physicians, patient-victims, the practice setting, kinds of sexual violations, and consequences to the perpetrator. In each case, a criminal law framework was used to examine how motives, means, and opportunity combined to generate sexual misconduct. Finally, cross-case analysis was performed to identify clusters of causal factors that explain specific kinds of sexual misconduct. Most cases involved a combination of five factors: male physicians (100%), older than the age of 39 (92%), who were not board certified (70%), practicing in nonacademic settings (94%) where they always examined patients alone (85%). Only three factors (suspected antisocial personality, physician board certification, and vulnerable patients) differed significantly across the different kinds of sexual abuse: personality disorders were suspected most frequently in cases of rape, physicians were more frequently board certified in cases of consensual sex with patients, and patients were more commonly vulnerable in cases of child molestation. Drawing on study findings and past research, we offer a series of recommendations to medical schools, medical boards, chaperones, patients, and the national practitioners database.

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Section: Resultsmentioning

confidence: 99%