![]() Furthermore, residency training experience regarding opposite-gender genital examinations varies significantly with resident gender ( Kuraitis and Murina, 2021), and it is important to ensure residents of all genders are sufficiently trained in genital examinations, which may require additional clinic staffing for chaperones. We agree with these recommendations and further encourage dermatologists to routinely use chaperones regardless of patient or physician gender, especially in the context of genital examinations. The American Medical Association recommends that physicians use a policy that patients are free to request a chaperone and to always honor a patient's request for chaperone use ( American Medical Association 2020). The American College of Obstetricians and Gynecologists recommends chaperone use for all sensitive examinations, regardless of physician gender, but also recognizes that patients may refuse the presence of a chaperone ( American College of Obstetricians and Gynecologists, 2007), although formal recommendations for dermatology do not exist. All subgroups reported greater expectations of chaperone use regarding opposite-gender examinations compared with same-gender examinations, with the greatest increase for male attendings, who rarely expect residents to use a chaperone for same-gender examinations (7%) but have the highest rate of expectation for opposite-gender examinations (82%). Regarding expectations of chaperone use for opposite-gender examinations, 43% of female residents reported no expectation that they use a chaperone and 53% of male residents reported being expected to always use a chaperone by their attendings. In comparison, female residents and attendings reported higher rates of chaperone use for same-gender examinations (9%–29%) but much lower rates for opposite-gender exanimations (25%–46%). Male residents and attendings reported the lowest rates of chaperone use for same-gender genital examinations (7%) but the highest rates of use for opposite-gender genital examinations (73%–80%). ![]() Male attendings: Do you expect residents to use a chaperone for opposite-gender genital examinations? (n = 28)Īttending physicians who do not work with residents did not complete this portion of the survey. Male residents: Do your attendings expect you to use a chaperone for opposite-gender genital examinations? (n = 45)įemale attendings: Do you expect residents to use a chaperone for opposite-gender genital examinations? (n = 38) Opposite-gender genital examination chaperone useįemale residents: Do your attendings expect you to use a chaperone for opposite-gender genital examinations? (n = 65) Male attendings: Do you expect residents to use a chaperone for same-gender genital examinations? (n = 28) Male residents: Do your attendings expect you to use a chaperone for same-gender genital examinations? (n = 45)įemale attendings: Do you expect residents to use a chaperone for same-gender genital examinations? (n = 38) ![]() Same-gender genital examination chaperone useįemale residents: Do your attendings expect you to use a chaperone for same-gender genital examinations? (n = 65) Genital examination expectations among male and female residents and attendings are presented in Table 2. Comparisons of chaperone practice habits stratified by resident or attending status and by gender are presented in Table 1. Responses were analyzed using 2 tests.Ī total of 110 dermatology residents (65 female, 45 male) and 71 dermatologist attendings (41 female, 30 male) completed the surveys. Attending physicians were asked to forward the resident survey to residents in their training programs. Two anonymous, institutional review board–approved surveys were distributed via the Association of Professors of Dermatology listserv: one for residents and one for attending physicians. The purpose of this study was to compare chaperone use among female and male dermatology residents and attending physicians, as well as gender-based expectations of chaperone use during residency training. Risk factors for physician-initiated sexual misconduct include male gender and examination without a witness or chaperone ( DuBois et al., 2019). Chaperone use during genital examinations allows for patient advocacy while providing a witness to the examination should concern about misconduct arise.
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |