APRIL 30, 2005
VOLUME 2 NO. 8
 

Scandal proof your office with chaperones


With ever more allegations of sexual misconduct by Canadian doctors surfacing, some in the profession are wondering if it's time to consider increasing the use of chaperones for certain types of examinations.

In the past month one Whitby, ON, family physician has had his licence suspended for sexual misconduct in the examination room, while a Sault Ste Marie doc will soon appear before a discipline panel for his alleged infractions. While the Whitby doctor has already admitted wrongdoing, his colleague in the Sault has had his name dragged through the mud before his hearing has been concluded. The Toronto Sun has already run a couple of articles full of lurid details, giving the paper the ammo it needed to open its April 7th piece with the following groan-inducing lead: "Another good thing about a m�nage � trois... You can't find a better doctor/patient ratio."

NOT JUST FOR THE PROM
The very same issue has been also garnering some attention in the UK, but in this case it's not Fleet Street but the medical profession itself stirring things up. Two letters concerning examination room protocol appear in the April 9 British Medical Journal and a study on the use of chaperones in general practice graced the January 29 edition. The British study found roughly half of male GPs surveyed rarely or never used chaperones when they have to examine a female patient. This is slightly troubling considering the following: for intimate examinations, results showed 85% of female patients accepted a chaperone when offered by a male doctor. When it was a female doctor, only about 10% of female patients opted for a chaperone. Only a statistically insignificant 2-3% of male patients ever wanted a chaperone, regardless of the examining doc's sex. In about three-quarters of cases the chaperone was a nurse, while a receptionist filled the role 18% of the time.

One of the BMJ letters summed up the general mood of the British medical community: "Doctors who continue performing intimate examinations unchaperoned risk allegations of misconduct. Chaperones are there for the protection of both parties."

 

 

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