Wherefore art thou, chaperone?
Keywords:Intimate examination, Chaperone, Doctor-patient relationship
Respect for the dignity of a patient and their privacy are fundamental concerns for all doctors. When an intimate examination is to be undertaken, that respect needs to be especially maintained. The offer of an appropriate chaperone during that examination can help to demonstrate that respect and can safeguard interests of the patient and the doctor.
Good Medical Practice. General Medical Council. 2013. Available at: https://www.gmc-uk.org/-/media/documents/good-medical-practice---english-20200128_pdf-51527435.pdf?la=en&hash= DA1263358CCA88F298785FE2BD7610EB4EE9A530. Accessed on 10 December 2020.
Intimate examinations and chaperones. General Medical Council. 2013. Available at: https://www.gmc-uk.org/-/media/documents/ maintaining-boundaries-intimate-examinations-and-chaperones_pdf-58835231.pdf?la=en&hash= A6DCCA363F989E0304D17FBC4ECB9C1060028385. Accessed on 10 December 2020.
Department of Health. Publications, Policy and Guidance. Committee of Inquiry independent investigation into how the NHS handled allegations about the conduct of Clifford Ayling Section 2.58. Available at: http://www.dh.gov.uk/en/Publication sandstatistics/Publications/PublicationsPolicyAndGuidance/DH_408899. Accessed on 14 December 2020.
Guidance on the Role and Effective Use of Chaperones in Primary and Community Care settings. MODEL CHAPERONE FRAMEWORK. NHS Clinical Governance Support Team. Available at: https://www.lmc.org.uk/visageimages/guidance/ 2007/Chaperone_model%20framework.pdf. Accessed on 12 December 2020.
Van Hecke O, Jones KM. The Attitudes and Practices of General Practitioners about the Use of Chaperones in Melbourne, Australia. Int J Family Med. 2012;2012:768461.
Rodriguez-Osorio CA, Dominguez-Cherit G. Medical decision-making paternalism versus patient-centered (autonomous) care. Curr Opin Crit Care. 2008;14(6):708-13.
Del Pozo PR, Fins JJ. The Globalization of Education in Medical Ethics and Humanities: Evolving Pedagogy at Weill Cornell Medical College in Qatar. Academic Med. 2005;80(2):135-40.
Abdulghani HM, Haque S, Irshad M, Al-Zahrani N, Al-Bedaie E, Al-Fahad L et al. Students' perception and experience of intimate area examination and sexual history taking during undergraduate clinical skills training: A study from two Saudi medical colleges. Medicine (Baltimore). 2016;95(30):e4400.
Jones RH. The use of chaperones by general practitioners. J R Coll Gen Pract. 1983;33(246):25-7.
Whitford DL, Karim M, Thompson G. Attitudes of patients towards the use of chaperones in primary care. Br J Gen Pract. 2001;51(466):381-3.
Modgil V, Barratt R, Summerton DJ, Muneer A. Chaperone use amongst UK urological surgeons - an evaluation of current practice and opinion. Ann R Coll Surg Engl. 2016;98(4):268-9.
Fan VC, Choy HT, Kwok GY, Lam HG, Lim QY, Man YY, et al. Chaperones and intimate physical examinations: what do male and female patients want? Hong Kong Med J. 2017;23(1):35-40.
Price DH, Tracy CS, Upshur RE. Chaperone use during intimate examinations in primary care: postal survey of family physicians. BMC Fam Pract. 2005;6:52.
Al Gaai E, Al Sayed H, Hammami MM. Medical chaperoning at a tertiary care hospital in Saudi Arabia: prevalence and patient preference. Ann Saudi Med. 2007;27(3):217-9.
Al-Gaai EA, Hammami MM. Medical chaperoning at a tertiary care hospital in Saudi Arabia: survey of physicians. J Med Ethics. 2009;35(12):729-32.
Guidozzi Y, Gardner J, Dhai A. Professionalism in the intimate examination: How healthcare practitioners feel about having chaperones present during an intimate consultation and examination. S Afri Med J. 2013;103(1):25-7.
Rose K, Eshelby S, Thiruchelvam P. The importance of a medical chaperone: a quality improvement study exploring the use of a note stamp in a tertiary breast surgery unit. BMJ Open. 2015;5:e007319.
Jefferson L, Bloor K, Maynard A. Women in medicine: historical perspectives and recent trends. Bri Med Bull. 2015;114(1):5-15,
Sabet F, Zoghoul S, Alahmad M, Al Qudah H. The influence of gender on clinical examination skills of medical students in Jordan: a cross-sectional study. BMC Medi Edu. 2020;20:98.
Sinha S, De A, Jones N, Jones M, Williams RJ, Vaughan-Williams E. Patients’ attitude towards the use of a chaperone in breast examination. Ann R Coll Surg Engl. 2009; 91:46–9