• Corpus ID: 35912175

Autonomy suspended: using female patients to teach intimate exams without their knowledge or consent.

@article{Wilson2005AutonomySU,
  title={Autonomy suspended: using female patients to teach intimate exams without their knowledge or consent.},
  author={Robin Fretwell Wilson},
  journal={Journal of health care law \& policy},
  year={2005},
  volume={8 2},
  pages={
          240-63
        }
}
  • R. Wilson
  • Published 1 February 2006
  • Medicine
  • Journal of health care law & policy
Recent reports of medical students performing pelvic exams for training purposes on anesthetized women without their consent have produced a firestorm of controversy. Peter Ubel and colleagues found that 90% of medical students performed such exams during their obstetrics/gynecology rotations. A series of 2003 reports focused a white-hot spotlight on this teaching practice and resulted in Federal Trade Commission and Department of Justice hearings and action by the American Association of… 
Consent for Intimate Exams on Unconscious Patients: Sharpening Legislative Efforts.
TLDR
The content of these enacted bills are considered, drawing attention to five variable features and offering these five corresponding legislative recommendations, in hopes of narrowing in on the appropriate ethical scope of consent laws surrounding educational intimate exams.
A Pot Ignored Boils On: Sustained Calls for Explicit Consent of Intimate Medical Exams
  • Lori Bruce
  • Medicine
    HEC forum : an interdisciplinary journal on hospitals' ethical and legal issues
  • 2020
TLDR
This paper refutes the main arguments in favor of the status quo, identifies a series of harms related to continuing the current practice, and proposes an explicit consent policy for intimate exams along with specific changes to medical school curriculum and institutional culture.
Teaching pelvic examinations under anaesthesia: what do women think?
'Poorly relaxed women:' A situational analysis of pelvic exam learning materials for medical students.
TLDR
Depictions contained in clinical pelvic examination materials may be perpetuating stereotypes and biases in medicine and working to maintain teaching practices that cause harm to patients who students interact with in both clinical and educational settings.
Teaching undergraduate students gynecological and obstetrical examination skills: the patient’s opinion
TLDR
A positive opinion of patients towards the involvement of students in gynecological and obstetrical examination under supervision in 2/3 of the cases is retrieved, suggesting there is no reason to exclude medical UgSts from gynecology and obstetric examinations after obtaining a written or oral consent.
Implementation and utilization of gynecological teaching associate and male urogenital teaching associate programs: a scoping review
TLDR
While studies demonstrate consistently positive outcomes for learners, there is wide variability in implementation patterns and this variability may impact learning outcomes and impact both physical and psychological safety for GTAs/MUTAs and learners.
Pelvic examinations by medical students.
Don’t want to show fellow students my naughty bits: Medical students’ anxieties about peer examination of intimate body regions at six schools across UK, Australasia and Far-East Asia
TLDR
First-year medical students are anxious about examining intimate body regions, so a staged approach starting with manikins is recommended and further qualitative research is needed employing interviews to explore in depth students’ anxieties about examinations of intimate bodies.
Willingness of medical students to be examined in a physical examination course
TLDR
While motivation to participate in and acceptance of the physical examination course appears to be high, willingness to be examined is low for certain parts of the body, e.g. breast and groin, depending on religiousness, gender and examiner.
Learning the Pelvic Examination
The inspiration for the present studies was the learning concept that used professional patients (PP) as instructors for medical students in learning how to perfom the pelvic examination (PE). Inte
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References

Quinlivan , Attitudes of Patients Towards the Involvement of Medical Students in their Intrapartum Obstetric Care , 41 AUSTL
  • N . Z . J . OBSTETRICS & GYNAECOLOGY
  • 2001