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• W2137221823 abstract "SUMMARY Pelvic examination is an essential skill required by all medi-cal trainees, but its sensitive nature makes it challenging tolearn.Consentfor medical traineesto be involved in direct care ofexamining the patient should be obtained in all circum-stancesinclinics,labouranddeliveryareas,andsurgery,andfor procedures using anaesthesia and analgesia.As pelvic examination under anaesthesia is a component ofmost pelvic surgeries, consent for pelvic examination bymedical trainees is contained within consent for a surgicalprocedure.Verbal consent should be obtained for pelvic examinationsby medical trainees in clinics, labour and delivery areas, andemergency roomsMedical trainees should be appropriately chaperoned at alltimes to ensure the safety of the patient and the value of thelearning opportunity. REFERENCES 1. Hicks LK, Lin Y, Robertson DW, Robinson DL, and Woodrow SI.Understanding the clinical dilemmas that shape medical students’ ethicaldevelopment: questionnaire survey and focus group study. BMJ2001;322:709–10.2. Wall LL, Brown D. Ethical issues arising from the performance of pelvicexaminations by medical students on anesthetized patients. Am J ObstetGynecol 2004;190:319–23.3. Ubel PA, Jepson C, Silber-Isenstadt A. Don’t tell, don’t ask: a change inmedical student attitudes after obstetrics/gynecology clerkships towardsseeking consent for pelvic examinations on anesthetized patients. Am JObstet Gynecol 2003;188:575–9.4. American College of Obstetricians and Gynecologists. Statement of theACOG Committee on Ethics regarding ethical implications of pelvicexamination training. Available at: http://www.acog.org/from_home/publications/press_releases/nr04–25–03.cfm. Accessed February 20, 2006.5. Lawton FG, Redman WE, Luesley DM. Patient consent for gynaecologicalexamination. Br J Hosp Med 1990;44:326–9.6. Ubel PA, Silver-Isenstadt A. Are patients willing to participate in medicaleducation? J Clin Ethics 2000;11:230–5.7. Silver-Isenstadt A, Ubel PA. Erosion in medical students’ attitudes abouttelling patients they are students. J Gen Intern Med 1999;14:481–7.8. Bibby J, Boyd N, Redman CW, Luesley DM. Consent for vaginalexamination by students on anaesthetised patients. LancetNov12;2(8620):1150.9. Wilson RF. Unauthoized practice: teaching pelvic examination on womenunder anesthesia. JAMWA 2003;58:217–20.10. Magrane D, Gannon J, Miller CT. Student doctors and women in labor:attitudes and expectations. Obstet Gynecol 1996;88:298–302.11. O’Flynn N, Rymer J. Consent for teaching: the experience of womenattending a gynaecology clinic. MedEduc 2003; 37:1109–14Pelvic Examinations by Medical TraineesAPRIL" @default.
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• W2137221823 date "2006-04-01" @default.
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• W2137221823 title "Pelvic Examinations by Medical Trainees" @default.
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