Monday, 28 May 2018

The Female Chaperone

Please Note: This article is intended only for Doctors and medical undergraduate and post-graduate students. Non-Medicos please do not read this article.

Dr. Dev was sitting with his friend, a fellow surgeon, in his consultation chamber. A young lady came to consult his friend with the complaint of a lump or swelling in her right breast. She was accompanied by her mother.

After taking the history, Dr. Dev’s friend asked the mother to wait, while he asked the female staff nurse sitting outside to come inside. It is one of the guidelines that a female patient should be examined by a male doctor in presence of another female only. With the female staff nurse acting as chaperone he examined the female patient in the separate private examination area. Dr. Dev also noticed that his friend also made a small notation afterward on the side of the patient’s consultation slip, Chprn: S/N Margarita.

Once the patient had left, Dr. Dev asked his friend why he troubled the female staff nurse to come and act as female chaperone, when the patient’s mother was already present. Secondly, what is the meaning of the notation he made in the patient’s consultation slip?

His friend explained, I always examine any female patient in presence of my female staff members only and never in the presence of the patient’s female relative. The patient herself may be shy in exposing in front of her relatives.  The relative may not understand what is a necessary part of the examination and what is inappropriate action. In case of some controversy, the female attendant may side with the patient even if you are right. Also, how will you be able to trace and get the female relative to come and give evidence in your favor if necessary?

The note in the patient’s consultation slip was that I had examined the patient in the presence of Staff Nurse Mrs. Margarita acting as chaperone. A similar notation is made against the patient’s name in the registration register at the reception. This acts as a record, so that if any controversy arises even days later, I have the record of which female staff member was present while examining the patient.

Tip: Male doctors should always examine the female patient in presence of your female staff member.

Tip: Avoid examining the patient in presence of female relatives.

Tip: Make a small note of the name of the female staff member in both the patient’s and your record.

(Based on true incident)

— ND
© Author. All rights reserved. 

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DISCLAIMER: This article is intended only for fun purpose. The author does not promote or recommend any behavior illustrated here or claim it to be useful. Use of the information herein is at you one's own risk. Before trying to emulate or follow anything the reader is well advised to take into account ethical, moral, legal and other considerations. The author recommends that Medical Practice should be of the highest ethical and moral level keeping in mind the interest of the patient as foremost. 
DISCLAIMER: This article is intended only for fun purpose. The author does not promote or recommend any behavior illustrated here or claim it to be useful. Use of the information herein is at you one's own risk. Before trying to emulate or follow anything the reader is well advised to take into account ethical, moral, legal and other considerations. The author recommends that Medical Education should be of the highest ethical and moral level keeping in mind the interest of the patient as foremost and according to MCI and other Board’s norm. 

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