Intended for healthcare professionals

Rapid response to:

Education And Debate

The ethics of intimate examinations—teaching tomorrow's doctorsCommentary: Respecting the patient's integrity is the keyCommentary: Teaching pelvic examination—putting the patient first

BMJ 2003; 326 doi: https://doi.org/10.1136/bmj.326.7380.97 (Published 11 January 2003) Cite this as: BMJ 2003;326:97

Rapid Response:

What next ?

Over the years, I have learnt a great deal and changed my method of
medical practice based on research and publications. I never thought a day
would come when we need consent for every thing. Why was this study
conducted? Does it in any way help us to manage patients better or does
this study prevent any harm inflicted on a patient?

I feel there should be strict guideline to prevent and publish
studies that could harm patient care in the long term. I do not feel
comfortable to be examined by a partially trained doctor. Medical students
training should include rectal or vaginal examination if indicated. This
is part of routine care and must be covered by informed consent.

Patients are aware of training doctors in hospitals and rarely object
physical examinations. Some patients are keen to oblige, so why make an
issue of this so-called "intimate examination". I dread to see a day when
I will need a special consent to examine the chest of a woman and a lady
doctor requiring one to examine the genitalia in a male patient.

Competing interests:  
None declared

Competing interests: No competing interests

13 January 2003
Kadiyali Srivatsa
GP
Richmond, TW10 6LG