Re: "Chaparone" To have or not to have?

From: William Mcintosh, md (wdmcintoshmd@pol.net)
Sun Oct 26 15:19:14 1997


DMECNM@aol.com wrote: >
> Dear Group,
>
> I assume that all the males on the list use a "chaparone" for all exams. If
> not, I would be interested in why you don't. But I am wondering if all the
> females providers on the list use a "chaparone" as well.
>
> Prior to my current position in a private practice, I had never used a
> "chaparone" in the room with me. It is mandated by my current employer to
> have the medical assistant present. I interview all new patients in my
> office prior to taking them to the exam room. But once I enter the exam room
> I am suppose to have the MA with me.
> How is it for the rest of the female providers?
>
> Denise, CNM

A cautionary tale for those females out there who do not use a chaparone. I am aware of 2 separate female providers that have had "misunderstandings" with patients that resulted in offical complaints alleging sexual improprieties. While there was no doubt in those circumstances that the patients were out of line, the next time might not be so clearcut. Your reasons for not having chaparones are identical to those used by male providers just a few short years ago, and just as misguided. The chaparone is in the room for the protection of the PROVIDER, not the patient. We do not usually have to combat the reality of innapropriate behaviour (though it has and will occur), but rather the perception of innapropriate behaviour. Accusations do not have to be true, just loud, to wreck havoc with our personal and professional lives. Just ask anyone that has ever been accused of child abuse in daycare centers. Their guilt or innocence had little to do with the agonies that they endured. My wife, a gynecologist as well, is as rigorous in her requirements for a chaparone as I am.

--
William D. McIntosh, MD
Clarksville, TN




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