SOGC Reaffirmed Guidelines| Volume 39, ISSUE 9, e322-e324, September 2017

No. 246-Pelvic Examinations by Medical Students

      This document reflects emerging clinical and scientific advances on the date issued, and is subject to change. The information should not be construed as dictating an exclusive course of treatment or procedure to be followed. Local institutions can dictate amendments to these opinions. They should be well-documented if modified at the local level. None of these contents may be reproduced in any form without prior written permission of the publisher.
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        • Siwe K.
        • Wijma K.
        • Stjernquist M.
        • et al.
        Medical students learning the pelvic examination: comparison of outcome in terms of skills between a professional patient and a clinical patient model.
        Patient Educ Couns. 2007; 68: 211-217
        • Wall L.L.
        • Brown D.
        Ethical issues arising from the performance of pelvic examinations by medical students on anesthetized patients.
        Am J Obstet Gynecol. 2004; 190: 319-323
        • Coldicott Y.
        • Pope C.
        • Roberts C.
        The ethics of intimate examinations- teaching tomorrow's doctors.
        BMJ. 2003; 326: 97-101
        • Wainberg S.
        • Wrigley H.
        • Fair J.
        • et al.
        Teaching pelvic examinations under anaesthesia: what do women think?.
        J Obstet Gynaecol Can. 2010; 32: 49-53
        • Bibby J.
        • Boyd N.
        • Redman C.W.
        • et al.
        Consent for vaginal examination by students on anaesthetised patients.
        Lancet. 1988; 2: 1150
      1. Professional responsibilities in obstetric-gynecologic education. ACOG Committee Opinion 2007, No. 358. American College of Obstetricians and Gynecologists.
        Obstet Gynecol. 2007; 109 (Available at:) (Accessed February 15, 2010): 239-242
      2. Gynaecological examinations: guidelines for specialist practice. Royal College of Obstetricians and Gynaecologists Press, London2002
        • Ubel P.A.
        • Jepson C.
        • Silver-Isenstadt A.
        Don't ask, don't tell: a change in medical student attitudes after obstetrics/gynecology clerkships toward seeking consent for pelvic examinations on an anesthetized patient.
        Am J Obstet Gynecol. 2003; 188: 575-579
        • Hicks L.K.
        • Lin Y.
        • Robertson D.W.
        • et al.
        Understanding the clinical dilemmas that shape medical students' ethical development: questionnaire survey and focus group study.
        BMJ. 2001; 322: 709-710
        • Wilson R.F.
        Autonomy suspended: using female patients to teach intimate exams without their knowledge or consent.
        J Health Care Law Policy. 2005; 8: 240-263
        • Lawton F.G.
        • Redman C.W.
        • Luesley D.M.
        Patient consent for gynaecological examination.
        Br J Hosp Med. 1990; 44 (326, 329)
        • Ubel P.A.
        • Silver-Isenstadt A.
        Are patients willing to participate in medical education?.
        J Clin Ethics. 2000; 11: 230-235
        • Silver-Isenstadt A.
        • Ubel P.A.
        Erosion in medical students' attitudes about telling patients they are students.
        J Gen Intern Med. 1999; 14: 481-487
        • Wilson R.F.
        Unauthorized practice: teaching pelvic examination on women under anesthesia.
        J Am Med Womens Assoc. 2003; 58 (discussion 221–2): 217-220
        • Magrane D.
        • Gannon J.
        • Miller C.T.
        Student doctors and women in labor: attitudes and expectations.
        Obstet Gynecol. 1996; 88: 298-302
        • O'Flynn N.
        • Rymer J.
        Consent for teaching: the experience of women attending a gynaecology clinic.
        Med Educ. 2003; 37: 1109-1114

      Linked Article

      • No 246-Examens pelviens menés par des étudiants en médecine
        Journal of Obstetrics and Gynaecology Canada Vol. 39Issue 9
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          Il s'avère important d'assurer la qualité de la formation médicale afin d'assurer l'accès présent et futur à des soins de bonne qualité, et ce, pour tous les Canadiens; toutefois, l'autonomie des patientes se doit d'être respectée dans le cadre de toutes les interactions cliniques et pédagogiques. Lorsqu'un étudiant en médecine participe aux soins offerts à une patiente, celle-ci se doit d'être avisée des rôles qu'assumera l'étudiant en question et doit fournir son consentement. La participation de la patiente à quelque aspect que ce soit de la formation médicale doit être volontaire et non discriminatoire.
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