Medical students, sensitive examinations and patient consent: a qualitative review

Show simple item record Malpas, Phillipa en Bagg, Warwick en Yielder, Jill en Merry, Alan en 2019-03-21T01:43:13Z en 2018-09-21 en
dc.identifier.citation New Zealand Medical Journal 131(1482):29-37 21 Sep 2018 en
dc.identifier.issn 0028-8446 en
dc.identifier.uri en
dc.description.abstract AIM:We set out to explore the question, what ethical challenges do medical students identify when asked to perform or observe a sensitive examination, given a historical background relevant to this context. METHOD:Thematic analysis of 21 Ethics Reports from 9 female and 12 male students. RESULTS:Overall 14 students undertook a sensitive examination without the patient's consent; three did not carry out a sensitive examination because of a lack of consent; and two students (or their senior colleagues) gained the patient's written consent for the student to undertake the examination. One patient refused the student's request for consent to perform a digital rectal examination; and in the final case, verbal consent was given by the patient for the student to observe a bimanual examination only. Three interrelated core themes arose from thematic analysis of the research question: systemic constraints on getting consent; internal conflicts of interest; and, power and hierarchy. CONCLUSIONS:A number of senior medical students at our institution disclosed observing or performing sensitive examinations on patients without the patients' knowledge or consent. en
dc.format.medium Electronic en
dc.language eng en
dc.publisher New Zealand Medical Association en
dc.relation.ispartofseries New Zealand Medical Journal en
dc.rights Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. en
dc.rights.uri en
dc.rights.uri en
dc.subject Humans en
dc.subject Physical Examination en
dc.subject Patient Rights en
dc.subject Informed Consent en
dc.subject Education, Medical, Undergraduate en
dc.subject Faculty, Medical en
dc.subject Students, Medical en
dc.subject Ethics, Medical en
dc.subject Organizational Culture en
dc.subject New Zealand en
dc.subject Patient Education as Topic en
dc.title Medical students, sensitive examinations and patient consent: a qualitative review en
dc.type Journal Article en
pubs.issue 1482 en
pubs.begin-page 29 en
pubs.volume 131 en
dc.rights.holder Copyright: NZMA en en
pubs.end-page 37 en
pubs.publication-status Published en
dc.rights.accessrights en
pubs.subtype Article en
pubs.elements-id 754419 en Medical and Health Sciences en School of Medicine en Medicine Department en Psychological Medicine Dept en
dc.identifier.eissn 1175-8716 en
pubs.record-created-at-source-date 2019-08-15 en
pubs.dimensions-id 30235190 en

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