Inconsistent guidelines lead to wide variation in chaperone use during Pap smears, U-M study finds

ANN ARBOR, Mich. When doctors were first encouraged to have a nurse or medical assistant in the room while collecting a Pap smear, it was so the patient would feel comfortable. In time, hospital lawyers began to advocate chaperones for legal protection.

Today, few guidelines and little consistency exists, leaving patients at the mercy of their doctor's training, gender or geographic location.

A study by doctors at the University of Michigan Health System found three-quarters of family physicians surveyed said they routinely use a nurse or medical assistant as chaperone during Pap smears. But a woman living in the South is more likely to have a chaperone in the exam room while her doctor performs a Pap smear than is a woman living in the Midwest. At the same time, women who have male doctors will see an extra face in the room more often than women with female doctors.

"Before I did the research for this study, I always used a chaperone," says lead researcher Pamela Rockwell, D.O., clinical assistant professor of family medicine at U-M Medical School. "I was trained that you always had someone else in the room for legal reasons, and I always insisted on having a chaperone. Then I started reading that some women didn't like them. I had never thought to ask."

Now, for routine Pap smears, Rockwell forgoes the chaperone. She says most of the women she sees prefer it that way, especially if they are long-time patients who know her and her staff well.

The study, which will be published in the Annals of Family Medicine, surveyed 5,000 members of the American Academy of Family Physicians, a trade group for that specialty. The questionnaire was designed to follow the steps a doctor takes during a Pap smear; chaperone use was a secondary item.

The study found that gender was the biggest predictor of whether a doctor used a chaperone, with 84 percent of male doctors and only 31 percent of female doctors having someone else in the


Page: 1 2 3

Related medicine news :

1. Treatment guidelines for kids with bipolar disorder published
2. Stroke patients receive better care when hospitals get with the guidelines
3. Simpler alphabet guidelines for treating acute coronary syndrome reduce risk
4. CPR performance does not follow guidelines
5. Quality of in-hospital CPR may fail to meet guidelines
6. Study of CPR quality reveals frequent deviation from guidelines
7. PENN study emphasizes need for national guidelines for assisted reproductive technology programs
8. New treatment guidelines for pregnant women with asthma
9. New guidelines conclude all aerosol therapy devices equally effective
10. New guidelines for treating pediatric migraine released
11. Endocrine Society calls for clinical guidelines on androgens for women

Post Your Comments:

(Date:3/30/2021)... , ... March 29, 2021 , ... ... the 21st Century , A Virtual Workshop Presented by WCG FDAnews and Cerulean ... 4:30 pm EDT, https://wcg.swoogo.com/modern-sop-and-quality-systems , Are one’s SOPs written for the ...
(Date:3/30/2021)... ... March 29, 2021 , ... According to data released ... reproductive age (13-44) in need of publicly funded contraception live in counties impacted by ... Colorado’s 64 counties have lost some of their Title X resources. , The ...
(Date:3/30/2021)... ... March 29, 2021 , ... Health Literacy Innovations (HLI), a ... confusion due to low health literacy today announces a new partnership with the ... work with ACAP’s member Safety Net Health Plans, those that provide comprehensive health ...
(Date:3/30/2021)... ... ... Dr. Colin Campbell is proud to announce the 1 year anniversary in their new state ... internal medicine and is a primary care specialist who has been practicing for 23 years. ... keep South Jersey healthy one patient at a time. , “Over the past year, Dr. ...
(Date:3/30/2021)... ... March 30, 2021 , ... The COVID-19 ... and survivors; their families; and their caregivers. Crossroads4Hope is addressing the needs of ... emotional support system, MyGo2Support, which meets needs of people impacted by cancer, no ...
Breaking Medicine News(10 mins):
(Date:3/30/2021)... ... March 29, 2021 , ... The University of Texas Health Science Center ... San Antonio Multispecialty and Research Hospital, a destination center for research and treatment of ... In a nod to the COVID-19 pandemic, the ceremony was held virtually. , William ...
(Date:3/30/2021)... ... March 29, 2021 , ... Iora Health ... primary care, has partnered with Devoted Health , one of the fastest-growing ... across Maricopa County and provides seniors with the highest-quality care and experience possible, ...
(Date:3/30/2021)... CITY (PRWEB) , ... March 29, 2021 , ... ... has joined the Vaccine Credential Initiative (VCI), a group bringing together leading health ... record of vaccination status, based on open, interoperable standards. By joining the VCI ...
Breaking Medicine Technology:
Cached News: