![]() ![]() For the rare situation in which the patient refuses an appropriate chaperone and the physician is concerned that providing the examination might result in false allegations or medicolegal risk, the physician is not obligated to provide further treatment. 8 The pediatrician needs to communicate with the patient and parent why a chaperone is required in this situation. If the explanation of the scope and confidentiality of the examination does not resolve the tension or conflict, the use of a chaperone during the examination is appropriate. In certain situations, a physician may request the presence of a chaperone, particularly when a patient or parent is exhibiting mental health issues has developmental issues or displays anxiety, tension, or reluctance toward examination. ![]() 3 The name of the chaperone should be documented in the medical record. Family members or friends should not be used as chaperones unless specifically requested by the patient and, if at all possible, only in the presence of an additional chaperone who is not a family member or friend. 2 If the patient chooses to have a chaperone, the chaperone should preferably be a nurse or medical assistant. The patient's wishes and comfort should determine the sex of the chaperone. However, even same-sex examinations can be misunderstood and can benefit from chaperoning. 1 In general, it is wise for male clinicians to have a chaperone during female breast, anorectal, and genital examinations. The presence of a chaperone may be useful to reinforce the professional nature of the interaction and content of the examination and to provide a witness in case of misunderstanding. If the patient is an adolescent or young adult and the examination requires inspection or palpation of anorectal or genital areas and/or the female breast, a chaperone is recommended. ![]()
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