Requesting explicit authorization forms for certain medical examinations – NBC Connecticut
Imagine being under anesthesia for an operation and having a pelvic or prostate exam without your knowledge.
A Yale University bioethicist says it’s happening across the country, including Connecticut, as medical students train in teaching hospitals.
A Stratford woman is pushing for a law that would require explicit consent.
Livia Fry petition ending this practice is gaining popularity. Over 70,000 people have signed up to date.
State legislators have tried unsuccessfully to pass bills to end the practice.
Fry, 30, points out that healthcare workers are heroes, but she says childhood dermatology exams with many trained doctors watching her have left her with PTSD.
“This is exactly what the observation and the photographs did to me, imagine a non-consensual pelvic or prostate exam when you are going to have back surgery? It would devastate people, ”Fry said.
While Fry says she doesn’t want to deprive our future doctors of training opportunities in any way, she just hopes the exams will be done with explicit permission.
Thus, she is pushing for a state law to require direct and informed consent from the patient, instead of perhaps a clause hidden in a pile of documents that a patient signs before another procedure.
“And if you sign it, God bless you and thank you. More power for you. If not, it is your choice. We don’t owe our bodies in exchange for health care, ”she said.
“We know from national survey data, as well as local focus groups, that non-consensual intimate examinations in the clinical setting do indeed occur across the country, as well as here in Connecticut,” Lori said. Bruce.
Bruce, associate director of the Interdisciplinary Center for Bioethics at Yale University, has studied this practice.
She says she hears from medical students who also want this specific consent.
“There are concerns that this surface that says, if doctors start asking, can we ask our medical students to take additional training exams, maybe there is a fear that everyone is saying no. , and that this interrupts medical education. And of course, we don’t want that. However, what we have learned from a number of national and international surveys is that when asked, people are very likely to say yes, of course, ”said Bruce, who is t
Connecticut lawmakers have introduced related bills over the past two years, the last requiring informed consent for a pelvic or prostate exam on a patient who is deeply sedated, anesthetized or unconscious.
But they never managed to get out of the public health committee.
NBC Connecticut has contacted two Connecticut teaching schools.
Dr Molly Brewer, OBGYN President of UConn Health, tells us, “We are going through the consent form line by line.”
Brewer says she agrees with the need for that consent, but her concern is that these discussions lead to a ban on one of those important teaching exams, the ones that future doctors need to learn.
“I’m an advocate for women and we want to train doctors who are well trained for our women and that’s really the bottom line,” Brewer said.
Fry’s petition particularly highlights the Yale medical school.
They responded with a statement:
“We were recently made aware of a petition that falsely alleges that medical students at the Yale School of Medicine (YSM) perform unintended and unauthorized pelvic exams while patients are under anesthesia. The petition also discusses proposed state legislation that the petitioner claims would prevent such practices.
“The American College of Obstetricians and Gynecologists has stated that” pelvic examinations on an anesthetized woman which do not provide her with any personal benefit and are performed solely for educational purposes should only be performed with her specific informed consent obtained before her surgery. ”At YSM and Yale New Haven Hospital, we take this standard very seriously and we are committed and continue to commit to it in our daily practice.”
“At Yale School of Medicine and Yale New Haven Hospital, unauthorized and unauthorized pelvic exams are not performed on anesthetized patients.
“For patients undergoing gynecologic surgery, it is normal for gynecological surgeons and their trainees to examine the pelvic anatomy before performing surgery, just as it is standard to examine any other palpable organ before surgery before surgery. to perform surgery involving the donated organ. This is essential for the selection of the optimal surgical approach and the instruments that will be used, as well as for the preventive identification of any potential challenges that could lead to a higher risk of complications during surgery. “