Chaperone Use During Plastic Surgery Physical Examinations: Nationwide Provider Practices and Impact of Level of Training.

Autor:	Cuccolo NG, Crystal DT, Girard AO; From the Division of Plastic and Reconstructive Surgery, Robert Wood Johnson University Hospital, Robert Wood Johnson Medical School, New Brunswick, NJ., Johnson AR, Ibrahim AMS; Division of Plastic and Reconstructive Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA., Sinkin JC; From the Division of Plastic and Reconstructive Surgery, Robert Wood Johnson University Hospital, Robert Wood Johnson Medical School, New Brunswick, NJ., Lin SJ; Division of Plastic and Reconstructive Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA., Agag RL; From the Division of Plastic and Reconstructive Surgery, Robert Wood Johnson University Hospital, Robert Wood Johnson Medical School, New Brunswick, NJ.
Jazyk:	angličtina
Zdroj:	Annals of plastic surgery [Ann Plast Surg] 2022 Apr 01; Vol. 88 (4), pp. 366-371.
DOI:	10.1097/SAP.0000000000003182
Abstrakt:	Background: Medical chaperones often play an important role during physical examinations, providing patient comfort and serving as medicolegal witness. The purpose of this study was to evaluate and compare practices regarding chaperone use by plastic surgery attendings and trainees. Methods: A voluntary survey was distributed to members of the American Council of Academic Plastic Surgeons. The survey included a standardized set of questions regarding physician demographics, nature of practice training, and current practices pertaining to chaperone use. Data were analyzed in a descriptive fashion. Ordinal logistic regression models were used to identify predictors of chaperone use. Results: We received 167 responses, of which 107 (64.1%) were attendings and 60 (35.9%) were trainees. In total, 78.3% of the respondents were male and 21.7% were female. Routine use of chaperones was reported at 58.6%. Compared with plastic surgery trainees, attending surgeons were 12.8 times more likely to use a chaperone during sensitive examinations (P < 0.001). In addition, male respondents were 6.43 times more likely than their female counterparts to involve a chaperone during sensitive examinations (P < 0.001). Forty-eight percent of the trainees acknowledged receiving education regarding chaperone use, and this cohort was 7 times more likely to use a chaperone when compared with trainees who had not received chaperone instruction (P < 0.001). Conclusions: This study highlights the wide variability of chaperone use among plastic surgery attendings and trainees. Integration and standardization of chaperone education within plastic surgery training may be an effective technique to promote this practice and lead to improved patient-provider clinical experiences. Competing Interests: Conflicts of interest and sources of funding: none declared. (Copyright © 2022 Wolters Kluwer Health, Inc. All rights reserved.)
Databáze:	MEDLINE
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