New York Unanimously Passes Bill to Bar Pelvic Exams Without Consent
A bill now awaiting Governor Cuomo’s signature will prohibit the performance of a pelvic examination on an anesthetized or unconscious patient without the oral or written informed consent specific to the pelvic examination by the patient or a patient representative. Furthermore, the performance of a pelvic examination must be within the scope of care for the surgical procedure or diagnostic examination scheduled to be performed on the patient and the patient has already consented to such care. Performance of such exams without consent would be considered professional misconduct for both performance and supervision domains. Exceptions are made for medically necessary diagnostic or treatment purposes when the patient requires immediate medical attention and an attempt to secure consent would delay treatment, thus increasing risk to the patient’s life or health. Five states have enacted such laws and New York is poised to be the sixth one.
In 2005, the Association of American Medical Colleges had deemed “performing pelvic examinations on women under anesthesia, without their knowledge or approval …unethical and unacceptable.” In 2011 (reaffirmed in 2017), ACOG released a committee opinion that states explicitly
Pelvic examinations on an anesthetized woman that offer her no personal benefit and are performed solely for teaching purposes should be performed only with her specific informed consent obtained before her surgery.
Despite the above guidance and years of concern, reports still surfaced that this practice was ongoing, triggering legislative action. While performing pelvic exams without consent has been deemed unacceptable by professional colleges and state houses, proficiency in the performance and interpretation of a pelvic exam is still a requisite medical skill. In certain clinical scenarios, a thorough gynecologic assessment may be lifesaving. Therefore, many medical schools have moved toward paid volunteers or pelvic trainers to ensure that students receive adequate training.
Please log in to access ObGFirst and the 2T US Atlas
Media - Internet
Computer System Requirements
OBG Project CME requires a modern web browser (Internet Explorer 10+, Mozilla Firefox, Apple Safari, Google Chrome, Microsoft Edge). Certain educational activities may require additional software to view multimedia, presentation, or printable versions of their content. These activities will be marked as such and will provide links to the required software. That software may be: Adobe Flash, Apple QuickTime, Adobe Acrobat, Microsoft PowerPoint, Windows Media Player, or Real Networks Real One Player.
Disclosure of Unlabeled Use
This educational activity may contain discussion of published and/or investigational uses of agents that are not indicated by the FDA. The planners of this activity do not recommend the use of any agent outside of the labeled indications.
The opinions expressed in the educational activity are those of the faculty and do not necessarily represent the views of the planners. Please refer to the official prescribing information for each product for discussion of approved indications, contraindications, and warnings.
Participants have an implied responsibility to use the newly acquired information to enhance patient outcomes and their own professional development. The information
presented in this activity is not meant to serve as a guideline for patient management. Any procedures, medications, or other courses of diagnosis or treatment discussed or suggested in this activity should not be used by clinicians without evaluation of their patient’s conditions and possible contraindications and/or dangers in use, review of any applicable manufacturer’s product information, and comparison with recommendations of other authorities.
Jointly provided by
NOT ENOUGH CME HOURS
It appears you don't have enough CME Hours to take this Post-Test. Feel free to buy additional CME hours or upgrade your current CME subscription plan