Don't want to show fellow students my naughty bits: Medical students' anxieties about peer examination of intimate body regions at six schools across UK, Australasia and Far-East Asia

Medical Teacher

Volumn 31, Issue 10, 2009, Pages 921-927

  Rees, Charlotte E ^a   Wearn, Andy M ^b   Vnuk, Anna K ^c   Bradley, Paul A ^d  

^a University of Sydney   (Australia)

^b UNIVERSITY OF AUCKLAND   (New Zealand)

^c FLINDERS UNIVERSITY   (Australia)

^d UNIVERSITY OF PLYMOUTH   (United Kingdom)

Author keywords

[No Author keywords available]

Indexed keywords

ANXIETY; ARTICLE; AUSTRALIA; CONTROLLED STUDY; HONG KONG; HUMAN; INTERVIEW; JAPAN; JOB ANALYSIS; MEDICAL STUDENT; NEW ZEALAND; PEER PRESSURE; QUALITATIVE RESEARCH; QUESTIONNAIRE;

ADOLESCENT; ADULT; ANXIETY; ATTITUDE OF HEALTH PERSONNEL; AUSTRALASIA; BREAST; CULTURE; FAR EAST; FEMALE; GENITALIA; GREAT BRITAIN; HUMANS; MALE; MIDDLE AGED; PEER GROUP; PHYSICAL EXAMINATION; RECTUM; RELIGION; SCHOOLS, MEDICAL; SEX FACTORS; STUDENTS, MEDICAL; YOUNG ADULT;

EID: 70449096517     PISSN: 0142159X     EISSN: 1466187X     Source Type: Journal    
DOI: 10.3109/01421590802578244     Document Type: Article

References (34)

1. Abraham C. 1996. The effect of sexual experience on the attitudes of medical students to learning gynaecological examinations. J Psychosom Obstet Gynaecol 17:15-30.
2. Bibby J, Boyd N, Redman CW, Luesley DM. 1988. Consent for vaginal examinations by students on anaesthetised patients. Lancet 2(8620):1150.
3. Braun V, Kitzinger C. 2001. 'Snatch', 'Hole', or 'Honey-pot'? semantic categories and the problem of nonspecificity in female genital slang. J Sex Res 38(2):146-158.
4. Coldicott Y, Pope C, Roberts C. 2003. The ethics of intimate examinations - Teaching tomorrow's doctors. Br Med J 326:97-101.
5. Conway S, Harvey I. 2004. Use and offering of chaperones by general practitioners: Postal questionnaire survey in Norfolk. Br Med J 330:235-236.
6. Coverdale J, Gale C, Weeks S, Turbott S. 2001. A survey of threats and violent acts by patients against training physicians. Med Educ 35:154-159.
7. Fretwell Wilson R. 2005. Autonomy suspended: Using female patients to teach intimate exams without their knowledge or consent. J Health Care Law Policy 8(2):240-263.
8. General Medical Council. 2001. Intimate Examinations (London, General Medical Council). http://www.gmc-uk.org/guidance/archive/Intimate-examinations- 2001.pdf (accessed 28th June 2007).
9. Guirdham M. 1999. Communicating Across Cultures. Macmillan: London.
10. Harvey KJ, Brown B, Crawford P, Macfarlane A, McPherson A. 2007. 'Am I normal?' teenagers, sexual health and the internet. Soc Sci Med 65(4):771-781.
11. Hendrickx K, De Winter BY, Wyndaele JJ, Tjalma WAA, Debaene L, Selleslags B, Mast F, Buytaert P, Bossaert L. 2006. Intimate examination teaching with volunteers: Implementation and assessment at the University of Antwerp. Patient Educ Couns 63:47-54.
12. Larsen M, Oldeide CC, Malterud K. 1997. Not so bad after all . women's experiences of pelvic examinations. Fam Pract 14(2):148-152.
13. Metcalf NF, Prentice ED, Metcalf WK, Stinson WW. 1982. Peer group models in examination instruction as an integral part of medical gross anatomy. J Med Educ 57:641-644.
14. McGlone MS, Beck G, Pfiester A. 2006. Contamination and camouflage in euphemisms. Commun Monogr 73(3):261-282.
15. O'Neill PA, Larcombe C, Duffy K, Dorman TL. 1998. Medical students' willingness and reactions to learning basic skills through examining fellow students. Med Teach 20(5):433-437.
16. Power DV, Center BA. 2005. Examining the medical student body: Peer physical exams and genital, rectal, or breast exams. Teach Learn Med 17(4):337-343.
17. Rademakers JJDJM, Van Den Muijsenbergh METC, Slappendel G, Lagro-Janssen ALM, Borleffs JCC. 2008. Sexual harassment during clinical clerkships in Dutch medical schools. Med Educ 42:452-458.
18. Rees CE. 2007. Gender and students' willingness to engage in peer physical examination: Implications of feminist body image theory. Med Educ 41:801-807.
19. Rees CE, Bradley P, Collett T, McLachlan JC. 2005. 'Over my dead body?': The influence of demographics on students' willingness to participate in peer physical examination. Med Teach 27(7):599-605.
20. Rees CE, Wearn AW, Vnuk AK, Sato TJ. 2009. Medical students' attitudes towards peer physical examination: Findings from an international cross-sectional and longitudinal study. Adv Health Sci Edu 14:103-121.
21. Rees CE, Monrouxe LV. (under review). 'I should be lucky ha ha ha ha': The construction of power, identity, and gender though laughter within medical workplace learning encounters.
22. Renner KE, Yurchesyn KA. 1994. Sexual robbery: The missing concept in the search for an appropriate legal metaphor for sexual aggression. Can J Behav Sci 26(1):41-51.
23. Rizk DEE, El-Zubeir MA, Al-Dhaheri AM, Al-Mansouri FR, Al-Jenaibi HS. 2005. Determinants of women's choice of their obstetrician and gynaecologist provider in the UAE. Acta Obstet Gynecol Scand 84:48-53.
24. Ritchie J, Spencer L. 1994. Qualitative data analysis for applied policy research. In: Bryman A, Burgess R.G, editors. Analysing qualitative data. London: Routledge. pp 173-194.
25. Scolnik D, Atkinson V, Hadi M, Caulfield J, Young NL. 2003. Words used by children and their primary caregivers for private body parts and functions. Can Med Assoc J 169(12):1275-1279.
26. Siwe K, Wijma B, Bertero C. 2006. 'A stronger and clearer perception of self'. women's experience of being professional patients in teaching the pelvic examination: A qualitative study. Br J Obstet Gynaecol 113:890-895.
27. Stewart M. 2005. 'I'm just going to wash you down': Sanitizing the vaginal examination. J Adv Nurs 51(6):587-594.
28. Tavakol M, Rahemei-Madesh M, Torabi S, Goode J. 2006. Opposite gender doctor-patient interactions in Iran. Teach Learn Med 18(4):320-325.
29. Thompson N. 2003. Communication and language. A handbook of theory and practice. Hampshire, UK: Palgrave Macmillan.
30. Ubel PA, Jepson C, Silver-Isenstadt A. 2003. Don't ask, don't tell: A change in medical student attitudes after obstetrics/gynecology clerkships toward seeking consent for pelvic examinations on an anesthetized patient. Am J Obstet Gynecol 188(2):575-579. (Pubitemid 36250004)
31. Van Ravesteijn H, Hageraats E, Rethans JJ. 2007. Training of the gynaecological examination in the Netherlands. Med Teach 29(4):e93-e99.
32. Wearn AM, Bhoopatkar H. 2006. Evaluation of consent for peer physical examination: Students reflect on their clinical skills learning experience. Med Educ 40(10):957-964.
33. Wearn AM, Rees CE, Bradley PA, Vnuk AK. (In press). Understanding students' concerns about peer physical examination using an activity theory framework. Med Educ.
34. Wilkinson CE, Rees CE, Knight LV. 2007. 'From the heart of my bottom': Negotiating humour in focus group discussions. Qual Health Res 17(3):411-422.