{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T04:41:02Z","timestamp":1792644062329,"version":"4.5.0"},"reference-count":26,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2027,1,1]],"date-time":"2027-01-01T00:00:00Z","timestamp":1798761600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2027,1,1]],"date-time":"2027-01-01T00:00:00Z","timestamp":1798761600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T00:00:00Z","timestamp":1792454400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Patient Education and Counseling"],"published-print":{"date-parts":[[2027,1]]},"DOI":"10.1016\/j.pec.2026.110359","type":"journal-article","created":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T07:24:13Z","timestamp":1792481053000},"page":"110359","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"special_numbering":"C","title":["Beyond technical skills: women\u2019s expectations regarding the relational dimensions prior to gynecologic examinations"],"prefix":"10.1016","volume":"154","author":[{"given":"Julie","family":"Zenou","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cl\u00e9mentine","family":"Jouffray","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rodrigo","family":"Lisboa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aude","family":"Martin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ludovic","family":"Martin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7184-752X","authenticated-orcid":false,"given":"Valentin","family":"Lacombe","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.pec.2026.110359_bib1","doi-asserted-by":"crossref","first-page":"97","DOI":"10.1097\/LGT.0000000000000710","article-title":"Colposcopy Standards: Guidelines for Endocervical Curettage at Colposcopy","volume":"27","author":"Massad","year":"2023","journal-title":"J Low Genit Tract Dis"},{"key":"10.1016\/j.pec.2026.110359_bib2","doi-asserted-by":"crossref","first-page":"235","DOI":"10.1097\/LGT.0000000000000336","article-title":"ASCCP Colposcopy Standards: How Do We Perform Colposcopy? Implications for Establishing Standards","volume":"21","author":"Waxman","year":"2017","journal-title":"J Low Genit Tract Dis"},{"key":"10.1016\/j.pec.2026.110359_bib3","doi-asserted-by":"crossref","first-page":"94","DOI":"10.1002\/uog.29122","article-title":"Ultrasound assessment of the pelvic sidewall: methodological consensus opinion","volume":"65","author":"Fischerova","year":"2025","journal-title":"Ultrasound Obstet Gynecol"},{"key":"10.1016\/j.pec.2026.110359_bib4","doi-asserted-by":"crossref","first-page":"651","DOI":"10.1007\/s11606-010-1610-8","article-title":"The challenging pelvic examination","volume":"26","author":"Bates","year":"2011","journal-title":"J Gen Intern Med"},{"key":"10.1016\/j.pec.2026.110359_bib5","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0283145","article-title":"Improving visualization of the cervix during pelvic exams: A simulation using a physical model of the speculum and human vagina as a steppingstone to reducing disparities in gynecological cancers","volume":"18","author":"Yerrabelli","year":"2023","journal-title":"PLoS One"},{"key":"10.1016\/j.pec.2026.110359_bib6","doi-asserted-by":"crossref","first-page":"59","DOI":"10.3109\/0167482X.2011.560692","article-title":"You expose yourself in so many ways\u2019: young women\u2019s experiences of pelvic examination","volume":"32","author":"Grundstr\u00f6m","year":"2011","journal-title":"J Psychosom Obstet Gynaecol"},{"key":"10.1016\/j.pec.2026.110359_bib7","doi-asserted-by":"crossref","first-page":"869","DOI":"10.1080\/07399332.2020.1716234","article-title":"Factors of importance for developing a trustful patient-professional relationship when women undergo a pelvic examination","volume":"41","author":"Sk\u00e4r","year":"2020","journal-title":"Health Care Women Int"},{"key":"10.1016\/j.pec.2026.110359_bib8","doi-asserted-by":"crossref","first-page":"161","DOI":"10.1016\/j.ygyno.2019.07.026","article-title":"Advanced communication: A critical component of high quality gynecologic cancer care: A Society of Gynecologic Oncology evidence based review and guide","volume":"155","author":"Littell","year":"2019","journal-title":"Gynecol Oncol"},{"key":"10.1016\/j.pec.2026.110359_bib9","doi-asserted-by":"crossref","first-page":"29","DOI":"10.1016\/j.amsu.2018.10.005","article-title":"Developing a novel framework for non-technical skills learning strategies for undergraduates: A systematic review","volume":"36","author":"Nicolaides","year":"2018","journal-title":"Ann Med Surg (Lond)"},{"key":"10.1016\/j.pec.2026.110359_bib10","doi-asserted-by":"crossref","first-page":"219","DOI":"10.1111\/tct.12352","article-title":"Teaching and assessing non-technical skills","volume":"12","author":"DeTata","year":"2015","journal-title":"Clin Teach"},{"issue":"4","key":"10.1016\/j.pec.2026.110359_bib11","doi-asserted-by":"crossref","first-page":"810","DOI":"10.1097\/AOG.0000000000003166","article-title":"Shared Decision-Making Framework for Pelvic Examinations in Asymptomatic, Nonpregnant Patients","volume":"133","author":"Chor","year":"2019","journal-title":"Obstet Gynecol"},{"key":"10.1016\/j.pec.2026.110359_bib12","doi-asserted-by":"crossref","first-page":"749","DOI":"10.1111\/jmwh.13189","article-title":"Consent in Pelvic Care","volume":"65","author":"Tillman","year":"2020","journal-title":"J Midwifery Women\u2019s Health"},{"key":"10.1016\/j.pec.2026.110359_bib13","doi-asserted-by":"crossref","first-page":"e13","DOI":"10.1097\/AOG.0000000000005953","article-title":"Professional Responsibilities in Obstetric-Gynecologic Medical Education and Training: ACOG Committee Statement No. 19","volume":"146","year":"2025","journal-title":"Obstet Gynecol"},{"key":"10.1016\/j.pec.2026.110359_bib14","doi-asserted-by":"crossref","first-page":"e70","DOI":"10.1097\/AOG.0000000000004094","article-title":"The Initial Reproductive Health Visit: ACOG Committee Opinion, Number 811","volume":"136","author":"American College of Obstetricians and Gynecologists\u2019 Committee on Adolescent Health Care","year":"2020","journal-title":"Obstet Gynecol"},{"key":"10.1016\/j.pec.2026.110359_bib15","first-page":"e115","article-title":"American College of Obstetricians & Gynecologists\u2019 Committee on Advancing Equity in Obstetric and Gynecologic Health Care. Effective Patient\u2013Physician Communication","volume":"146","year":"2025","journal-title":"Obstet & Gynecol"},{"key":"10.1016\/j.pec.2026.110359_bib16","unstructured":"Avis 142 du CCNE. Consentement et respect de la personne dans la pratique des examens gyn\u00e9cologiques ou touchant \u00e0 l\u2019intimit\u00e9. [Internet]. 2023. Available from: https:\/\/www.ccne-ethique.fr\/sites\/default\/files\/2023-03\/Avis%20142%20Finalis%C3%A9.pdf."},{"key":"10.1016\/j.pec.2026.110359_bib17","doi-asserted-by":"crossref","first-page":"297","DOI":"10.1016\/j.gofs.2023.04.001","article-title":"Examen pelvien en gyn\u00e9cologie et obst\u00e9trique: recommandations pour la pratique clinique","volume":"51","author":"Deffieux","year":"2023","journal-title":"Gyn\u00e9cologie Obst\u00e9trique Fertil\u00e9 & S\u00e9nologie"},{"key":"10.1016\/j.pec.2026.110359_bib18","doi-asserted-by":"crossref","DOI":"10.1111\/1471-0528.70227","article-title":"Effectiveness of Interventions to Improve Women\u2019s Experience of Pelvic Examinations: A Systematic Review and Meta-Analysis","author":"Mignot","year":"2026","journal-title":"BJOG"},{"key":"10.1016\/j.pec.2026.110359_bib19","doi-asserted-by":"crossref","first-page":"1068","DOI":"10.1002\/ijgo.14828","article-title":"Danish women\u2019s preferences regarding gynecological examination support international recommendations: A cross-sectional study","volume":"162","author":"Laschke","year":"2023","journal-title":"Int J Gynecol & Obstet"},{"key":"10.1016\/j.pec.2026.110359_bib20","doi-asserted-by":"crossref","first-page":"110","DOI":"10.1097\/00006250-197907000-00024","article-title":"Women\u2019s attitudes toward gynecologic practices","volume":"54","author":"Weiss","year":"1979","journal-title":"Obstet Gynecol"},{"key":"10.1016\/j.pec.2026.110359_bib21","doi-asserted-by":"crossref","first-page":"190","DOI":"10.1080\/0167482X.2020.1864727","article-title":"Silent voices that must be heard - women\u2019s perceptions of gynecologic examinations","volume":"43","author":"Tancman","year":"2022","journal-title":"J Psychosom Obstet Gynaecol"},{"key":"10.1016\/j.pec.2026.110359_bib22","doi-asserted-by":"crossref","first-page":"74","DOI":"10.1016\/j.socscimed.2013.02.038","article-title":"How do national guidelines frame clinical ethics practice? A comparative analysis of guidelines from the US, the UK, Canada and France","volume":"85","author":"Gaucher","year":"2013","journal-title":"Social Sci & Med"},{"key":"10.1016\/j.pec.2026.110359_bib23","doi-asserted-by":"crossref","first-page":"S250","DOI":"10.1016\/S0002-9378(98)70556-3","article-title":"The female perspective: women\u2019s attitudes toward urogenital aging","volume":"178","author":"Wright","year":"1998","journal-title":"Am J Obstet Gynecol"},{"key":"10.1016\/j.pec.2026.110359_bib24","doi-asserted-by":"crossref","DOI":"10.1080\/0167482X.2025.2582409","article-title":"The link between the perception of body privacy and situational anxiety: a study of women\u2019s attitudes toward gynecological examinations","volume":"46","author":"Fathnezhad-Kazemi","year":"2025","journal-title":"J Psychosom Obstet Gynaecol"},{"key":"10.1016\/j.pec.2026.110359_bib25","article-title":"Knowledge, attitudes, and practices regarding floaters among patients","volume":"12","author":"Zhang","year":"2025","journal-title":"Front Med (Lausanne)"},{"key":"10.1016\/j.pec.2026.110359_bib26","doi-asserted-by":"crossref","first-page":"2247","DOI":"10.1007\/s11845-025-04071-7","article-title":"Why do patients attend out-of-hours GP services in Ireland?","volume":"194","author":"Farrell","year":"2025","journal-title":"Ir J Med Sci"}],"container-title":["Patient Education and Counseling"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S073839912600892X?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S073839912600892X?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T04:19:38Z","timestamp":1792642778000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S073839912600892X"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2027,1]]},"references-count":26,"alternative-id":["S073839912600892X"],"URL":"https:\/\/doi.org\/10.1016\/j.pec.2026.110359","relation":{},"ISSN":["0738-3991"],"issn-type":[{"value":"0738-3991","type":"print"}],"subject":[],"published":{"date-parts":[[2027,1]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Beyond technical skills: women\u2019s expectations regarding the relational dimensions prior to gynecologic examinations","name":"articletitle","label":"Article Title"},{"value":"Patient Education and Counseling","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.pec.2026.110359","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 The Authors. Published by Elsevier B.V.","name":"copyright","label":"Copyright"}],"article-number":"110359"}}