{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,20]],"date-time":"2026-05-20T22:49:08Z","timestamp":1779317348350,"version":"3.51.4"},"reference-count":29,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"5","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":["Pediatr Emer Care"],"published-print":{"date-parts":[[2024,5]]},"abstract":"<jats:sec>\n            <jats:title>Purpose<\/jats:title>\n            <jats:p>A medical chaperone serves as a witness for a patient and health care practitioner during a medical examination. We sought to better understand the preferences of parents and children toward the use of chaperones during pediatric physical examinations.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods<\/jats:title>\n            <jats:p>This cross-sectional study surveyed patients aged 8 to 18 years and their parents presenting primarily to the emergency department as well as primary care ambulatory clinic and inpatient units. Participants were asked which individuals (patient alone, parent, or medical chaperone) should be present for each aspect of the child's physical examination.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results<\/jats:title>\n            <jats:p>The survey was completed by 121 patients (mean age 14 years, 58.5% girls) and 122 parents (mean age 42 years, 82.8% women) in a variety of clinical settings (17 in inpatient, 17 in outpatient clinic, and 87 emergency department admissions). Significant differences existed between male and female patients regarding preferred presence for every body part being examined (<jats:italic toggle=\"yes\">P<\/jats:italic> \u2264 0.002). Female patients preferred to have a same-sex parent in the room, particularly for examination of the breasts, genitalia, or rectum and when the examination was performed by a male provider. Male patients preferred to be alone or with either parent for any body part being examined, regardless of provider sex.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusions<\/jats:title>\n            <jats:p>Adolescents have significant differences in who they prefer to be in the room for the physical examination based on patient and provider sex in settings where they are unfamiliar with the health care examiner. Few patients and parents preferred a medical chaperone; most preferred a parent to be in the room. Patient and parent considerations should be prioritized when creating policies for the use of medical chaperones.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1097\/pec.0000000000003087","type":"journal-article","created":{"date-parts":[[2023,11,30]],"date-time":"2023-11-30T19:12:17Z","timestamp":1701371537000},"page":"e46-e51","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["The Use of Medical Chaperones During Physical Examinations"],"prefix":"10.1097","volume":"40","author":[{"given":"Meghan","family":"Wilson","sequence":"first","affiliation":[{"name":"Section of Pediatric Emergency Medicine, Department of Pediatrics, Yale School of Medicine, New Haven, CT"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Seema M.","family":"Patel","sequence":"additional","affiliation":[{"name":"University of Connecticut School of Medicine, Farmington, CT."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Melissa L.","family":"Langhan","sequence":"additional","affiliation":[{"name":"Section of Pediatric Emergency Medicine, Department of Pediatrics, Yale School of Medicine, New Haven, CT"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","published-online":{"date-parts":[[2023,11,30]]},"reference":[{"key":"bib1-20250504","doi-asserted-by":"crossref","first-page":"991","DOI":"10.1542\/peds.2011-0322","article-title":"Use of chaperones during the physical examination of the pediatric patient","volume":"127","year":"2011","journal-title":"Pediatrics"},{"key":"bib2-20250504","doi-asserted-by":"crossref","first-page":"278","DOI":"10.1177\/0025802414557114","article-title":"The use of chaperones in general practice: is this just a 'Western' concept?","volume":"55","year":"2015","journal-title":"Med Sci Law"},{"key":"bib3-20250504","first-page":"137","article-title":"The use of a chaperone in obstetrical 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