Table 4. Resources for Physicians 1
On Sexual Misconduct and Maintaining Professional Boundaries: Source Title with links American Medical Association: Code of Medical Ethics
Sexual and Romantic Boundary Violations
Duties to Report Unprofessional Conduct: Physician Wellness and Professional Conduct
Political Matters, Contributions, Gifts, and Social Media Sexual Misconduct in the Physician-Patient Relationship
American Academy of Orthopaedic Surgeons
Federation of State Medical Boards
Directory of Physician Assessment and Remedial Education Programs
North Carolina Medical Board
Guidelines for Avoiding Misunderstandings During Patient Encounters and Physical Examinations
University of Vermont
Mandatory Reporters and CSAs (Sample Reporting Guidelines) CME Course: Hazardous Affairs – Maintaining Professional Boundaries
Vanderbilt University Medical Center Online Vanderbilt University Medical Center
Boundary Violations Index (questionnaire) The Sexual Boundary Violation Index: A Validation Study
On Trauma-Centered Care: Source
Title Substance Abuse and Mental Health Services Administration Concept of Trauma and Guidance for a Trauma-Informed Approach National Institute for the Clinical Application of Behavioral Medicine How Trauma Impacts Four Different Types of Memory Frontiers in Psychiatry Memory Distortion for Traumatic Events: the Role of Mental Imagery
Government of Canada, Department of Justice National Institutes of Health Public Access Western Massachusetts Training Consortium
The Impact of Trauma on Adult Sexual Assault Victims
Trauma-Informed Medical Care: A CME Communication Training for Primary Care Providers
Trauma Survivors in Medical and Dental Settings
American Academy of Pediatrics American Academy of Pediatrics Public Health Agency of Canada
Adverse Childhood Experiences and the Lifelong Consequences of Trauma Protecting Physician Wellness: Working With Children Affected by Traumatic Events
Handbook on Sensitive Practice for Health Care Practitioners
Psychiatric Times
CME: Treating Complex Trauma Survivors
NHS Lanarkshire (Scotland) London Trauma Specialists
Trauma and the Brain (Video)
Brain Model of PTSD - Psychoeducation Video
On Implicit Bias: Association of American Medical Colleges Association for the Study of Medical Education
Unconscious Bias Resources for Health Professionals
Non-conscious bias in medical decision making: what can be done to reduce it? Patient Race/Ethnicity and Quality of Patient–Physician Communication During Medical Visits
American Public Health Association Institute for Healthcare Improvement
Achieving Health Equity: A Guide for Health Care Organizations
BMC Medical Education
Training to reduce LGBTQ-related bias among medical, nursing, and dental students and providers: a systematic review
American Psychological Association
CE: How does implicit bias by physicians affect patients' health care?
Joint Commission
Implicit bias in health care
Oregon Medical Board
Cultural Competency – A Practical Guide for Medical Professionals
StratisHealth Implicit Bias in Health Care (Quiz) 1. Federation of State Medical Boards (FSMB). Report and Recommendations of the FSMB Workgroup on Physician Sexual Misconduct. 2020; http://www.fsmb.org/ siteassets advocacy/policies/report-of-workgroup-on-sexual-misconduct-adopted-version.pdf. Accessed November 10, 2021.
Educational resources help patients learn what to expect during intimate examinations and procedures (e.g., use of chaperones) and to know what is and is not normal practice. 39 Patients should be encouraged to do the following: 6 • Report sexual assaults to police • Ask physicians for an explanation if unsure of
the medical necessity to undress or another portion of an intimate exam • Never allow children to be examined alone • Request the presence of a nurse or other chaperone if a minor requires a conversation or exam without parent present • Trust their instincts if something does not look or feel right to them
Informed consent is key to shared decision making. Patients should be informed at minimum of the reason for the treatment, a discussion and comparison of treatment options, and risks involved with treatments or procedures. 1 The informed consent process should also encompass the patient’s values and preferences and a documented record of this shared decision. 1
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