GUIDANCE ON PROFESSIONAL BOUNDARIES AND SEXUAL MISCONDUCT
Choose the best possible answer for each question and mark your answers on the self-assessment answer sheet at the end of this book. There is a required score of 70% or better to receive a certificate of completion.
41. Percentage of people believed to report sexual misconduct by medical practitioners: A. Approximately 50%. B. Approximately 15%. C. Approximately 10%. D. Approximately 5%. 42. Ways to increase reporting of incidents of physician sexual misconduct in the workplace include: A. Ensuring reports can be filed anonymously and free from fear of retaliation. B. Expecting some frivolous claims of misconduct as a “cost of doing business”. C. Protecting the anonymity of the institution involved from media representatives. D. Requiring at least two reports of misconduct by colleagues of the physician. 43. During intimate examinations, the physician is advised to: A. Communicate with patients by clearly explaining each part of the exam. B. Minimize privacy concerns by seeing the patient alone. C. Instruct chaperones to document each physician action in the medical record. D. Put the patient at ease by using distraction methods common to trauma-informed care. 44. To run a professional practice with appropriate patient boundaries, a physician-leader: A. Requires medical staff to report sexual misconduct to an immediate supervisor ahead of any outside agency. B. Assumes patients with symptoms of post-traumatic stress disorder have experienced sexual trauma. C. Strictly prohibits sexual harassment in the workplace. D. Trains all medical staff to act as chaperones during intimate exams.
46. Which of the following is an example of a physician sexual impropriety that does not rise to the level of a sexual viola- tion, according to criteria of the Federation of State Medical Boards (FSMB)? A. Inserting a gloved finger into the anus during an intimate examination. B. Asking a patient to meet for coffee outside of clinic hours to discuss medical care. C. Commenting on the attractiveness of a patient’s breasts. D. Kissing the patient on the mouth. 47. Which of the following is an example of a sexual violation that rises beyond the level of sexual impropriety? A. Rubbing an erect penis against the patient’s leg. B. Inviting a medical student to watch an intimate examination without the patient’s consent. C. Stopping the patient from leaving by placing both hands on the patient’s shoulders. D. Reciprocating a hug initiated by the patient. 48. Which of the following statements is true of the lasting effects of trauma? A. Adults inevitably reenact the types of trauma learned in the childhood home. B. A person who experienced trauma may exhibit emotions that do not appear to match the trauma. C. Children rarely show effects of trauma until years after the traumatizing event. D. A person who has experienced trauma can usually recall the exact time of a traumatizing event. 49. Accepting a brief hug from a patient who is expressing appreciation for medical care is: A. A cause for remediation. B. An action for which a written report to a superior is advised. C. An action that, if observed, might bring a warning letter from a state medical board. D. An example of a boundary crossing that may offer therapeu- tic value in some circumstances. 50. Which of the following constitutes a reason a medical board might take disciplinary action? A. Failure to report observed sexual misconduct by a colleague. B. Pattern of asking patients to coffee outside of clinic hours. C. Rural physician who examines family friends, including for intimate exams as medically indicated. D. A comment to a patient that could be judged as excessive self-disclosure.
45. A trained chaperone is not necessary during a patient exam when:
A. The physician and patient are the same gender. B. The physician-patient relationship is established.
C. The patient has signed a release. D. The patient refuses a chaperone.
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