Objective: The objective of this study was to determine whether United Stat
es medical or osteopathic boards have opinions, position statements, or pol
icies on chaperone use, and whether any state laws regulate chaperone use.
Methods: United States Medical and Osteopathic Boards were surveyed by mail
to determine whether policies, opinions, positions, or laws exist regardin
g use of chaperones during gynecologic examinations. We sent the survey to
executives at 67 state boards, identified by a list from The Federation of
State Medical Boards. Our main outcome measure was positive response to the
survey questions.
Results: Of 67 targeted sites, 61 responded (91%). Fourteen sites (23%) rep
orted having informal or unpublished opinions recommending chaperones. Elev
en sites (18%) reported having positions related to chaperones that have be
en published for their physicians. Four sites (6.5%) reported having polici
es specifically related to chaperone use. Thirty-two sites (52.5%) reported
that they do not have opinions, positions, or policies related to chaperon
e use. No site reported state laws governing chaperone use.
Conclusion: Response to our survey showed no concensus among state medical
boards on the use of chaperones, leaving doctors and patients to decide for
themselves whether they want or need chaperones present during gynecologic
examinations. (C) 1999 by The American College of Obstetricians and Gyneco
logists.