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Current trends in chaperone use by plastic and reconstructive surgeons.

Umar Choudry1, Ruth J Barta, Nicholas Kim

  • 1Division of Plastic Surgery, University of Minnesota, 420 Delaware St, SE, MMC 122 Minneapolis, MN 55455, USA. choud008@ umn.edu

Annals of Plastic Surgery
|August 8, 2012
PubMed
Summary

Plastic surgeons use chaperones in 30% of exams, increasing to 60% for sensitive areas. Male surgeons, those in practice longer, and cosmetic surgeons report higher chaperone use, yet accusations of misconduct remain low.

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Area of Science:

  • Medical practice
  • Surgical procedures
  • Patient safety

Background:

  • Literature on surgeon chaperone use is limited.
  • Chaperones enhance patient comfort and protect surgeons from misconduct allegations.
  • Plastic surgeons frequently examine sensitive anatomical regions.

Purpose of the Study:

  • To investigate current trends in chaperone utilization among plastic surgeons.
  • To identify factors influencing chaperone use in plastic surgery patient examinations.

Main Methods:

  • An online survey with 23 questions was distributed to members of the American Society of Plastic Surgeons.
  • Statistical analysis included Student t-test and Pearson chi-square test.
  • A p-value less than 0.05 was considered statistically significant.

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Main Results:

  • A response rate of 16.6% (830/4990) was achieved.
  • Overall chaperone use was 30%, rising to 60% for sensitive areas.
  • Male surgeons, those in practice >20 years, and cosmetic surgeons reported higher chaperone use (p<0.05).
  • 61 surgeons (7.6%) reported accusations of misconduct, with 80% lacking a chaperone during the incident.
  • No significant difference in accusation rates between male and female surgeons (p=0.19).

Conclusions:

  • Chaperone use varies by surgeon demographics and practice type (cosmetic vs. reconstructive).
  • Despite differing use rates, male and female surgeons experienced similar low rates of misconduct accusations.
  • The absence of a chaperone was noted in most misconduct allegations, highlighting its potential protective role.