Physical aspects of alleged sexual assaults

The medical evidence, detailing the physical findings, is just one component in the investigation of serious sexual assault and it is not for the doctor alone to determine the veracity of an allegation. This paper has described some of the factors which limit the quality and value of the medical evidence. Potential ways to rectify the problems are: 1. A requirement that all doctors who examine complainants of sexual assault should have undergone basic theoretical and practical training and be required to continue their education by attendance at update meetings and participating in peer review groups. 2. Large-scale, well-designed research projects which relate the physical findings to the outcome of the case. 3. Routine colposcopic assessments with photo-documentation of the genital examinations of all complainants of serious sexual offences. 4. Pretrial debate amongst medical experts.