Apr 25

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He committed suicide last summer before going to court on sexual assault charges. The Australian study pointed out several problems: chaperones may lack training, many work for the best site physician they are supposed to oversee, and they may have other duties that distract them during examinations. In the United States, the AJC found, most doctors under a chaperones supervision were not required to explain the third persons presence in the exam room. (In some states, such as Georgia, doctors are supposed to bring in a third person for intimate exams, so that persons presence doesnt necessarily mean the physician has been disciplined for misconduct.) An AJC story last year used the example of Dr. Alfredo Garcia to demonstrate the shortcomings of relying on chaperones. In 1989, New Jersey regulators ordered Garcia to have a chaperone when he examined women patients. But beginning in 2000, he repeatedly performed what the State Board of Medical Examiners described as inappropriate exams when a chaperone was not present. In 2004, after Garcia served a 150-day suspension, the board ordered him to treat female patients only with the presence of an authorized third party. His misconduct continued, and in 2012, he pleaded guilty to sexual misconduct charges and was sentenced to seven years in a state treatment facility. A news report said Garcia sexually abused patients during exams supervised by nurses by disguising his actions as medical procedures. A prosecutor was quoted as saying Garcia told a psychologist that what excited him was the fact that he was getting away with it. In a report on the read what he said Australian study, Professor Ron Paterson of the University of Auckland suggested other countries would also stop relying on chaperones to prevent sexual misconduct. Predatory practitioners who have come to view patients as sexual objects may not be deterred by a safety mechanism that still leaves the practitioner in control, Paterson said.

For the original version including any supplementary images or video, visit http://investigations.blog.ajc.com/2017/04/18/why-one-country-decided-chaperones-cant-stop-predatory-doctors/

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