Lamont J A, Woodward C
McMaster University, Hamilton, Ont.
CMAJ. 1994 May 1;150(9):1433-9.
To determine obstetrician-gynecologists' (ob-gyns') awareness of and experience with sexual abuse of patients and former patients and their opinions about appropriate consequences.
Mailed survey.
Canada.
All 792 members of the Society of Obstetricians and Gynaecologists of Canada (SOGC); 618 (78%) responded. Approximately half of all ob-gyns in Canada belong to the SOGC.
Knowledge of sexual involvement by an ob-gyn colleague with a patient or former patient (as defined by the respondents and by the College of Physicians and Surgeons of Ontario [CPSO]), self-report of such involvement, attitudes toward physician sexual abuse, desirable length of time a physician should wait before seeing a former patient in a situation that could lead to a sexual encounter, suggested consequences of sexual abuse.
Overall, 10% of the respondents indicated that they knew about another ob-gyn who at some time had been sexually involved with a patient. In all, 3% of the male respondents and 1% of the female respondents reported sexual involvement with a patient; the corresponding proportions of those who reported having been accused of sexual abuse by a patient were 4% and 2%. Significantly more of the female ob-gyns than of their male counterparts (37% v. 19%) reported awareness of a colleague's sexual involvement with a patient that would meet the CPSO's definition of sexual impropriety, transgression or violation. Most of the respondents felt that the consequence of proven sexual impropriety should be reprimand and fine (chosen by 33%) or rehabilitation without loss of licence (28%). Most of the physicians supported loss of licence for proven sexual transgression (57%) or proven sexual violation (74%), but fewer felt that loss of licence should be permanent for these types of abuse (4% and 24% respectively). The female ob-gyns supported stronger sanctions against sexual transgression and sexual violation than the male ob-gyns. A wide range of opinion was seen regarding the propriety of sexual relationships with former patients.
Ob-gyns have varied opinions about how sexual abuse of patients should be defined and how it should be sanctioned. There is a discrepancy between proposed public policy and the beliefs of physicians to whom the policy is to be applied.
确定妇产科医生对患者及 former patients 遭受性虐待的认知和经验，以及他们对适当后果的看法。
邮寄调查。
加拿大。
加拿大妇产科医师协会（SOGC）的所有792名成员；618人（78%）回复。加拿大所有妇产科医生中约有一半属于SOGC。
对妇产科医生同事与患者或 former patients 发生性接触的了解（根据受访者和安大略省医师及外科医生学院 [CPSO] 的定义），此类接触的自我报告，对医生性虐待的态度，在可能导致性接触的情况下医生看望 former patients 之前应等待的理想时间长度，性虐待的建议后果。
总体而言，10% 的受访者表示他们知道有另一位妇产科医生曾在某个时候与患者发生过性接触。总计，3% 的男性受访者和1% 的女性受访者报告与患者有性接触；报告曾被患者指控性虐待的相应比例分别为4% 和2%。报告知晓同事与患者发生符合CPSO对性不当行为、越界或违规定义的性接触的女性妇产科医生明显多于男性（37% 对19%）。大多数受访者认为，经证实的性不当行为的后果应是谴责和罚款（33% 选择）或在不吊销执照的情况下进行康复治疗（28%）。大多数医生支持对经证实的性越界行为（57%）或经证实的性违规行为（74%）吊销执照，但较少有人认为对于这些类型的虐待应永久吊销执照（分别为4% 和24%）。女性妇产科医生比男性妇产科医生支持对性越界行为和性违规行为采取更严厉的制裁措施。对于与 former patients 发生性关系的适当性存在广泛的意见分歧。
妇产科医生对于如何定义患者性虐待以及应如何制裁存在不同意见。拟议的公共政策与该政策适用的医生的信念之间存在差异。
