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School of Medicine and Dentistry

Medical Student Handbook

Self Disclosure in the Course of Learning

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It is essential that we respect not only the confidentiality of patients, but also of health care providers and fellow students. Any discussions that take place during practice exam sessions, small group patient exercises or feedback sessions are strictly confidential, unless you are explicitly instructed otherwise. Because of the nature of this work, self-disclosure occurs with some frequency. The importance of remaining respectful of others who share personal information cannot be overemphasized, whether in class, in Advisory Dean lunches, or other settings.

The nature of medical work and the need to practice examination techniques on one another also poses some emotional challenges. Students practice limited parts of the physical exam on one another in ICM. You may feel uncomfortable about physically exposing yourself to another individual. While examination is almost always facilitated by such exposure, you should never feel pressured to do so; instead, you should do what feels right for you. Just as we should never pressure a patient to remove clothing for an exam, we should never feel obliged to consent to similar pressures for ourselves. To dispel any notions to the contrary, please be assured that students will not be performing rectal, genital, breast and or pelvic exams on one another. Professional models are being scheduled for pelvic exams and the school is still exploring the possibility of male models for genital and rectal exams.