Medical education

Trauma-informed consent does not end when the exam begins

She wanted treatment. She understood why she needed it. But when it came to the intimate part of her care, she struggled to continue. The patient had survived sexual assault. Now, years later, medically necessary treatment required her to expose…

She wanted treatment. She understood why she needed it. But when it came to the intimate part of her care, she struggled to continue.

The patient had survived sexual assault. Now, years later, medically necessary treatment required her to expose her body, tolerate intimate examination, and surrender some degree of physical control to people she rarely knew.

By the conventional markers of informed consent, nothing appeared to have gone wrong. The treatment …

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Trauma-informed consent does not end when the exam begins