modern medical necessity? (part 4)The American Medical Association advises doctors in the US to establish policies in which patients are free to make a request for a chaperone in each health care setting and that this policy should be communicated to patients either by means of a well-displayed notice or preferably through a conversation initiated by a nurse or physician.  The American Medical Association also recommends that an authorized health professional serve as a chaperone whenever possible. This is, however, an expensive use of resources. As such, physicians working in clinics or office settings without nurses may opt to use receptionists as chaperones rather than perform the examination alone. Some may argue that this is inappropriate because it is beyond the scope of a receptionist’s roles and responsibilities. Regardless of who acts as a chaperone, the person chaperoning must be made aware of and feel comfortable with their role, as well as respecting patient confidentiality. In Canada, there are no national guidelines on the use of chaperones for children or adolescents. The standards of practice vary from province to province. The College of Physicians and Surgeons of Ontario (CPSO) states that although third parties are not mandatory, their presence during an intimate examination may contribute to both patient and physician comfort. The CPSO also advises that patients should be offered the option of having a third party present and, in cases where a physician is unable to provide such a person, he/she should inform the patient that they may bring in a person of their choosing with them. However, if the purpose of a chaperone is to protect both the patient and doctor, the choice of chaperone cannot lie solely in the hands of the patient or his/her family. This could actually put doctors at more risk and make them less able to defend themselves against false accusations. Ideally, the decision should involve input from both the patient and provider. It’s time for you to start saving some money: you just need to visit the pharmacy that offers finest quality generic cialis mastercard with delivery straight to your door and all the confidentiality guarantees you ever need.