Evidence map›Paper›PMID 28627296›Full record

ArticleSexual abuse : a journal of research and treatment2019

Sexual Violation of Patients by Physicians: A Mixed-Methods, Exploratory Analysis of 101 Cases.

James M DuBois, Heidi A Walsh, John T Chibnall, Emily E Anderson, Michelle R Eggers, Mobolaji Fowose, Hannah Ziobrowski

Abstract read
In one paragraph

Article in Sexual abuse : a journal of research and treatment, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Responding to Sexual Abuse in Health Care: Development of a Guide for Patients.Journal of patient-centered research and reviews · 2022
    Article
  8. Article
  9. Article
  10. Observational
  11. Article
  12. Development of a Resource Guide to Help Patients Receive Appropriate Care.Journal of health care for the poor and underserved · 2021
    Article
  13. Boundaries in family practice: What is the right distance?Canadian family physician Medecin de famille canadien · 2019
    Article
  14. Review
  15. Physicians and healthcare professionals in the era of #Metoo.Journal of family medicine and primary care · 2019
    Article
  16. Article
  17. Review
  18. Article
  19. How broad are state physician health program descriptions of physician impairment?Substance abuse treatment, prevention, and policy · 2018
    Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

James M DuBois1 Washington University School of Medicine, St. Louis, MO, USA.
Heidi A Walsh1 Washington University School of Medicine, St. Louis, MO, USA.
John T Chibnall2 Saint Louis University School of Medicine, St. Louis, MO, USA.
Emily E Anderson3 Loyola University Chicago, Stritch School of Medicine, Chicago, IL, USA.
Michelle R Eggers1 Washington University School of Medicine, St. Louis, MO, USA.
Mobolaji Fowose1 Washington University School of Medicine, St. Louis, MO, USA.
Hannah Ziobrowski1 Washington University School of Medicine, St. Louis, MO, USA.

Funding

WU INSTITUTE OF CLINICAL AND TRANSLATIONAL SCIENCESUL1TR002345 · NCATS · WASHINGTON UNIVERSITY · PI William G. Powderly · 2017 to 2026
$97.8M
Washington University Institute of Clinical and Translational SciencesUL1TR000448 · NCATS · WASHINGTON UNIVERSITY · PI EVANOFF, BRADLEY A · 2012 to 2016
$41.4M
Preventing ethical disasters in the practice of medicineR01AG043527 · NIA · WASHINGTON UNIVERSITY · PI DUBOIS, JAMES M · 2013 to 2017
$1.4M
NCATS NIH HHS UL1 TR000448NCATS NIH HHS UL1 TR002345NIA NIH HHS R01 AG043527
6 · The paper itself

Abstract

A mixed-method, exploratory design was used to examine 101 cases of sexual violations in medicine. The study involved content analysis of cases to characterize the physicians, patient-victims, the practice setting, kinds of sexual violations, and consequences to the perpetrator. In each case, a criminal law framework was used to examine how motives, means, and opportunity combined to generate sexual misconduct. Finally, cross-case analysis was performed to identify clusters of causal factors that explain specific kinds of sexual misconduct. Most cases involved a combination of five factors: male physicians (100%), older than the age of 39 (92%), who were not board certified (70%), practicing in nonacademic settings (94%) where they always examined patients alone (85%). Only three factors (suspected antisocial personality, physician board certification, and vulnerable patients) differed significantly across the different kinds of sexual abuse: personality disorders were suspected most frequently in cases of rape, physicians were more frequently board certified in cases of consensual sex with patients, and patients were more commonly vulnerable in cases of child molestation. Drawing on study findings and past research, we offer a series of recommendations to medical schools, medical boards, chaperones, patients, and the national practitioners database.

Indexed as

Ethics, ProfessionalAdultAge FactorsFemaleHumansMaleMiddle AgedPhysician-Patient RelationsPhysiciansSex FactorsSex Offensesmedical ethicsmedical professionalismpatient abusephysician wrongdoingsexual abuse

Identifiers

PMID28627296
PMCPMC6031470

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.