Documentation of chaperone presence in breast clinic, a complete audit cycle

Objective The General Medical Council (GMC) and Irish Medical Council (IMC) recommend the presence of a chaperone for all intimate examinations and that it should be clearly documented. The aim of this report is to assess doctors’ compliance with obtaining a chaperone and documenting their presence, determining possible causes of non-compliance and implement interventions to increase compliance. Methods Prospective audit of patients seen in the breast clinic in Beaumont hospital over the week starting 8th February 2021. The medical charts were reviewed for documentation of chaperone presence. Doctors were surveyed using (SurveyMonkey) for causes of non-compliance. Interventions included a stamp in the medical notes for chaperone presence and details, an educational email with GMC and IMC guidelines, and posters put up in clinic rooms. The intervention was reassessed at 1-week and 6-week intervals. Results In the assessment phase, 126 patients were recruited. A chaperone was present 100% of the time where a male doctor examined a female patient; however, chaperone presence was not documented in any of the medical charts (0/126). A survey was sent to 22 breast surgery doctors to explore causes of non-compliance. Response rate was 95%, 50% did not know documentation was necessary, and 25% forgot to document. One week after intervention, 64 patients were recruited. Chaperone documentation increased to 80% (51/64). Reassessment at six weeks included 120 patients, and chaperone documentation rate was 74% (89/120).

Irish Medical Laboratory Professionals and COVID-19: Response, Effect and Reflection on Future Practice

The authors have requested that this preprint be withdrawn due to erroneous posting.

The lexicon of pulmonary ailment in some medieval Irish medical texts

Résumé Le terme loch tuile ne se trouve pas dans les sources lexicographiques qui ont été publiées jusqu’à présent pour les langues gaéliques. Il est utilisé, cependant, pour faire référence à la maladie pulmonaire dans des manuscrits médicaux irlandais copiés pendant les quinzième et seizième siècles, dans un cas comme glose interlinéaire sur le texte juridique en vieil-irlandais connu sous le nom de Bretha Déin Chécht (‘Les jugements [du médecin mythologique] Dían Cécht’). Il s’agit dans cet article d’examiner quelques attestations de ce terme et de ses dérivés, en faisant appel à textes qui se trouvent dans quatre manuscrits différents. La discussion vise alors à élucider quelques aspects de la terminologie médicale gaélique pendant l’époque médiévale, et aussi à faire des observations préliminaires sur les liens qui auraient existé entre les manuscrits en question.