Volume 32 • Number 5 • May 2011
State bill aims to silence
counseling on firearm safety
Chaperones during pediatric
exams: What is the latest
by H. Garry Gardner, M.D., FAAP,
and Molly Droge, M.D., FAAP
over the proposed legislation ( www.aap.org/advo
A similar bill was introduced this year in West Virginia, but it did not advance before the legislature’s
regular session adjourned in mid-March.
The introduction of these bills highlights the need
for AAP chapters to mobilize to protect children’s
health and safety and to safeguard the trust of the
physician-patient-family relationship, without government interference.
by Lori O’Keefe • Correspondent
“Is there a gun in your home?” Pediatricians in
Florida will have to think twice before asking this
question of parents during well-child visits if pending
state legislation is enacted.
The controversial bill would limit what physicians,
nurses and other medical staff could ask patients or
parents about firearms in their home, under threat
of sanction by the state’s board of medicine. The Academy has issued a statement expressing deep concern
See Firearm safety, page 8
Resident match continues to grow Pediatrics fills 98% of positions two years running
Photo courtesy of Feinberg School of Medicine
Medical student John Boyle celebrates with his wife, Megan, at Northwestern
University Feinberg School of Medicine’s Match Day event in Chicago.
An update to a 15-year-old
AAP policy statement clarifies
when it is in the best interest for
both the pediatrician and patient
to have a chaperone present in the room during
a sensitive physical examination.
Use of Chaperones During the Physical Examination of the Pediatric Patient (Pediatrics.
0322v1), says that deciding to include a chaperone
in the room during a rectal, genital or breast exam
should be a mutual decision between the pediatrician and patient after the pediatrician has fully
explained the reason for the exam, as well as what
the patient can expect during the procedure.
Although the policy statement recommends
that a parent or guardian always be in the room
for the examinations of younger children, that
may not always be the case for older patients.
Adolescents or young adults may prefer to preserve their privacy from parents or guardians or
may be embarrassed to have family members see
them in what could be perceived as an awkward
situation, said Edward S. Curry, M.D., FAAP,
lead author of the statement and a member of
the AAP Committee on Practice and Ambulatory
However, if a patient is comfortable with having a family member or friend in the room, an
additional chaperone — preferably a nurse or
medical student — is still suggested.
Having a chaperone present in the room protects both the pediatrician and the patient.
See Chaperones, page 9
from the AAP Division of Workforce
and Medical Education Policy
The number of positions available in all specialties
in the 2011 resident match exceeded 26,000 for the
first time in history, according to the National Resident Matching Program (NRMP).
In addition, primary care performed strongly across
the board, and U.S. medical school graduates filled
a higher percentage of positions compared to last year
in family medicine (50.9% v. 49%), internal medicine
(64.9% v. 63.1%), pediatrics (72.1% v. 71.3%) and
med-peds (85.4% v. 84.2%).
Additional data from the NRMP on the resident
match held March 17 revealed the following:
• Pediatrics offered 2,641 first-year positions, a
4.6% increase over 2010, and 2,587 (98%) were
filled. These include first-year positions in cate-
gorical pediatrics, as well as combined programs
in pediatrics-anesthesiology, pediatrics-emergency
medicine, pediatrics-medical genetics, pediatrics-
preliminary, pediatrics-primary and pediatrics-
See Match, page 8
In this issue
What is CMS doing for you?
AAP member and head of the Centers for Medicare &
Medicaid Services, Donald Berwick, M.D., FAAP, answers
questions about how the agency is addressing pediatric
issues. Page 4
AAP president-elect candidates:
Who are they?
Learn more about Mary P. Brown, M.D., FAAP, and Thomas
K. McInerny, M.D., FAAP. Page 7