Table 1: Warnings to the physician that a violation of boundaries with a patient may occur

Intrusive thoughts of the patient
Feelings of falling in love with the patient
Arranging appointments with the patient for times when other staff have left the office
Thoughts of meeting the patient outside the office
According "special" treatment to the patient
Increasingly irrelevant self-disclosure to the patient
Any activities you would not like colleagues to know about

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Table 2: Conduct for physicians

Think before you speak or act
Avoid risky behaviour
When in doubt, consult with others
Be responsible for maintaining appropriate boundaries
Maintain a healthy, gratifying, well-balanced personal life

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Table 3: Changes in clinical practice and teaching, planned by attendees after having taken the course concerning physician-patient sexual misconduct and teacher-learner harassment and mistreatment (from comments written on evaluation forms
Planned change No. of respondents who noted the change
More teaching about boundary issues or greater awareness of these issues in practice 26
More formal and professional manner and dress 15
More care in dealing with patients and students 14
More care in explanations given in response to intimate inquiries or in discussion of physical examinations 14
More sensitivity to patients' perceptions of situations 12
More care in the use of chaperons during pelvic, rectal and breast examinations 10
More caution in "dangerous situations" or with "special patients" 10
Reluctance to make facetious remarks or tell sexual jokes to patients or students 10
Limitation of personal disclosures to and social interactions with patients 6
More care with chart documentation 4
More privacy for patients to undress before examination 4
More consultations concerning "difficult" patients 3
Unwillingness to give supportive hugs or kisses 3
Premature retirement because this is so upsetting 3
More attention to draping patients 2
More caution about which patients are seen after staff leave 2
Decision to stop seeing and examining female patients 2
Unwillingness to date patients shortly after treatment ends 1
Installation of video monitor in office to avoid false accusations 1

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