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Pennsylvania will require patient consent for pelvic exams by medical students
A new Pennsylvania law will require doctors to get a patient’s verbal and written consent before medical students can perform pelvic exams on someone who receives anesthesia.

HARRISBURG, Pa. (AP) — A new Pennsylvania law will require doctors to get a patient’s verbal and written consent before medical students can perform pelvic or rectal exams on someone who receives anesthesia.
At a press conference Monday, supporters touted the recently enacted legislation, which goes into effect in January.
Tracking how often medical students are asked to perform pelvic, rectal or prostate exams on anesthetized patients is difficult, but concern about the procedures has led to a broad national effort to require informed consent for the procedures. At least 20 states have similar measures, with Colorado advancing some of the most extensive legislation so far.
Often, patient paperwork contains broad consent for a range of procedures that might be medically necessary while someone is anesthetized. But the documents can also include consent for educational purposes, allowing students to conduct medically unnecessary exams as part of their training.
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I think prior permission is needed because once you're out you will miss half the fun.