Professional sexual misconduct—defined by the Federation of State Medical Boards as behavior that exploits the physician–patient relationship in a sexual way—remains an underreported but deeply harmful problem. Media reports have shown how gaps in oversight sometimes allow misconduct to continue for years, causing lasting harm to patients and eroding public trust in the profession.
Although most clinicians understand obvious violations, subtle boundary “crossings” can also create risk. Extending visits unnecessarily, meeting patients outside of clinical settings, or exchanging personal gifts may seem harmless but can alter the power dynamic and lead to misinterpretation. Over time, small lapses may escalate into significant violations.
Key Boundary Principles
- Time: Avoid unusually long or after-hours encounters
- Place/Space: Keep interactions within professional settings; avoid personal or social media contact
- Gifts/Services: Refrain from personal exchanges
- Professional Demeanor: Maintain professional language, appearance, and conduct
- Special Considerations: Behavioral health and pediatrics require heightened caution, especially with patients’ parents or guardians
Maintaining clear boundaries isn’t just about preventing egregious misconduct—it’s about protecting trust, ensuring objectivity, and upholding a fiduciary duty to patients.
If You See Something, Say Something
Healthcare professionals may hesitate to report a colleague’s behavior due to fear of retaliation or uncertainty about what qualifies as misconduct. Yet experts stress that misconduct exists on a spectrum, and early reporting helps prevent escalation. Recognizing red flags and acting promptly is key to protecting patients and maintaining safe spaces.
Red Flags for Sexual Misconduct
- Watching patients dress or disrobe
- Failing to properly drape patients during exams
- Performing sensitive exams without clear medical need
- Touching genital areas without gloves
- Using sexual or inappropriate language
- Ignoring chaperone policies
- Scheduling appointments outside of normal hours without staff present
- Making sexual jokes
- Disclosing personal sexual experiences
- Giving gifts or special favors
Protecting professional boundaries is essential for safe, ethical, and trustworthy care. By staying vigilant, recognizing warning signs, and reporting concerns, healthcare professionals can help ensure that patients feel respected, supported, and safe.
Want to discuss your specific risk challenges? Contact Catherine Mullaney, MHA at cbretz@med-iq.com.
