Physician Assist's joining the exam?

My friend just told me about how he went to the doctors recently where the PA was in the room for the genital exam.

Has that happened to anyone?

I remember in high school, a PA starting me for the doctor and the most they saw was me in my underwear but that's it.

Physician Assist's joining the exam?

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My friend just told me about how he went to the doctors recently where the PA was in the room for the genital exam.

Do you mean a PHYSICIAN ASSISTANT or a physician's assistant/medical assistant.

They are two different things.

One has medical training, one does not.

I take my aging mom-in-law to her F.P. MD, who has a female P.A.-C. The Dr. is also female. The P.A. does most of the exam, but leaves when the female M.D. comes in to finish off the exam. The P.A. will tell the M.D. anything she thinks should be looked at by the Doc.

I'm sure that the P.A. is qualified to do genital/rectal exams.

I've watched N.P.'s do pelvics and dilate my wife's cervix. There are usually 2 female N.P.s at this male OB-GYN's office.

I have a friend with whom I recount physical examination experiences. He has been going to the same primary care physician for annual physicals for the last five or six years. The doctor always did the exam one on one with him until a couple of years ago when the doctor had a female PA stand in during his exam. She positioned herself standing behind the doctor so she was able to look over his shoulder while he sat on a rolling stool examining his testicles and doing the hernia and rectal exams. My friend said that he looked at the PA’s eyes to see where she appeared to be glancing and she was definitely looking right at his genitals. He said that she was not particularly attractive and may not have had many chances to see men naked.

Maybe people are confusing terms. "Medical Assistant" can be anyone, hired off the street to help in the office, with on the job training as a minimum, while others have had courses at schools teaching various procedures. The medical assistant performs low level procedures such as vital signs, history, but can not examine the patient or treat.

The Physician's Assistant or "PA" or PA-C has a higher level of education, and semi-independently examines patients, formulates a diagnosis and prescribes.

It seems to me examdoc's friend may have been the medical assistant.

In any case the topic of the thread is that a woman 'assistant' is in the room when the doctor is examining the genitals, one of my own favorite medfet scenes

The Physician's Assistant or "PA" or PA-C has a higher level of education, and semi-independently examines patients, formulates a diagnosis and prescribes.

No such thing as a Physician's Assistant and that ISN'T a PA or PA-C.

It's PHYSICIAN ASSISTANT. That is a PA.

A person who assists a physician is a medical assistant. Of course in complex procedures, other MDs, nurses or PAs may act as assistants in a procedure.

Throughout my youth and early adolescence I had to bend over the lap of a receptionist/medical assistant for shots and was humiliated to have the girl watch me get them in my vulnerable bare bottom.

I just went to the walk in recently and never saw the doctor. The PA did the whole exam. I had no complaints although I'd rather see the doc. My preference.

Maybe she wanted to have a "peak." LOL

The only time I remember a PA sitting in on an exam was when I was in 9th grade and suffering from severe abdominal pain. (It turned out to be a case of appendicitis.) I went into the exam room and all I remember was the doc doing a preliminary abdominal exam and then he instructed the PA to follow behind and palpate my abdomen as well. (I'm sure he was thinking: "How often are we going to get a case like this come through here? This is a perfect teaching moment.") My pediatrician probably did a cursory check below the belt since I was having lower abdominal pain--but I honestly can't remember after all these years.

Let's not belittle the Medical Assistant" Mr. Bratwurst. Today most medical assistants have gone to school for specific training to assist doctors with exams and to do other tasks that are typical in a medical setting. Or there may be a few that are 75 yrs old and learned on the job but those are few to be found.

I am a medical assistant and have additional schooling to become a RMA. I can take vitals, give injections, EKG, breathing treatments, collect urine samples, catherize males and females, give enemas, suppositories, draw blood, ear lavages, numb the area for minor surgeries, assist with female exams, paps, rectal exams and while working in the hospital worked in endo dept. and assisted doctors with colonoscopies and other GI tests, anesthesia, obtained signed consents for the anesthesia, worked in surgery, positioned patients on surgery tables, sterilization, transported patients, worked on the floors and prepped patients for colonoscopies and other procedures as well as surgery. So I have seen and done so many things. And you are right we do not diagnose nor prescribe medications or treatments.

And working in the medical field today is not easy. Some positions are well paid and then many are just so so.

And most PAs today can do most everything an MD/DO Doctor does except prescribe controlled narcotics (I am pretty sure) and I believe that every patients chart that a PA sees is suppose to be reviewed by a MD.

So if you go to a doctor's office and see a PA they will do pretty much the same thing your MD will do including genital exams and anything else to help them diagnose what you are having problems with.

And most PAs today can do most everything an MD/DO Doctor does except prescribe controlled narcotics (I am pretty sure) and I believe that every patients chart that a PA sees is suppose to be reviewed by a MD.

What they can prescribe varies from state to state.

We don't have PAs here, thank God.

My dermatologist has an assistant (nurse, MA, PA - I don't know) in the room for the exam of the entire body. She takes dictation from the Dr on the computer. Same thing with my ophthalmologist and optometrist - but there we don't have to undress! 😄

The assistant at the dermatologist also gave me some numbing injections prior to the doc taking a skin biopsy.

My freind told me he got MA quiet often when he got any physical exams. MA was helping spreading butt so doctore can see anus or he was makeing notes or he was passing some tools.

Sure - many times. I've had a PA do the entire physical before with the MD just coming in at the end to review charts and ask a couple of questions (and never touch me)

My dermatologist has a PA in the room sometimes to take notes or send e-prescriptions to the pharmacy. I see the PA without the DR every 12 weeks for a shot.

My dermatologist always had a female assistant with him during my exams. The assistant is always the one to tell me to undress to my underpants.

One time, I was wearing boardshorts with no underwear underneath because I was going to the beach with some friends after the appointment. When the doctor and the assistant came in, I told them "Sorry I forgot I didn't have underpants on today because I'm going to the beach later", the assistant smiled and replied "Oh don't worry, there's no shame here, we see it all the time, trust me." So they had me remove my boardshorts and that the first and only time I had to be examined completely naked.

The Physician's Assistant or "PA" or PA-C has a higher level of education, and semi-independently examines patients, formulates a diagnosis and prescribes.

It seems to me examdoc's friend may have been the medical assistant.

She is a PA who had just joined the practice and had not begun seeing her own patients yet. It sounded as though she was sitting in on my friend’s physical as a part of her orientation to the practice. A couple of years later, she actually performed his annual physical.

The last physical I had where a genital exam was done the doctor, She did call in a chaperoned to be in the room with us.

The doctor had me stand up and power, my pants and underwear towards her. The nurse was in the corner, staring straight ahead at the wall, but I was looking right at her face the whole time. Having two Medical professionals in the room at the same time really turned me on. I was fully hard before I even lowered my underwear. The next three annual physicals, she did not perform a genital exam. I wonder if me getting hard made her stop doing it

I had one a while back where an assistant in training did my physical, one on one, then the NP did he own exam on me

I have posted before about my most memorable physical (I was around 14) was at a clinic where the PA assisted throughout. He would do all the preliminaries including the things that for full physicals would be in a different room (blood work, hearing and vision, Xray, EKG). When the main doctor started the main part of the exam, the PA stayed there and continued to assist and he would be the ones to give shots, if needed.

I've seen a PA at the gynecologists. I had an issue I wanted looked at and I could get in with her more quickly than I could my doctor. She did the preliminary workup, called the doctor in who took a quick look and confirmed and off I went.

My husband occasionally has his cardiologist appointments with PA. She is very good at her job. She even is a bit more forward with her comments than his cardiologist. She does not mince her opinion of my husband and what he does or does not do. Which he does not like. We have never seen them together at an appointment. Too busy of a schedule to do that?

Our PCP I thought was a PA or a PA-C, but when I Googled her, she is a ARNP. I wouldn't trade her, her knowledge, and her assistance with our health care for a doctor. She has explained so many things that surgeons and specialists didn't bother to explain. They could learn a lot from her in that area of communicating with their patient..

So during every 6 month visit we have an "exam" with a ARNP. These are usually the best exam visits we have.

I had this at the last exam I had. I was 34, going to see a urologist about a possible varicocele. I waited fully clothed in the exam room, and the doctor (male about my age) and a PA (male, about late 20s) entered the room. He introduced the PA as being new to the practicing and orienting. The PA sat the laptop down on the exam table and started making notes and the doctor sat down and chatted with me. After satisfied that we had made enough small talk and such, he said, "Is it okay if I do an exam?". I said sure, and didn't need any further instructions as he moved to the stool and started putting gloves on. I stood in front of him, now with the PA off to his side a little bit as I undid my jeans and lowered them to my knees. I'm now standing there with my genitals fully exposed to guys the same age as my friends, also knowing the PA was new and probably right out of school and likely hadn't seen/done many exams yet. The doctor very thoroughly did a detailed palpation of all my scrotum structures. I could feel him isolating the testicle, then vas deferens, epididymis, etc. Not just a few second roll 'em around. Thankfully, I managed to avoid and erection as my penis just hung pointing him in the face. I did get about a 25% semi, not big enough to notice but enough to fill out and look bigger .

When he was finished, I pulled my jeans back up and sat down to discuss his findings. "You have a totally normal penis," were the first words out of his mouth. Followed by everything else is normal, except yes, you have a varicocele. I like that even though he didn't touch my penis, he specifically mentioned it in his findings to point out that yes, he (and the PA) were looking at it and evaluating it. They thanked me and left. The middle age female nurse returned with a specimen cup for me to provide a semen sample with. She sat out some lube from the cabinet and told me to leave the sample there on the counter on my way out. I then jerked off right there in the exam room, thinking about the exam I had just undergone.