No, my point was to show the difficult position practitioners are put into, and how the pendulum of opinion would swing the other way in the case of an abused child who had "normal" physical exams. Then he/she would be hung out to dry by the public AND the court system. Puts them in a tight spot, eh. I was asking you to view the rationale from the practitioner's perspective. And every time a parent or child refuses that part of the exam, that's what's going on in his/her head. Is this kid/parent refusing because the child is shy, or are they refusing because there is some sort of abuse they are trying to hide?
At the age of 12, they should be asking the parents to step out, anyway, to ask questions about drugs, smoking, alcohol, and sexual activity, and to discuss the practice of patient confidentiality. And that's the point when they should also clarify WHY the child is refusing the exam.
As for stepping out.. Yea right.. If a doc told me to leave I would be taking my child with me. I will NEVER leave my child to be bullied by a so called doctor again. She once had a tooth pulled with NO PAIN meds. They just sedated her so she couldn't move and janked the thing. When I brought her home she told me I "lied to her" because I told her they would give her medicine so it wouldn't hurt. It was standard practice for parents to "step out" there too. Never again!
And what makes you think a child would tell the doctor the truth even if the parents weren't in the room? I didn't. I mean come one just because it is a doctor asking someone is going to admit to taking illegal drugs? It would be a pretty naive doctor to believe they would. Especially when they are just in there for a physical, not due to a problem.