SEMINAR TRAINING FOR CONTRACEPTIVE CARE – COMFORT WITH SEXUAL MATTERS (TRAINING BOUNDARIES)
However, discussion of sexual matters in the seminar can make the subject more comfortable. Doctors attending seminars have said that it is a safe place in which to practice the discussion of sexual details, and they gain greater confidence to listen to, or to broach sexual topics with their patients.
Setting clear training boundaries that exclude personal sexual revelations and that tie all discussion to a specific case, allows for a study of those difficult moments in the consultation when a feeling of sexiness develops in the room. For the woman doctor faced with a man who produces an erection, the embarrassment can be great for both parties. It may be possible to see such moments as uncon-sicous defences on the part of the patient (Skrine, 1987). Certainly the doctor is usually de-skilled and has to retreat to the safety of the prescription pad, the ordering of tests or a referral to another doctor. During training the doctor can learn to cope with such moments with some degree of equanimity.
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