During a medical examination, can a family member serve as a chaperone substitute?

• A. Yes, a family member may serve as a chaperone substitute.
• B. No, friends and family may be present but are not a substitute for a chaperone.
• C. Yes, any adult may serve as a chaperone.
• D. Chaperone is optional.

Answer: (B)

A chaperone is a trained, neutral observer whose presence protects patient privacy, maintains professional boundaries, and can intervene if anything inappropriate occurs during the examination. A family member cannot substitute for this role because they are not trained to monitor the clinical interaction, document concerns, or act as an impartial safeguard. While policy may allow a companion such as a friend or relative to be present for support, that person is not a substitute for a formal chaperone whose duties are specific and protective. So, a family member may be present as a companion if allowed, but they cannot replace a chaperone.