PROTECTING PATIENTS
The following information is derived from a guide originally intended for medical students addressing the issue of modern slavery, which is a significant public health concern.
Healthcare providers need to stay alert and well-informed when dealing with patient protection matters.
KEEN OBSERVATION
Individuals who have undergone FGM may face challenges when seeking healthcare services.
Various factors, including but not limited to:
healthcare providers' lack of understanding of FGM,
cultural insensitivity and bias,
insufficient specialized FGM support services creating obstacles to care access,
distrust in healthcare providers,
Patients who have undergone FGM may present with any complaint, but through astute observation and effective communication, we can gain a deeper understanding of their experiences.
Below are indicators to watch for if you suspect someone may be a survivor of FGM.
Timid/terrified/tense
Registration - Lack of registration with a GP/school/nursery
Accompanied by a controlling person
Fatigued/tired
Frequently moving/no fixed address
Inconsistent history
Control - no control of passport or bank account
Kept isolated from support
Evidence of untreated injuries
Does not attend appointments
REMEMBER
FGM is illegal in the UK. In England and Wales, doctors are obligated to report FGM, and it is strongly advised in Scotland. It is a safeguarding concern, and we must maintain the highest level of professionalism for the well-being of our patients. As a medical student, you may have more opportunities to converse with patients. If anything raises suspicion, even if it's just a hunch, discuss it with clinical staff, university personnel, or follow your university's reporting protocol. Your actions could help a patient access necessary care.
SOURCES
Adapted from:
