· New Zealand edition: online, self-paced courses with certificate

Ethics and professional conduct

Chaperones and Intimate Examinations

Planning, conducting and recording sensitive examinations safely, with the right people in the room, in Aotearoa New Zealand

  • 3hours (estimated)
  • 11sections
  • 20final questions
  • 80%pass mark
  • PDFcertificate
  • Online and self-paced, on any device
  • Reflective account template
  • Knowledge checks in every section
  • Instant certificate of completion

Written for New ZealandUpdated 5 October 2026

What you will learn

  • Distinguish intimate examinations from sensitive examinations and identify where chaperone questions arise across professions.
  • Explain the purposes and limits of a chaperone, and distinguish chaperones from support persons, interpreters, observers and students.
  • Apply the Code of Rights, including clause 3, and the Medical Council and Physiotherapy Board guidance to chaperone decisions.
  • Analyse HDC opinions on chaperone failures and draw practical lessons.
  • Evaluate and improve a workplace chaperone policy, including arrangements for small, rural, mobile and after-hours settings.
  • Conduct a sensitive examination with appropriate preparation, positioning, communication, stopping and recording.
  • Act effectively as a chaperone, including pausing an examination and reporting a concern.
  • Adapt chaperone arrangements for cultural, religious, gender, age, disability, language and trauma-related needs.
  • Manage telehealth examinations, intimate images and sedated patients in line with privacy law and professional standards.
  • Describe how chaperone requirements are imposed and operated, respond appropriately to an allegation, and plan evidence-based remediation.

Who this course is for

Doctors, nurses, midwives, physiotherapists, medical radiation technologists, pharmacists, dental practitioners, paramedics, osteopaths, chiropractors and other HPCA Act practitioners, plus staff who act as chaperones and managers who write chaperone policies.

After a concern

Structured learning and a written reflection to show insight after a complaint, an investigation or a responsible authority inquiry.

Routine CPD

Focused learning on a core standard of practice, with a certificate and reflection for your portfolio.

About this course

This course is about the practical arrangements around intimate and sensitive examinations: deciding what counts as sensitive, offering and providing a chaperone, choosing who should act as one, positioning and communicating during the examination, speaking up as a chaperone, recording what happened, and managing culture, language, age, disability and trauma. It also covers video consultations, intimate images, sedated patients, chaperone requirements imposed by responsible authorities and the Tribunal, and how to respond and remediate when an examination leads to a concern.

It is written for doctors, nurses, midwives, physiotherapists, medical radiation technologists, pharmacists, dental practitioners, paramedics, osteopaths, chiropractors and other practitioners registered under the Health Practitioners Competence Assurance Act 2003, as well as health care assistants and other staff who act as chaperones, and practice managers who write chaperone policies.

New Zealand has no single chaperone law. The expectation is built from the Code of Health and Disability Services Consumers' Rights, the Medical Council's 2022 statement on when another person is present, the Physiotherapy Board's additional-person standard, the codes of other responsible authorities, and workplace policies. HDC opinions show that failures are usually avoidable system failures. This course turns those sources into clear habits, with New Zealand cases and a reflective account for your recertification record.

Course details

Learning time
Approximately 3 hours (estimated learning time including knowledge checks, reflection and assessment)
Standards covered
Code of Health and Disability Services Consumers' Rights (Rights 1–5, 8, 9, 10 and clause 3); MCNZ Doctor patient relationship – when another person is present (2022), Sexual boundaries (2018), Cultural safety (2019) and Telehealth (2023); Physiotherapy Board Involvement of an additional person during a consultation standard; Nursing Council Code of Conduct; Midwifery Council Code of Conduct; Dental Council Standards Framework; Pharmacy Council Code of Ethics 2018; HPCA Act 2003 ss 69, 100, 101; Health Information Privacy Code 2020; Privacy Act 2020
Format
Self-paced, gated lessons with knowledge checks, case studies and reflection
Assessment
20 scenario-based questions, 80% to pass (16 of 20)
Outcome
Certificate of completion and a written reflection for your CPD record
Alignment
Mapped to the chaperone, dignity, privacy and cultural safety expectations of New Zealand's responsible authorities and the Code of Rights

Course curriculum

11 sections · 26 lessons · 3 hours (estimated) · 20-question final assessment

  1. 1Sensitive examinations and the purpose of a chaperone3 lessons
    • What makes an examination intimate or sensitive
    • What a chaperone is for, and what a chaperone cannot do
    • Who else may be in the room: chaperones, support people and observers
  2. 2The New Zealand framework for chaperones3 lessons
    • The Code of Rights behind every sensitive examination
    • What the responsible authorities expect
    • What HDC has said about chaperone failures
  3. 3Designing a chaperone policy that works3 lessons
    • The building blocks of a good policy
    • Who should act as a chaperone
    • Small, rural, mobile and after-hours practice
  4. 4Conducting a sensitive examination step by step3 lessons
    • Before the examination: preparing the person and the room
    • During the examination: position, communication and stopping
    • After the examination, and when a patient declines a chaperone
  5. 5Being the chaperone2 lessons
    • The chaperone's job
    • Speaking up during and after an examination
  6. 6Culture, identity and vulnerability3 lessons
    • Cultural safety and whānau in sensitive examinations
    • Children, young people and adults at risk
    • Language and interpreters
  7. 7Telehealth, images and procedures under sedation3 lessons
    • Sensitive examinations by video and phone
    • Clinical photographs and images of intimate areas
    • Patients who are sedated or anaesthetised
  8. 8Required chaperones, allegations and remediation3 lessons
    • When a regulator requires a chaperone
    • When an allegation follows a sensitive examination
    • Showing insight and strengthening chaperone practice
  9. 9Conclusion and key points1 lesson
    • Conclusion and key points
  10. 10References and further reading1 lesson
    • References and further reading
  11. 11Your reflective account1 lesson
    • Your reflective account

Assessment and certificate

Final assessment

20scenario-based questions

  • Pass mark 80%: 16 correct out of 20
  • Knowledge checks in each section as you go
  • Tests whether you can apply the standards, not recall a page
  • Not passed yet? Review the sections and retake it

Certificate of completion

A certificate of completion for your learning portfolio.

  • Your name, the course title and the estimated learning time (record the time you actually spend)
  • Completion date and a unique certificate ID that can be verified
  • Ready to download as a PDF as soon as you complete the course

Your reflective account

The course includes a structured reflective account template: guided prompts to record what you learned, how you will apply it and how the change will show in your practice. It gives you written evidence of insight after a concern, and a ready record for your CPD portfolio.

Write it in your own words and leave out anything that could identify a patient, a colleague or a case. If you have an open complaint or case, talk to your adviser before reflecting on it in writing.

Questions about this course

Is there a chaperone law in New Zealand?

There is no chaperone statute. The expectation is pieced together from the Code of Rights (including clause 3 on reasonable actions), the Medical Council's 2022 statement on having another person present during consultations, Physiotherapy Board guidance and the boundary and consent standards of other authorities. The course combines these and uses HDC opinions about chaperone failures to show them in action.

Does the chaperone course teach staff how to act as a chaperone?

Yes. One section is written for the chaperone: where to stand, what to watch for, how to pause an examination that is going wrong and how to report a concern afterwards. It also separates a chaperone from a support person, interpreter, observer or student, and suits health care assistants and practice managers who write chaperone policies.

How does the course handle cultural, gender and trauma-related needs during examinations?

It shows how to adapt arrangements for culture, religion, gender, age, disability, language and a history of trauma, including asking who the person would like present, offering a different practitioner where possible and explaining each step before touching. It also covers small, rural, mobile and after-hours settings where a chaperone is hard to arrange.

I have been told I must use a chaperone. Will this course help?

It explains how a chaperone condition is imposed and run day to day, how to answer an allegation and how to plan remediation backed by evidence. The authority or Tribunal that set the requirement also decides what satisfies it, so ask that body, your supervisor or your lawyer before you rely on this course. Nobody can promise the result.

What do I receive for NZ$139 on the chaperones course?

About 3 hours (estimated), studied online whenever suits you. Short checks punctuate each module, a 20-question exam closes the course (pass at 16), and you finish with a certificate plus a reflective account about how you run intimate examinations. NZ$139.

How this course was built

Official sources only

Every legal and regulatory point comes from primary sources: the HPCA Act 2003, the responsible authorities' standards and the Code of Health and Disability Services Consumers' Rights. Anything we cannot confirm is left out.

Original, edition by edition

Lessons, scenarios and assessment questions are written by us for each edition separately, then checked for accuracy, teaching quality and fair assessment before publication.

Reviewed when rules change

When a code, standard or law changes, the affected courses are reviewed and updated. Reported errors in legal or regulatory facts are corrected first.

Page updated 5 October 2026

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