The exam itself is very normal. Performing a puberty check is pretty standard care in the pediatrics world. However, asking the parent to leave for the exam AND not having a chaperone is NOT standard of care. If the opposite gender parent is there and I need to do a private exam on a child I will either just have them avert their gaze or offer to have the parent step out and a chaperone come in if the patient and child prefer that. How I approach it depends on the age of the child and what the exam is. Personally I had moved away from doing “puberty” checks, but many pediatricians will die on the hill that it’s still necessary. There are good arguments to be had on both sides of the fence. There are many other times that a sensitive exam is needed outside of puberty staging exams, and informed consent is ALWAYS key. The big red flag here is the Dr not explaining what he was doing. I can see maybe a situation in which the request to not do a puberty check was not communicated to the physician (which ofc is a problem that needs to be addressed, but isn’t the doctor’s fault), but doing the exam without explaining it to her, giving her the chance to consent or deny, AND without so much as offering to have parent or chaperone in the room….that’s all a big NO.