I thought I'd post this in a new thread so it is more easily found by people in the future. The link was posted over on PIO by a member and its a good read for anyone due to have a medical for their visa application.
There is a PDF link on this page you can download and read here -- Instructions for Panel Doctors
A few things to note that seem to always get mentioned in threads around the forum. This is based on my own reading of this PDF so please read it yourselves and take from it what you will :)
* Breast exam - This PDF states -
Question 14: Breast examination
Breast examination is not routinely required in women under the age of 40. Breast examination should be offered to all women over the age of 40.
Breast examination should be conducted if there is a history of breast cancer or breast lumps, or axillary nodes are palpated. Applicants should be asked to remove brassieres only for the purposes of and during breast examination. Such examination must be conducted with sensitivity and, in the case of a male doctor, in the presence of a chaperone. If an applicant declines, is unduly anxious or upset about a breast examination, please do not insist. Note the clinical indication(s), if any, and the applicant’s unwillingness on form 26.
Additionally, in countries where breast examinations are not routine, a panel doctor or clinic staff member should advise adult female applicants when they schedule their appointment, or at reception, that a breast examination may be required if clinically indicated.
If there is a risk based on the family medical history, or if otherwise clinically indicated, the case should be graded B. **See note below on Grade B reference**
*HIV and Hep B & C - Healthcare workers, people with tattoos - Although it doesn't state people with tattoos *have* to have a test for HIV I've read some people say they were tested for it and had tattoos. Nor does it state healthcare workers are required to undergo a test for HIV. It does state about Hep B & C being done if having tattoos.
Grade A - Grade B.... what does it mean? The breast exam blurb mentioned a 'Grade B', in the PDF it explains what these grades are. I've copied and pasted below
42.3 ‘A’ recommendations
‘A’ should be written when all the criteria below are met:
• No significant conditions or findings are noted.
• The physical findings are completely normal, including a blood pressure at or below the recommended levels, no significant cardiac murmur, no albumin, glucose or blood in the urine, and a visual acuity corrected if necessary, of no worse than 6/12 in the better eye.
• No medical or surgical condition is present which would require further investigation or treatment currently or in the foreseeable future (say, the next 10 years).
• The applicant can cope independently with the activities of daily living without family or other assistance. Nursing or institutional care is not required currently or in the foreseeable future (in the next 10 years, or 3 to 5 years in persons 70 or more years of age—see Attachment 3: Activities of Daily Living (ADL) Assessment.
• The results of the chest x-ray examination are completely normal, except for conditions listed in part C, page 49.
Where any condition or indication identified is stable and of no clinical significance, A is the appropriate recommendation.
42.4 ‘B’ recommendations
B should always be written when any of the above conditions are not met, when conditions or findings are present, or if the panel doctor has reservations about an applicant’s fitness, notwithstanding the absence of abnormal findings. Doctors should note that the grading does not determine whether a visa will be granted. Further, a B grading does not mean that an applicant will not meet the health criteria. The grading is simply a means
of processing forms efficiently.
For details on the recommendations to be given for commonly seen conditions, please refer to Attachments 4 and 5.
And last but not least, please don't think you have to sit in your underwear in front of everyone else attending with you. Or that you will be examined in front of them also. There should be facilities in place where you will be examined privately and you can always ask for a gown or speak up if you are unhappy with anything. The PDF states about a 'chaperone' and states 'be courteous and respectful towards applicants, mindful of their time, dignity, privacy and cultural practices'. So if you want that curtain pulled or to wear a gown, say so. Don't sit there like a lemon and say nothing