How do medical students (esp. male students) get experience with performing pelvic exams and pap smears? At teaching institutions, is it just expected that students will be performing exams? How about at county hospitals / free care clinics? My experience, unfortunately, has been with private practice physicians. I have been categorically excluded from performing and even observing pelvic and paps. In private practice I believe physicians feel that their patients would be offended if even asked to have a student perform their sensitive exams. If a patient is posed the question "Would you like a student to do your pelvic today?", how many really say yes? How many pelvics and paps does it take to get proficiency/ be comfortable with what feels normal/abnormal? How many have most of you performed by graduation? As a future primary care (likely FP or IM) physician, I feel that I will definitely need to be able to do these exams. Is it expected that a new PGY1 would be able to do these on July 1 of their first year, without assistance/training? thanks for any replies.