I have just attended an excellent conference including a  presentation on performing pelvic exams on challenging patients. Which begs the question- why do “non-medical smear-takers” aka nurses NOT get taught to do bi-manual pelvic exams with their smeartaking? It is like teaching phlebotomy without teaching how to actually draw the blood.

Can anyone tell me why this is so?

Every smeartaker should be able to complete the second phase of a smear- the bi-manual exam. It is not rocket science. It is a technique like many others nurses do- invasive- yes but you are already down there anyway! But not dangerous.

Makes me wonder who designed the original smeartakers courses in the first place?