Sexual abuse scandals at American institutions like the Boy Scouts and the military have made headlines, and forced reforms. Now, with the publication of a year-long investigation by reporters at The Atlanta Journal-Constitution, the medical community is facing similar scrutiny. But perhaps no such scandal has drawn as much attention as the one that rocked the Catholic Church, after the Boston Globe uncovered the true extent of the Church leadership's long cover-up of its problem. As AJC reporters looked into sexual abuse within the medical community, they saw parallels with the church scandal. More significantly, the two cultures have one chief issue in common: secrecy. Secrecy underlies almost all of the proceedings surrounding complaints of sexual misconduct by physicians. The justice system is geared to let the public know when a potentially dangerous problem arises in their community. If the accused is later cleared, then that gets reported, too. In contrast, the medical disciplinary system, like church procedure before it, is usually geared to protecting the identities of everyone concerned. In Colorado, for example, even a patient may not come back to the medical board after filing a complaint and request information about his or her own complaint. One reason the AJC undertook this project was to let all patients know that there are things they can do to protect themselves. The first is to know how an intimate medical exam is supposed to proceed: read about it here.