Practice doing stuff like pelvic exams (here in the US) is done with paid volunteers. The guys get $25 a pop for prostate exams I think, and the women get rather a lot more for a pelvic. I think it was $100 when my wife was in med school. She said the med students were in teams of 3-4, and so the woman would get 4 exams, and get paid $400. The guy she got for a prostate exam she said was kinda creepy—he'd guide them since he'd done it so many times.
For Residents, any patient is a case they can check off. As I said above, I bet she or her hubby were demanding a-holes, otherwise I bet they'd have done the case (some resident would have, anyway).
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"Government, even in its best state, is but a necessary evil; in its worst state, an intolerable one." — Thomas Paine
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