GP told female patient he liked 'rough sex'
A GP accused of telling a female patient he liked rough sex is believed to be on the autism spectrum and may need specialist help to improve communications with patients.
The middle-aged doctor was before a Medical Council fitness to practise inquiry in Dublin yesterday.
Referred to as Dr A, he admitted to often carrying out bizarre monologues, including mimicking the movement of orchestras for Polish patients, believing they loved music.
The former locum, who now has his own practice in the Dublin region, said he realised performing karate "defence" moves for a female patient in her 20s was inappropriate.
Consultant psychiatrist Dr John Hillery said Dr A's behaviour was a "concern".
Dr A scored 44 on the autism test out of a possible 90. This was high enough to warrant further assessment and potential treatment. "The doctor needs training to have better communication skills to lesser the impact on patients," he added.
Doctor A accepted a "tendency to drift onto monologues" and this was likely what he'd done with the female patient.
The patient visited Dr A at his former place of work on June 4, 2014, complaining of mood swings and irritability. She had a history of depression and sought medical help after she assaulted her boyfriend.
She also had a small lesion behind her ear. The woman told Dr A she had punched her partner - now husband - in the face.
Dr A responded he was a black belt in martial arts and could do 100 chin-ups.
He is alleged to have told her if a woman wanted to have "rough sex" with him, he was afraid he would get carried away and hurt them. The patient said he then asked her for her arm. She alleged he made a movement with her arm which he said he would use on women who want rough sex with him.
Dr A admitted making sexual comments and to pulling the patient's arm. He denied squeezing or touching the patient's shoulder and/or back and felt he would have only examined her in the necessary way, though he could have "brushed his hand" across her back.
He said: "I'd like to unreservedly apologise, I absolutely messed this one up."
Solicitor Eoghan O'Sullivan BL, for the Medical Council, said when making its decision the committee should consider Dr A's potential autism as being only a mitigating factor.
He added: "For a doctor to make reference to his own sexual experiences, in particular with precise words such as rough sex and a concern regarding the infliction of hurt on women regarding your strength, is a serious falling short."
The decision about Dr A's conduct will be posted on the council's website.