What is your approach when a female patient does not want a male MA/scribe present in the exam room but other staff are unavailable?

I think we need to respect a patient’s request for same sex providers. Some patients are shy. For some, it is religion-based.

I would ask the scribe to stand behind the curtain while I am seeing the patient.

Regarding the MA, I would ask the MA to leave the room during my full-body skin exam. If I need their assistance for a procedure, I would cover sensitive areas and explain to the patient my need for assistance.