I think the point that
@Ibib was trying to make a couple of pages ago was that the examinations could be a bit less rigidly professional. The whole trust thing is rather meaningless otherwise.
For example:
Back exams - You could caress the back and claim that you're checking the vertebrae or something
Legs - caressing them to check them
Breasts - there's potential fun there (nipple sensitivity - patient has orgasm while you do the exam maybe, a new mother needs help with breast feeding, milking
Genitals - Gynecological exams - internal/external (feet in stirrups, using speculum, etc.), responsiveness. Maybe somebody comes in with something stuck inside or an exhibitionist or something comes in with a vibrator or something inside (maybe not on the first visit, but a later one after there's trust or something built up). A patient comes in and discusses never having been able to reach orgasm before, etc.
In other words there's lots of potential there and obviously different requirements from different patients (because of different personalities)
I don't like the whole patient age restriction thing. I'd rather have a don't ask/don't tell for age or all the female patients be of "legal" age (I always find it stupid how fictional characters are still bound by this nonsense, just like how in a lot of places 16 is the age of consent, but naked pictures of 16-18 is illegal. Makes no sense)
With the pregnant girl at the hospital in the questioning stage if the mother is present and she denies being sexually active and the doc mentions about checking, but then in the exam being unable to check. How is it going to work when it's time for her to give birth, but due to restrictions you can't take her panties off or check dilation and such.
I guess it just kind of feels like two concepts (doctor role-play and dating sim) that aren't really meshed together, just kind of thrown together as it is.