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You are final year medical student making rounds with the attending physician and a resident and consult on Mr. Johnson, a 58-year-old man with bacterial sepsis. You looked up his blood culture results this morning and found they were positive, but your resident was unable to check the culture results himself before rounds. When asked by the attending physician, the resident replies that the culture results are not yet available.

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You are final year medical student making rounds with the attending physician and a resident and consult on Mr. Johnson, a 58-year-old man with bacterial sepsis. You looked up his blood culture results this morning and found they were positive, but your resident was unable to check the culture results himself before rounds. When asked by the attending physician, the resident replies that the culture results are not yet available.

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You are reviewing your recent social media messages and notice that a co-resident has written a highly negative comment about a patient’s situation. There was no mention of the patient name, but the hospital’s initials and the description of the case make it easy to figure out the nurses and physicians being described.

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You are reviewing your recent social media messages and notice that a co-resident has written a highly negative comment about a patient’s situation. There was no mention of the patient name, but the hospital’s initials and the description of the case make it easy to figure out the nurses and physicians being described.

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Dr Ahmed, a consultant from another department approaches you (as a resident) and wants to check Mrs. P’s chart. Because she is not his patient, you’re uncertain whether you’re allowed to share it with them. But the physician insists you to give him  the chart anyway, as he may have a reason in the near future to see the patient and tells you not to get upset.

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Dr Ahmed, a consultant from another department approaches you (as a resident) and wants to check Mrs. P’s chart. Because she is not his patient, you’re uncertain whether you’re allowed to share it with them. But the physician insists you to give him  the chart anyway, as he may have a reason in the near future to see the patient and tells you not to get upset.

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Issue of confidentiality

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disclosing patients information to a doctor that does not have the right to have such information

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Explore reason information is requested
if valid reason can share if not decline politely

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consultant using his status to overstep rules and boundaries

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patient information and privacy protected while the relationship with the consultant remains professional and respectful

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obtain patient's consent before information is provided to another doctor

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Awareness of the criteria for confidentiality

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Institutional sensitivity to culture of information sharing

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to open the situation up to a full investigation, and coming to a reasonable solution which is in the best interest of the patient.

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Public and patient trust in doctors is based on confidentiality

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micro: stay accountable for rules and regulation and do not preach them under pressure
meso: a clear set of rules must be in place to allow staff to know what is expected of them
macro: a person of a high status must not be "above the law"

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it is the importance of maintaining integrity and confidentiality while communicating with colleagues in a sensitive way

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Should voice concerns in cases of unprofessional behaviour

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Ensure that the patient's safety and confidentiality is always a priority

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Lack of communication which could delay urgent patient care

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Miscommunication between the resident anf consultant

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urgent patient information not conveyed properly

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No morning briefing before rounds

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I would quickly inform the doctors that the results are published and I would imply the urgency of the results

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Patient care is compromised

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Step aside and disclosure of the blood results especially since sepsis

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the patient gets the adequate care they need in a critical situation like such

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issues with integrity

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Everyone should be comfortable advocating for the patients best interest

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Change any hierarchies that may compromise safety

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it is important to speak up when you witness shortcoming from colleagues

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working in partnership and advocating for the best interests of the patient

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Immediately inform the resident of the results, and if no action is taken, come forward to the attending physician.

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miscommunications can be fatal therefore, an efficient stream of information-sharing must be in place

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improve services with morning briefings

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Not making excuses for own shortcomings and situations of lacking punctuality. The patient's needs should always be above the doctor's "image"

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Sensitive information is being shared on social media

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Negative comments are disrespectful

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Lack of compassion

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Have a conversation with co resident about e-professionalism

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micro: speak up when it is needed
meso: make people of "lower" hierarchal positions feel comfortable to voice their inputs as they might notice things other staff members do not recognize

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If a pattern emerges can refer to senior management

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preach of patient's dignity and privacy

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make sure this colleague understands why this is wrong to prevent the situation from recurring

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No sharing of private patient information in public spaces whether online or in-person

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education on the relevance of e-professionalism especially in this day and age

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- patient's level of care is not compromised
- patient's dignity and privacy are not preached
- the resident understands his mistakes and corrects it
- the relationship with that doctor remains positive and professional

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Importance of keeping discussions about patients respectful and always private

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there must be regulation on what is posted to social media

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Reporting system for the miss-use of social media

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micro: stay accountable to one's social media profiles
meso: there must be rules in place to regulate the staff's behavior on social media. that must be communicated clearly
macro: the law must adapt to the recent changes and must be able to cover cyber-crimes and preaches of privacy