# data[].attributes.headline
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 specific patient name, but the hospital’s initials and the description of the case make it easy to figure out the nurses and physicians that were being described.

# data[].attributes.subject
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 specific patient name, but the hospital’s initials and the description of the case make it easy to figure out the nurses and physicians that were being described.

# data[].attributes.headline
Dr Ahmed a consultant from another department approaches you (as a resident) and wants to check Mrs. PJ’s charts. You reply, that she is not their patient, and you’re uncertain whether you’re allowed to share it with him? He replies, “Fine but, give me the charts anyway, I may have a reason in the near future, so don’t get upset”, physician replied.

# data[].attributes.subject
Dr Ahmed a consultant from another department approaches you (as a resident) and wants to check Mrs. PJ’s charts. You reply, that she is not their patient, and you’re uncertain whether you’re allowed to share it with him? He replies, “Fine but, give me the charts anyway, I may have a reason in the near future, so don’t get upset”, physician replied.

# data[].attributes.headline
You are final year medical student making rounds with the attending physician and a resident on Mr. Johnson, a 58-year-old man with bacterial sepsis. You looked up his blood culture results this morning and found that 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.

# data[].attributes.subject
You are final year medical student making rounds with the attending physician and a resident on Mr. Johnson, a 58-year-old man with bacterial sepsis. You looked up his blood culture results this morning and found that 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.

# data[].attributes.body
confidentiality, integrity, advocacy, ethical practice, working with others, respect for anonymity

# data[].attributes.body
Don't give him the chart, refer him to your own consultant and mention the confidentiality issues

# data[].attributes.body
the consultant either explains and has a valid or realises and apologises for his mistake

# data[].attributes.body
individual: confidentiality, the patient's chart is your responsibility
institution: protocol v. de facto norms
societal: issues of access and responsibility

# data[].attributes.body
need to respect confidentiality even when it clashes with your professional relationships

# data[].attributes.body
advocacy, altruism, integrity, caring, ethical practice, working with others

# data[].attributes.body
suggest they check the records again as you saw a positive result earlier

# data[].attributes.body
patient's positive are checked and discussed, patient care not affected

# data[].attributes.body
patient safety is essential

# data[].attributes.body
individual: responsibility to the patient
institutional: why didn't the resident check? problems with the EHR?
societal: patient trust

# data[].attributes.body
advocacy, integrity, confidentiality, ethical practice, working with others, self care

# data[].attributes.body
discuss with the co-resident if this is a first incident with documentation
otherwise follow the guide for continuing along guide for intervening in disruptive behaviour

# data[].attributes.body
social media post is deleted, resident is either helped/sanctioned as appropriate

# data[].attributes.body
individual: responsibility to patients and institution
institutional: risk of harm, to educate their employees
societal: public trust

# data[].attributes.body
the dangers of social media - information can be de-identified, but not confidential